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Piedmont Athens Regional Medical Center: what a joint replacement costs

Athens, GA 30606 · CMS Certification Number 110074. 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
$8,602
Athens Joint and Spine Center, LLC, same ZIP
Outpatient here
$11,857
Medicare allowed amount, 128 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Piedmont Athens Regional Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,857
Shoulder replacement———$16,772
Hip replacement after a fracture (DRG 522)$19,110$114,6096.0×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$37,398—$29,213–$57,0035
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$57,003—1
Elevance/Anthem/Empire$48,104—1
Cigna$37,398—1
Alliant Health Plans$36,412—1
Aetna$29,213—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. Nonprofit · Acute · 315 beds

Georgia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Piedmont Athens Regional Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $11,857 per outpatient hip or knee replacement case (APC 5115, 128 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Piedmont Athens Regional Medical Center?

Yes for Medicare facility payments. Athens Joint and Spine Center, LLC, an orthopedic surgery center same ZIP away, is paid about $8,602 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Piedmont Athens Regional Medical Center 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 $37,398 across 5 insurers, ranging from $29,213 to $57,003.