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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,083 | $69,798 | 4.3× | $11,873 |
| Shoulder replacement | — | — | — | $16,458 |
| Hip replacement after a fracture (DRG 522) | $18,305 | $68,207 | 3.7× | — |
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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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).
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.
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.
Medicare paid St Mary's Hospital more than 56% of the 27 Georgia hospitals that report inpatient hip or knee replacement.