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Emory University Hospital Midtown: what a joint replacement costs

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.

Surgery center nearby
$9,077
Peachtree Ortho Sc at Piedmont, 2.1 mi
Outpatient here
$11,912
Medicare allowed amount, 37 cases, APC 5115
Inpatient here
$20,307
Avg total payment (incl. patient share), 13 Medicare stays, MS-DRG 470

Medicare prices at Emory University Hospital Midtown

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$20,307$66,5203.3×$11,912
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$34,0261.7×$31,533–$37,6525
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$37,6521.9×1
Aetna$36,0301.8×1
UnitedHealthcare$34,0261.7×1
Elevance/Anthem/Empire$32,1481.6×1
Humana$31,5331.6×1

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.

Quality

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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Questions

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

In 2024 the average total payment to Emory University Hospital Midtown for an inpatient hip or knee replacement stay was $20,307 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,912 per outpatient case (APC 5115, 37 cases).

What is Emory University Hospital Midtown's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $66,520, 3.3× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

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

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.

How does Emory University Hospital Midtown compare with other Georgia hospitals?

Emory University Hospital Midtown's average total payment per Medicare stay is higher than 93% of the 27 Georgia hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Emory University Hospital Midtown 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.