Revision of Hip or Knee Replacement Without Cc/Mcc in Alabama
MS-DRG 468: Revision of hip or knee replacement without cc/mcc
$144,072typical hospital bill
$19,817typical amount paid
$17,239–$30,685range paid across 7 hospitals
Alabama hospitals billed Medicare a typical $144,072 for this stay in 2024, about 7.3 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Grandview Medical Center | Birmingham | 27 | $314,505 | $17,239 | |
| Crestwood Medical Center | Huntsville | 15 | $305,698 | $17,746 | |
| Thomas Hospital | Fairhope | 20 | $77,704 | $19,564 | |
| Jack Hughston Memorial Hospital | Phenix City | 23 | $96,041 | $19,817 | |
| Baldwin Health | Foley | 14 | $216,884 | $20,263 | |
| Huntsville Hospital | Huntsville | 38 | $144,072 | $20,321 | |
| University of Alabama Hospital | Birmingham | 31 | $96,788 | $30,685 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.