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St Mary's Hospital: what a joint replacement costs

Athens, GA 30606 · CMS Certification Number 110006. 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
$8,602
Athens Joint and Spine Center, LLC, same ZIP
Outpatient here
$11,873
369 Medicare cases, APC 5115
Inpatient here
$16,083
42 Medicare stays, MS-DRG 470

Medicare prices at St Mary's Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,083$69,7984.3×$11,873
Shoulder replacement———$16,458
Hip replacement after a fracture (DRG 522)$18,305$68,2073.7×—

Quality

Complications after hip or knee replacement: 6.8% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 196 beds

Georgia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay St Mary's Hospital for a knee or hip replacement?

In 2024 Medicare paid St Mary's Hospital an average of $16,083 per inpatient hip or knee replacement stay (MS-DRG 470, 42 stays) and $11,873 per outpatient case (APC 5115, 369 cases).

What is St Mary's Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $69,798, 4.3× 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 St Mary's Hospital?

Yes for Medicare facility payments. Athens Joint and Spine Center, LLC, an orthopedic surgery center same ZIP away, is paid about $8,602 by Medicare for a knee replacement (CPT 27447), $7,481 less than an inpatient stay at St Mary's Hospital. Not every patient is a surgery-center candidate.

How does St Mary's Hospital compare with other Georgia hospitals?

Medicare paid St Mary's Hospital more than 56% of the 27 Georgia hospitals that report inpatient hip or knee replacement.