Price AtlasInteractive atlas · All states · techysurgeon.comPiedmont Newton Hospital: what a joint replacement costs
Covington, GA 30014 · CMS Certification Number 110018. 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 Piedmont Newton Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,001 | $135,915 | 9.1× | $12,197 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $39,816 | 2.7× | $29,105–$43,194 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $43,194 | 2.9× | 1 |
| Elevance/Anthem/Empire | $41,287 | 2.8× | 1 |
| Cigna | $38,344 | 2.6× | 1 |
| Aetna | $29,105 | 1.9× | 1 |
From the hospital's price-transparency file (2026-07-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-07-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 6.3%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 90 beds
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Questions
How much does Medicare pay Piedmont Newton Hospital for a knee or hip replacement?
In 2024 the average total payment to Piedmont Newton Hospital for an inpatient hip or knee replacement stay was $15,001 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,197 per outpatient case (APC 5115, 29 cases).
What is Piedmont Newton Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $135,915, 9.1× 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 Piedmont Newton Hospital?
Yes for Medicare facility payments. Resurgens East Surgery Center, LLC, an orthopedic surgery center 7.8 mi away, is paid about $9,077 by Medicare for a knee replacement (CPT 27447), $5,924 less than an inpatient stay at Piedmont Newton Hospital. Not every patient is a surgery-center candidate.
How does Piedmont Newton Hospital compare with other Georgia hospitals?
Piedmont Newton Hospital's average total payment per Medicare stay is lower than 56% of the 27 Georgia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Piedmont Newton Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $39,816 across 4 insurers, ranging from $29,105 to $43,194.