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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,806 |
| Shoulder replacement | — | — | — | $17,258 |
| Hip replacement after a fracture (DRG 522) | $15,854 | $121,436 | 7.7× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $38,390 | — | $28,689–$45,335 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| 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.
Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 77 beds
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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.
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.
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.