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Grandview Medical Center: what a joint replacement costs

Birmingham, AL 35243 · CMS Certification Number 010104. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,106
Surgical Institute of Alabama, 3.1 mi
Outpatient here
$10,518
Medicare allowed amount, 336 cases, APC 5115
Inpatient here
$15,181
Avg total payment (incl. patient share), 107 Medicare stays, MS-DRG 470

Medicare prices at Grandview Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,181$225,95214.9×$10,518
Shoulder replacement$16,690$333,25720.0×$14,820
Hip replacement after a fracture (DRG 522)$13,484$250,82418.6×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$20,0351.3×$19,103–$20,6863
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS Alabama$20,6861.4×1
Cigna$20,0351.3×1
UnitedHealthcare$19,1031.3×1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 422 beds

Alabama requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Grandview Medical Center for a knee or hip replacement?

In 2024 the average total payment to Grandview Medical Center for an inpatient hip or knee replacement stay was $15,181 (MS-DRG 470, 107 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,518 per outpatient case (APC 5115, 336 cases).

What is Grandview Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $225,952, 14.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Grandview Medical Center?

Yes for Medicare facility payments. Surgical Institute of Alabama, an orthopedic surgery center 3.1 mi away, is paid about $8,106 by Medicare for a knee replacement (CPT 27447), $7,075 less than an inpatient stay at Grandview Medical Center. Not every patient is a surgery-center candidate.

How does Grandview Medical Center compare with other Alabama hospitals?

Grandview Medical Center's average total payment per Medicare stay is higher than 88% of the 24 Alabama hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Grandview Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $20,035 across 3 insurers, ranging from $19,103 to $20,686.