Major hip and knee joint replacement or reattachment of lower extremity without major complications in Alabama
What 24 hospitals in Alabama charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.
Average charge
$103,212
Hospital list price billed
Average payment
$14,555
Medicare + patient + other payers
Medicare paid
$10,131
Average per stay
State rank
#16 of 48
1 = lowest average payment
Hospitals in Alabama billed an average of $103,212 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 7.1 times the average total payment of $14,555. That payment is 16% below the U.S. average of $17,318.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $14,555Billed $103,212
About 14¢ was paid for every $1 hospitals in Alabama billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Alabama:
Alabama hospitals: major hip and knee joint replacement or reattachment of lower extremity without major complications
Every Alabama hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| East Alabama Medical Center and SnfOpelika | 160 | $30,586 | $15,074 | $10,583 |
| Flowers HospitalDothan | 127 | $147,430 | $13,382 | $9,274 |
| Grandview Medical CenterBirmingham | 107 | $225,952 | $15,181 | $7,735 |
| Huntsville HospitalHuntsville | 90 | $106,849 | $14,861 | $11,414 |
| Jack Hughston Memorial HospitalPhenix City | 75 | $41,901 | $15,162 | $7,616 |
| Northeast Alabama Regional Med CenterAnniston | 71 | $122,348 | $13,819 | $11,789 |
| Athens-Limestone HospitalAthens | 68 | $35,852 | $12,802 | $10,863 |
| Thomas HospitalFairhope | 39 | $54,497 | $14,077 | $12,182 |
| Medical Center EnterpriseEnterprise | 35 | $178,381 | $13,061 | $8,735 |
| Baptist Medical Center SouthMontgomery | 32 | $44,749 | $14,717 | $11,999 |
| Dekalb Regional Medical CenterFort Payne | 25 | $170,252 | $14,305 | $11,027 |
| University of Alabama HospitalBirmingham | 24 | $103,696 | $27,608 | $11,012 |
| St Vincent's BirminghamBirmingham | 23 | $57,897 | $14,133 | $9,478 |
| South Baldwin Regional Medical CenterFoley | 23 | $161,513 | $15,190 | $9,878 |
| Providence HospitalMobile | 21 | $35,638 | $12,738 | $11,106 |
| North Alabama Medical CenterFlorence | 19 | $75,607 | $13,112 | $11,291 |
| Gadsden Regional Medical CenterGadsden | 19 | $219,127 | $13,017 | $8,916 |
| Mobile InfirmaryMobile | 19 | $48,205 | $14,595 | $10,299 |
| Andalusia Regional HospitalAndalusia | 17 | $93,978 | $15,939 | $10,323 |
| Princeton Baptist Medical CenterBirmingham | 17 | $176,455 | $14,080 | $10,729 |
| Shelby Baptist Medical CenterAlabaster | 16 | $164,325 | $14,250 | $9,564 |
| Russell HospitalAlexander City | 16 | $27,519 | $14,321 | $12,893 |
| Springhill Medical CenterMobile | 14 | $34,718 | $12,448 | $10,933 |
| Riverview Regional Medical CenterGadsden | 12 | $137,178 | $11,868 | $10,372 |
Lowest and highest payments in Alabama
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Riverview Regional Medical CenterGadsden, AL | $11,868 |
|---|---|
| Springhill Medical CenterMobile, AL | $12,448 |
| Providence HospitalMobile, AL | $12,738 |
| Athens-Limestone HospitalAthens, AL | $12,802 |
| Gadsden Regional Medical CenterGadsden, AL | $13,017 |
Highest
| University of Alabama HospitalBirmingham, AL | $27,608 |
|---|---|
| Andalusia Regional HospitalAndalusia, AL | $15,939 |
| South Baldwin Regional Medical CenterFoley, AL | $15,190 |
| Grandview Medical CenterBirmingham, AL | $15,181 |
| Jack Hughston Memorial HospitalPhenix City, AL | $15,162 |
Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states
Questions
How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Alabama?
In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 24 hospitals in Alabama was billed at $103,212 on average, while the average total payment was $14,555, of which Medicare paid $10,131. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Alabama, average charges were 7.1 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.