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Northeast Georgia Medical Center Habersham: what a joint replacement costs

Demorest, GA 30535 · CMS Certification Number 110041. 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, 22.3 mi
Outpatient here
$10,613
Medicare allowed amount, 38 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Northeast Georgia Medical Center Habersham

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$10,613
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$47,710—$36,922–$56,9515
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elevance/Anthem/Empire$56,951—1
Humana$48,859—1
Cigna$47,710—1
Aetna$46,355—1
HealthPartners$36,922—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

Overall Care Compare rating: 3 of 5 stars. Government · Acute · 53 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 Habersham for a knee or hip replacement?

The Medicare allowed amount averaged $10,613 per outpatient hip or knee replacement case (APC 5115, 38 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Northeast Georgia Medical Center Habersham?

Yes for Medicare facility payments. Specialty Orthopaedics Surgery Center, an orthopedic surgery center 22.3 mi away, is paid about $8,760 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Northeast Georgia Medical Center Habersham 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 $36,922 to $56,951.