Statesboro, GA 30458 · CMS Certification Number 110075. 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 | $13,213 | $134,853 | 10.2× | $11,898 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $14,546 | $121,051 | 8.3× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $22,820 | 1.7× | $7,553–$35,727 | 6 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $35,727 | 2.7× | 1 |
| Coventry | $29,825 | 2.3× | 1 |
| Industry Buying Group | $25,076 | 1.9× | 1 |
| NODE US Dept of Labor | $20,564 | 1.6× | 1 |
| UnitedHealthcare | $10,768 | 0.8× | 1 |
| Elevance/Anthem/Empire | $7,553 | 0.6× | 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.
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 150 beds
Georgia requires a certificate of need for new surgery centers.
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In 2024 the average total payment to East Georgia Regional Medical Center for an inpatient hip or knee replacement stay was $13,213 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,898 per outpatient case (APC 5115, 30 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $134,853, 10.2× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
East Georgia Regional Medical Center's average total payment per Medicare stay is lower than 93% of the 27 Georgia hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $22,820 across 6 insurers, ranging from $7,553 to $35,727.