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Alabama: one knee, three prices

What Medicare pays Alabama hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.

Surgery center
$7,936
Median Medicare knee rate, 25 orthopedic surgery centers
Hospital, same day
$10,723
Median outpatient allowed
Hospital, overnight
$14,192
Median inpatient paid, 24 hospitals

Alabama requires a certificate of need for new surgery centers.

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Lowest Medicare payment

HospitalCityInpatient paidList priceOutpatient
Riverview Regional Medical CenterGadsden$11,868$137,178$10,524
Springhill Memorial HospitalMobile$12,448$34,718$10,628
Providence HospitalMobile$12,738$35,638$10,540
Athens Limestone HospitalAthens$12,802$35,852$9,898
Gadsden Regional Medical CenterGadsden$13,017$219,127$10,627
Medical Center EnterpriseEnterprise$13,061$178,381—
North Alabama Medical CenterFlorence$13,112$75,607$10,657
Flowers HospitalDothan$13,382$147,430$10,916
Northeast Alabama Regional Medical CenterAnniston$13,819$122,348$11,983
Thomas HospitalFairhope$14,077$54,497$10,711

Highest Medicare payment

HospitalCityInpatient paidList priceOutpatient
University of Alabama HospitalBirmingham$27,608$103,696$10,975
Andalusia HealthAndalusia$15,939$93,978—
Baldwin HealthFoley$15,190$161,513$10,550
Grandview Medical CenterBirmingham$15,181$225,952$10,518
Jack Hughston Memorial HospitalPhenix City$15,162$41,901$10,756
East Alabama Medical CenterOpelika$15,074$30,586$10,963
Huntsville HospitalHuntsville$14,861$106,849$10,683
Baptist Medical Center SouthMontgomery$14,717$44,749$10,259
Mobile Infirmary Medical CenterMobile$14,595$48,205$10,534
Russell Medical CenterAlexander City$14,321$27,519—

Every Alabama hospital (40)

Orthopedic surgery centers (25)

Questions

How much does Medicare pay for a knee replacement in Alabama?

In 2024 Medicare paid Alabama hospitals a median $14,192 per inpatient hip or knee replacement stay (MS-DRG 470, 24 hospitals) and a median $10,723 per outpatient case. An orthopedic surgery center is paid about $7,936 for a knee.

Which Alabama hospitals does Medicare pay least for a joint replacement?

Riverview Regional Medical Center ($11,868), Springhill Memorial Hospital ($12,448), Providence Hospital ($12,738).

What do Alabama hospitals list for a joint replacement?

The median list (chargemaster) price is $98,837, about 7.0× what Medicare pays.

Does Alabama have a certificate-of-need law?

Alabama requires a certificate of need for new surgery centers. CON is required to establish a new ASC or hospital, reviewed by the SHPDA CON Review Board.