Cumming, GA 30041 · CMS Certification Number 110005. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,779 | $139,977 | 7.9× | $12,082 |
| Shoulder replacement | — | — | — | $17,257 |
| Hip replacement after a fracture (DRG 522) | $15,153 | $120,171 | 7.9× | — |
Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 389 beds
Georgia requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Northside Hospital Forsyth an average of $17,779 per inpatient hip or knee replacement stay (MS-DRG 470, 35 stays) and $12,082 per outpatient case (APC 5115, 349 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $139,977, 7.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Advanced Center for Joint Surgery, LLC, an orthopedic surgery center same ZIP away, is paid about $9,077 by Medicare for a knee replacement (CPT 27447), $8,702 less than an inpatient stay at Northside Hospital Forsyth. Not every patient is a surgery-center candidate.
Medicare paid Northside Hospital Forsyth more than 78% of the 27 Georgia hospitals that report inpatient hip or knee replacement.