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Northeast 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.

Surgery center nearby
$8,760
Specialty Orthopaedics Surgery Center, same ZIP
Outpatient here
$11,663
333 Medicare cases, APC 5115
Inpatient here
$17,015
11 Medicare stays, MS-DRG 470

Medicare prices at Northeast Georgia Medical Center, Inc

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,015$152,0868.9×$11,663
Shoulder replacement$24,461$198,9358.1×$16,188
Hip replacement after a fracture (DRG 522)$21,275$124,1215.8×—

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 Medicare paid Northeast Georgia Medical Center, Inc an average of $17,015 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $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× 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 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?

Medicare paid Northeast Georgia Medical Center, Inc more than 67% of the 27 Georgia hospitals that report inpatient hip or knee replacement.