Atlanta, GA 30308 · CMS Certification Number 110078. 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 | $20,307 | $66,520 | 3.3× | $11,912 |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 481 beds
Georgia requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Emory University Hospital Midtown an average of $20,307 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $11,912 per outpatient case (APC 5115, 37 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $66,520, 3.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Peachtree Ortho Sc at Piedmont, an orthopedic surgery center 2.1 mi away, is paid about $9,077 by Medicare for a knee replacement (CPT 27447), $11,230 less than an inpatient stay at Emory University Hospital Midtown. Not every patient is a surgery-center candidate.
Medicare paid Emory University Hospital Midtown more than 93% of the 27 Georgia hospitals that report inpatient hip or knee replacement.