Author: The Orthopaedic Center (TOC)

TOC Now Offers Pricing Transparency

Patients can now shop for healthcare the same way they shop for everything else – with price, quality, and convenience. At TOC, we believe in providing self-pay patients with pricing transparency, so you know the cost of your services upfront.

What is pricing transparency?

Pricing transparency is a tool for self-pay patients to use when they want to know the costs of the services we provide. We offer bundled payment options through HealthMe for those seeking to pay directly for care apart from an in-network insurance plan. This way, self-pay patients know exactly what they’re paying for ahead of time, including exams and treatment plans.

Which orthopedic practices offer pricing transparency?

TOC is the first and only orthopedic practice in Alabama to offer pricing transparency.

Why is TOC providing pricing transparency?

Our goal is to make treatment a convenient “one-stop shop” for our patients. All of our services can be done one-site, including MRIs, x-rays, physical therapy, and even surgical procedures at our ambulatory surgical center. Pricing transparency is part of our goal. When you are able to avoid surprise bills, you can focus your energy on getting back to pain-free living.

Which TOC services have pricing transparency?

You can find payment bundles in the following specialties:

Pricing transparency benefits self-pay patients, self-insured employers, patients with out-of-network insurance coverage, health sharing ministries, and anyone who bears the out-of-pocket expense for our services. If you’d like to see our payment bundles or schedule an appointment, you can click below.

Your Self-Pay Marketplace              Book Your Care

Connor Forbes – Athlete of the Week – October 2021

Congratulations to Olivia Fanning from Grissom High School.  She is the TOC Sports and Huntsville Hospital Sports Center Athlete of the Week for October 2021!



Connor Forbes

Sparkman High School

Wrestling / Band

3.84 GPA



– HS Team Member Since 7th Grade / 3-Year Varsity Member / Varsity Team Captain / 2x Madison County Duel Champion

– Scholastic World Champion for Indoor Percussion / SHS “Freshman of the Year” / AP & Honors Course Load / AL Boys State

– Eagle Scout / Completed National Youth Leadership Training / School FCA Leader / Junior Volunteer Fire Fighter (Monrovia)

Olivia Fanning – Athlete of the Week – October 2021

Congratulations to Olivia Fanning from Grissom High School.  She is the TOC Sports and Huntsville Hospital Sports Center Athlete of the Week for October 2021!




Olivia Fanning

Grissom High School

Competition Cheerleading

3.5 GPA



– All-American – Universal Cheerleaders Association (UCA) / Varsity Cheer Team Captain / 3x US Cheer Finalist Champion

– Dual Enrolled Student (College Courses) / National Honors Society / Ambassador for the National Society of HS Scholars

-Sunday School and Church Volunteer / Kids to Love Volunteer / Community Meal and Distribution Volunteer

Facts About Outpatient Joint Replacement Surgery

by Dr. Patrick Boyett, Joint Replacement Surgeon with TOC – The Orthopaedic Center Athens

Outpatient total joint replacement surgery is a regular joint replacement surgery that happens in a surgery center instead of a hospital, and the patient goes home the same day.

What are the benefits of outpatient joint replacement surgery?

Studies are suggesting that outpatient knee and hip surgery result in less risk of blood clots and infections compared to patients who have their surgery in a traditional hospital visit. Hospital stays have become shorter and shorter because of better pain control adjuncts, improved surgical approaches, and improved procedures to assist recovery. Less invasive surgical approaches, improved instruments, and more surgical techniques have impacted the ability to safely perform outpatient joint replacements. Improved techniques such as Direct Anterior hip replacement, minimally invasive instruments for knee replacement and partial knee replacement, and short stem shoulder implants have revolutionized incision size, muscle damage during surgery, and recovery in a positive fashion. Even the operating room bed that we use now to perform hip replacement surgery is made of carbon fiber and allows x-rays to be used during surgery to enhance the accuracy of implant size, position, and leg length. New surgery tools that we utilize result in less pain and less bruising at the end of surgery. Anesthesia options with cleaner medications and shorter duration of actions allow patients to wake up clearer and with fewer side effects. It has been clear for quite some time that early motion and activity with less exposure to other sick patients results in a smoother recovery. Our patients now walk within 2 hours of surgery.

