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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
336 Medicare cases, APC 5115
Inpatient here
$15,181
107 Medicare stays, MS-DRG 470

Medicare prices at Grandview Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient 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×—

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 Medicare paid Grandview Medical Center an average of $15,181 per inpatient hip or knee replacement stay (MS-DRG 470, 107 stays) and $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× what Medicare paid. 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?

Medicare paid Grandview Medical Center more than 88% of the 24 Alabama hospitals that report inpatient hip or knee replacement.