Revision of hip or knee replacement without complications in Alabama
What 7 hospitals in Alabama charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.
Average charge
$168,760
Hospital list price billed
Average payment
$21,344
Medicare + patient + other payers
Medicare paid
$15,460
Average per stay
State rank
#16 of 42
1 = lowest average payment
Hospitals in Alabama billed an average of $168,760 for revision of hip or knee replacement without complications, about 7.9 times the average total payment of $21,344. That payment is 11% below the U.S. average of $23,925.
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 $21,344Billed $168,760
About 13¢ was paid for every $1 hospitals in Alabama billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Alabama:
Alabama hospitals: revision of hip or knee replacement without 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 |
|---|---|---|---|---|
| Huntsville HospitalHuntsville | 38 | $144,072 | $20,321 | $14,050 |
| University of Alabama HospitalBirmingham | 31 | $96,788 | $30,685 | $15,131 |
| Grandview Medical CenterBirmingham | 27 | $314,505 | $17,239 | $14,997 |
| Jack Hughston Memorial HospitalPhenix City | 23 | $96,041 | $19,817 | $17,766 |
| Thomas HospitalFairhope | 20 | $77,704 | $19,564 | $16,601 |
| Crestwood Medical CenterHuntsville | 15 | $305,698 | $17,746 | $14,064 |
| South Baldwin Regional Medical CenterFoley | 14 | $216,884 | $20,263 | $16,984 |
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
| Grandview Medical CenterBirmingham, AL | $17,239 |
|---|---|
| Crestwood Medical CenterHuntsville, AL | $17,746 |
| Thomas HospitalFairhope, AL | $19,564 |
| Jack Hughston Memorial HospitalPhenix City, AL | $19,817 |
| South Baldwin Regional Medical CenterFoley, AL | $20,263 |
Highest
| University of Alabama HospitalBirmingham, AL | $30,685 |
|---|---|
| Huntsville HospitalHuntsville, AL | $20,321 |
| South Baldwin Regional Medical CenterFoley, AL | $20,263 |
| Jack Hughston Memorial HospitalPhenix City, AL | $19,817 |
| Thomas HospitalFairhope, AL | $19,564 |
Revision of hip or knee replacement without complications in other states
Questions
How much does revision of hip or knee replacement without complications cost in Alabama?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 7 hospitals in Alabama was billed at $168,760 on average, while the average total payment was $21,344, of which Medicare paid $15,460. 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 7.9 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.