How has joint replacement surgery evolved?

Outpatient joint replacement surgery has evolved over the past five years from being an extensive hospital stay to same-day discharge that can be accomplished in our Surgery Center safely and efficiently. In the old days, orthopedics used PCA pumps, which were administered pain pumps that used heavy narcotic pain medications such as morphine. Although these medications assisted with pain control, they had problematic side effects, such as constipation, drowsiness, weakened respiratory drive, lethargy, confusion, and ultimately increased complications and negatively impacted recovery.

Who is the ideal candidate for outpatient joint replacement surgery?

The typical outpatient joint replacement candidate is a healthy, active patient who has a good family or friend support system.

Where do outpatient joint replacement surgeons perform their surgeries?

From the concept to development to building of the Athens/TOC Surgery Tower, the idea of having a 28,000-square-foot clinic and physical therapy space in the same building as the Surgery Center was always anchored by the idea of having outpatient joint replacement. The facility was built with this concept in mind and is uniquely positioned to be the best outpatient joint facility in North Alabama.

What can a patient expect when they schedule outpatient joint replacement surgery?

A coordinated system. Outpatient joint replacement surgery of the knee, hip, and shoulder requires a coordinated team to afford a more informed patient and family of expectations while providing comfort and knowledge in the recovery. At TOC Athens, we use a Joint Camp education approach, where patients meet our Orthopedic Navigator, Director of Physical Therapy, specialized orthopedic nurses, and discharge planners before their surgery, which makes the patient part of the team early in the process. This has proven to streamline the recovery process and allows us to answer questions before they become concerns.

Effective pain management. Currently at TOC Athens, we perform an intra-operative block in the joint that uses liposome technology. This means that local pain medication like you might receive at the dentist is encapsulated in a fat bubble and released slowly into the tissues surrounding the joint. This provides excellent pain control for approximately 48 to 72 hours without the side effects you might expect from narcotics. Over 90% of our patients now use only oral pain medications and no longer deal with the side effects of IV pain meds.

In summary, outpatient joint replacement is now a reality and has become a routine, yet exciting part of our practice. To discover if you are a candidate for this innovative approach to joint replacement as an outpatient, schedule an appointment and discuss this with your TOC Athens surgeon, Dr. Patrick Boyett, Dr. Bill Lawrence, or Dr. Eric Stanford.

About Dr. Boyett

Dr. Patrick Boyett is a board certified orthopedic surgeon with a focus on minimally invasive joint replacement and arthroscopic sports medicine procedures. Dr. Boyett performs most of his surgeries at the Surgery Tower located in the Athens TOC tower, which is poised to be a premier facility for outpatient joint replacement. He works with an operating team that collaborates to improve outcomes and recovery. Dr. Boyett performs outpatient Joint Replacement surgery for patients who meet the criteria for outpatient joint replacement. The highest priority when preparing for surgery is to minimize infection risk. This is achieved through preoperative screenings, preoperative patient scrubs, and antibiotics before and after joint replacement surgery. His team then coordinates recovery with Physical Therapy, which gives his patients a more comprehensive recovery.

Book Your Care

TOC Athens Now Offers Outpatient Joint Replacement

With the introduction of TOC Athens Outpatient Joint Replacement services, Athens patients no longer need to travel to improve their joint health. TOC’s joint replacement specialists – Dr. Patrick Boyett, Dr. William Lawrence, and Dr. Eric Stanford – can now give patients the exceptional outcomes they expect right here in Athens, with no hospital stay. Outpatient joint replacement is much more beneficial for patients, as there are fewer complications, improved outcomes, and increased patient comfort.

About the Physicians

Performing over 250 joint replacements each year, Dr. Boyett focuses on minimally invasive joint reconstruction, giving his patients a quicker recovery with less pain. Most of his patients have the ability to walk without assistance on the same day as their surgery.

Dr. William “Bill” Lawrence enjoys spending time with each patient and helping them improve their mobility and function. Dr. Lawrence focuses his practice on total joint replacement, sports medicine, and hand procedures.

Dr. Eric Stanford’s primary focus is to improve each patient’s quality of life. Minimally invasive procedures such as outpatient total joints provide him additional opportunities to do just that.


