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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Northeast Georgia Medical Center, Inc more than 67% of the 27 Georgia hospitals that report inpatient hip or knee replacement.