Atlanta, GA 30309 · CMS Certification Number 110083. 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 | $17,811 | $110,530 | 6.2× | $11,513 |
| Shoulder replacement | $21,621 | $156,362 | 7.2× | $16,885 |
| Hip replacement after a fracture (DRG 522) | $22,102 | $114,679 | 5.2× | — |
Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 458 beds
Georgia requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Piedmont Hospital, Inc an average of $17,811 per inpatient hip or knee replacement stay (MS-DRG 470, 19 stays) and $11,513 per outpatient case (APC 5115, 419 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $110,530, 6.2× 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 same ZIP away, is paid about $9,077 by Medicare for a knee replacement (CPT 27447), $8,734 less than an inpatient stay at Piedmont Hospital, Inc. Not every patient is a surgery-center candidate.
Medicare paid Piedmont Hospital, Inc more than 81% of the 27 Georgia hospitals that report inpatient hip or knee replacement.