“When we do outpatient joint replacement, we are able to make minimally invasive incisions, give patients multimodal pain management, and provide accelerated rehabilitation. All of these together allow for faster recovery.” -Dr. Eric Stanford


The highest priority of TOC’s joint replacement specialists in Athens is to minimize infection risk. This is achieved through preoperative screenings, preoperative patient scrubs, and antibiotics before and after joint replacement surgery. The physicians then coordinate with TOC Athens Physical Therapy to give patients a more comprehensive recovery. If you’d like to schedule an appointment, you can do so by calling (256) 233-2332 or clicking below.

Book Your Care

Nationally Recognized Excellence in Orthopaedic Care


The Orthopaedic Center is proud to partner with Huntsville Hospital, recognized as a 2020-21 “High Performing Hospital” by U.S. News & World Report for hip and knee replacements. Together, we are redefining excellence in care for Tennessee Valley patients.

U.S. News & World Report is considered a global leader in quality rankings that empower people to make better, more informed decisions about important issues affecting their lives.

“This recognition is evidence of the great work done by the thousands of Huntsville Hospital employees in the midst of unprecedented challenges,” said Tracy Doughty, President and Chief Operations Officer of Huntsville Hospital.

TOC physicians are the exclusive Joint Replacement providers for Huntsville Hospital, which earned a Healthgrades Five-Star distinction for Total Knee Replacement in 2019.


David Griffin, MD

Trauma Orthopaedics
Joint Replacement
Hip & Knee

James Hughey, DO

Sports Medicine
Joint Replacement
Knee & Shoulder


Mark Leberte, MD

Joint Replacement
Hip, Knee & Shoulder
Trauma Orthopaedics

Sudhakar Madanagopal, MD

Trauma Orthopaedics
Joint Replacement
Robotic Joint Replacement
Hip, Knee & Shoulder

Allan Maples, MD

Trauma Orthopaedics
Joint Replacement
Robotic Joint Replacement
Hip, Knee & Shoulder

Christopher Parks, MD

Joint Replacement
Hip, Knee & Shoulder
General Orthopaedics

Thomas Thomasson, MD

General Orthopaedics
Joint Replacement
Hip, Knee & Shoulder

Bradley Wills, MD

Joint Replacement
Robotic Joint Replacement
Hip & Knee


Schedule an Appointment

Steven Mesmer – Athlete of the Week – October 2021

Congratulations to Steven Mesmer from Bob Jones High School. He is the TOC Sports and Huntsville Hospital Sports Center Athlete of the Week for October 2021!



Steven Mesmer

Bob Jones High School


3.6 GPA


– Four-Year Varsity Starter / Winner – US Youth Alabama State Cup / 1st Place – Global Premier Soccer / State Champion (Florida)

-A/B Honor Roll / Taking courses geared towards Honors Curriculum / Honors Scholastic-Athlete

-Church Volunteer / Help Families with Hurricane Disaster Relief / Salvation Army Volunteer / Math Tutor

Lily Hammond – Athlete of the Week – October 2021

Congratulations to Lily Hammond from New Hope High School. She is the TOC Sports and Huntsville Hospital Sports Center Athlete of the Week for October 2021!



Lily Hammond

New Hope High School

Basketball / Softball

3.8 GPA




– Varsity Player Since 7th Grade (SB) / Back-2-Back Area Champs / 4-Year Starter & Team Captain (BXB) / Area & Sub-Region Champs

-Honor Roll / Junior National Leadership Conference Participant / Secretary – Beta Club / National Honors Society / AP Classes

-Anchor Club Member / School and Church Activity Volunteer / Special Needs Volunteer


J.P. Ross – Athlete of the Week – September 2021

Congratulations to J.P. Ross from St. John Paul II Catholic High School. He is the TOC Sports and Huntsville Hospital Sports Center Athlete of the Week for September 2021!




J.P. Ross

Saint John Paul II Catholic High School

Football / Basketball / Baseball

4.2 GPA



– 4-Year Varsity and Team Captain (Football & Baseball) / 3-Year Varsity (Basketball) / Selected to Football University “Top Gun”

– “A” Honor Roll / Alabama Legion Boys State Representative for JPII / Selected for West Point Summer Leader Experience

– Active Church Group Member / Local Field Maintenance volunteer (Baseball) / Community Outreach Volunteer