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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $20,307 | $66,520 | 3.3× | $11,912 |
| Shoulder replacement | — | — | — | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $34,026 | 1.7× | $31,533–$37,652 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $37,652 | 1.9× | 1 |
| Aetna | $36,030 | 1.8× | 1 |
| UnitedHealthcare | $34,026 | 1.7× | 1 |
| Elevance/Anthem/Empire | $32,148 | 1.6× | 1 |
| Humana | $31,533 | 1.6× | 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: 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 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).
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.
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.
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.
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.