Price AtlasInteractive atlas · All states · techysurgeon.comNorthside 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.
Medicare prices at Northside Hospital Forsyth
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
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 the average total payment to Northside Hospital Forsyth for an inpatient hip or knee replacement stay was $17,779 (MS-DRG 470, 35 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
Northside Hospital Forsyth's average total payment per Medicare stay is higher than 78% of the 27 Georgia hospitals that report inpatient hip or knee replacement.