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Piedmont Walton Hospital, Inc: what a joint replacement costs

Monroe, GA 30655 · CMS Certification Number 110046. 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
$9,077
Athens Orthopedic Clinic ASC - Loganville, LLC, 12.0 mi
Outpatient here
$11,806
Medicare allowed amount, 27 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Piedmont Walton Hospital, Inc

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,806
Shoulder replacement———$17,258
Hip replacement after a fracture (DRG 522)$15,854$121,4367.7×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$38,390—$28,689–$45,3355
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elevance/Anthem/Empire$45,335—1
UnitedHealthcare$43,194—1
Cigna$38,390—1
Alliant Health Plans$35,515—1
Aetna$28,689—1

From the hospital's price-transparency file (2026-07-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-07-01); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 77 beds

Georgia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Piedmont Walton Hospital, Inc for a knee or hip replacement?

The Medicare allowed amount averaged $11,806 per outpatient hip or knee replacement case (APC 5115, 27 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Piedmont Walton Hospital, Inc?

Yes for Medicare facility payments. Athens Orthopedic Clinic ASC - Loganville, LLC, an orthopedic surgery center 12.0 mi away, is paid about $9,077 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Piedmont Walton Hospital, 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 $38,390 across 5 insurers, ranging from $28,689 to $45,335.