Marietta, GA 30060 · CMS Certification Number 110035. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $22,821 | $105,693 | 4.6× | $11,978 |
| Shoulder replacement | — | — | — | $17,257 |
| Hip replacement after a fracture (DRG 522) | $21,726 | $115,026 | 5.3× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $55,510 | 2.4× | $52,268–$75,616 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $75,616 | 3.3× | 1 |
| Elevance/Anthem/Empire | $58,138 | 2.5× | 1 |
| UnitedHealthcare | $52,883 | 2.3× | 1 |
| Aetna | $52,268 | 2.3× | 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.
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 633 beds
Georgia requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Wellstar Kennestone Regional Medical Center for an inpatient hip or knee replacement stay was $22,821 (MS-DRG 470, 14 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,978 per outpatient case (APC 5115, 197 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $105,693, 4.6× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Marietta Surgical Center, an orthopedic surgery center same ZIP away, is paid about $9,077 by Medicare for a knee replacement (CPT 27447), $13,744 less than an inpatient stay at Wellstar Kennestone Regional Medical Center. Not every patient is a surgery-center candidate.
Wellstar Kennestone Regional Medical Center's average total payment per Medicare stay is higher than 96% of the 27 Georgia hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $55,510 across 4 insurers, ranging from $52,268 to $75,616.