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Northside Hospital Forsyth: what a joint replacement costs

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.

Surgery center nearby
$9,077
Advanced Center for Joint Surgery, LLC, same ZIP
Outpatient here
$12,082
349 Medicare cases, APC 5115
Inpatient here
$17,779
35 Medicare stays, MS-DRG 470

Medicare prices at Northside Hospital Forsyth

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,779$139,9777.9×$12,082
Shoulder replacement———$17,257
Hip replacement after a fracture (DRG 522)$15,153$120,1717.9×—

Quality

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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Questions

How much does Medicare pay Northside Hospital Forsyth for a knee or hip replacement?

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).

What is Northside Hospital Forsyth's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Northside Hospital Forsyth?

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.

How does Northside Hospital Forsyth compare with other Georgia hospitals?

Medicare paid Northside Hospital Forsyth more than 78% of the 27 Georgia hospitals that report inpatient hip or knee replacement.