Price AtlasInteractive atlas · All states · techysurgeon.comNortheast Georgia Medical Center, Inc: what a joint replacement costs
Gainesville, GA 30501 · CMS Certification Number 110029. 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 Northeast Georgia Medical Center, Inc
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,015 | $152,086 | 8.9× | $11,663 |
| Shoulder replacement | $24,461 | $198,935 | 8.1× | $16,188 |
| Hip replacement after a fracture (DRG 522) | $21,275 | $124,121 | 5.8× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $47,710 | 2.8× | $41,632–$56,951 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $56,951 | 3.3× | 1 |
| Humana | $48,859 | 2.9× | 1 |
| Cigna | $47,710 | 2.8× | 1 |
| Aetna | $46,355 | 2.7× | 1 |
| HealthPartners | $41,632 | 2.4× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 3 of 5 stars. Government · Acute · 865 beds
Georgia requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Northeast Georgia Medical Center, Inc for a knee or hip replacement?
In 2024 the average total payment to Northeast Georgia Medical Center, Inc for an inpatient hip or knee replacement stay was $17,015 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,663 per outpatient case (APC 5115, 333 cases).
What is Northeast Georgia Medical Center, Inc's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $152,086, 8.9× 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 Northeast Georgia Medical Center, Inc?
Yes for Medicare facility payments. Specialty Orthopaedics Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,760 by Medicare for a knee replacement (CPT 27447), $8,255 less than an inpatient stay at Northeast Georgia Medical Center, Inc. Not every patient is a surgery-center candidate.
How does Northeast Georgia Medical Center, Inc compare with other Georgia hospitals?
Northeast Georgia Medical Center, Inc's average total payment per Medicare stay is higher than 67% of the 27 Georgia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Northeast Georgia Medical Center, Inc 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 $47,710 across 5 insurers, ranging from $41,632 to $56,951.