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Piedmont Augusta Hospital: what a joint replacement costs

Augusta, GA 30901 · CMS Certification Number 110028. 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
$8,305
Orthopaedic Associates Surgery Center, LLC, same ZIP
Outpatient here
$10,777
Medicare allowed amount, 218 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Piedmont Augusta Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$10,777
Shoulder replacement———$15,387
Hip replacement after a fracture (DRG 522)$14,868$86,4845.8×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$36,110—$28,045–$43,5854
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$43,585—1
Cigna$43,531—1
First Health (rental network)$40,873—1
Aetna$28,689—1
Elevance/Anthem/Empire$28,045—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: 5.4% (no different from the national rate). Readmissions: 6.6%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 551 beds

Georgia requires a certificate of need for new surgery centers.

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Questions

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

The Medicare allowed amount averaged $10,777 per outpatient hip or knee replacement case (APC 5115, 218 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Piedmont Augusta Hospital?

Yes for Medicare facility payments. Orthopaedic Associates Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $8,305 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Piedmont Augusta 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 $36,110 across 4 insurers, ranging from $28,045 to $43,585.