Phenix City, AL 36867 · CMS Certification Number 010168. 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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,162 | $41,901 | 2.8× | $10,756 |
| Shoulder replacement | $16,340 | $67,399 | 4.1× | $15,345 |
Complications after hip or knee replacement: 5.3% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 70 beds
Alabama requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Jack Hughston Memorial Hospital an average of $15,162 per inpatient hip or knee replacement stay (MS-DRG 470, 75 stays) and $10,756 per outpatient case (APC 5115, 531 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $41,901, 2.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgery Center, LLC, the, an orthopedic surgery center 6.8 mi away, is paid about $8,075 by Medicare for a knee replacement (CPT 27447), $7,087 less than an inpatient stay at Jack Hughston Memorial Hospital. Not every patient is a surgery-center candidate.
Medicare paid Jack Hughston Memorial Hospital more than 83% of the 24 Alabama hospitals that report inpatient hip or knee replacement.