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Emory Decatur Hospital: what a joint replacement costs

Decatur, GA 30033 · CMS Certification Number 110076. 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
Emory Orthopaedic Outpatient Surgery Center, 2.4 mi
Outpatient here
$11,895
Medicare allowed amount, 70 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Emory Decatur Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,895
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$34,026—$31,533–$37,6525
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$37,652—1
Aetna$36,030—1
UnitedHealthcare$34,026—1
Elevance/Anthem/Empire$32,148—1
Humana$31,533—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.

Quality

Complications after hip or knee replacement: 6.3% (no different from the national rate). Readmissions: 6.7%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 451 beds

Georgia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Emory Decatur Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $11,895 per outpatient hip or knee replacement case (APC 5115, 70 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Emory Decatur Hospital?

Yes for Medicare facility payments. Emory Orthopaedic Outpatient Surgery Center, an orthopedic surgery center 2.4 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 Emory Decatur Hospital 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 $34,026 across 5 insurers, ranging from $31,533 to $37,652.