Warner Robins, GA 31093 · CMS Certification Number 110069. 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 | $13,960 | $49,894 | 3.6× | $10,905 |
| Shoulder replacement | $17,959 | $53,378 | 3.0× | $15,883 |
| Hip replacement after a fracture (DRG 522) | $15,583 | $52,171 | 3.3× | — |
Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 186 beds
Georgia requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Houston Healthcare an average of $13,960 per inpatient hip or knee replacement stay (MS-DRG 470, 49 stays) and $10,905 per outpatient case (APC 5115, 105 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $49,894, 3.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Houston Orthopedic Surgery Center, an orthopedic surgery center same ZIP away, is paid about $7,977 by Medicare for a knee replacement (CPT 27447), $5,983 less than an inpatient stay at Houston Healthcare. Not every patient is a surgery-center candidate.
Medicare paid Houston Healthcare less than 85% of the 27 Georgia hospitals that report inpatient hip or knee replacement.