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Piedmont 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.

Surgery center nearby
$9,077
Resurgens East Surgery Center, LLC, 7.8 mi
Outpatient here
$12,197
29 Medicare cases, APC 5115
Inpatient here
$15,001
12 Medicare stays, MS-DRG 470

Medicare prices at Piedmont Newton Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,001$135,9159.1×$12,197
Shoulder replacement————

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

Georgia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Piedmont Newton Hospital for a knee or hip replacement?

In 2024 Medicare paid Piedmont Newton Hospital an average of $15,001 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $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× 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 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?

Medicare paid Piedmont Newton Hospital less than 56% of the 27 Georgia hospitals that report inpatient hip or knee replacement.