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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $36,426 | 2.0× | $28,689–$48,104 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $48,104 | 2.7× | 1 |
| UnitedHealthcare | $43,194 | 2.4× | 1 |
| Cigna | $36,426 | 2.0× | 1 |
| Alliant Health Plans | $33,505 | 1.9× | 1 |
| Aetna | $28,689 | 1.6× | 1 |
From the hospital's price-transparency file (2026-07-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-07-01); commercial plans, dollar-amount contracts only.
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.
Open the interactive price tagBuild a reportAll Georgia hospitals
In 2024 the average total payment to Piedmont Hospital, Inc for an inpatient hip or knee replacement stay was $17,811 (MS-DRG 470, 19 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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.
Piedmont Hospital, Inc's average total payment per Medicare stay is higher than 81% 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 $36,426 across 5 insurers, ranging from $28,689 to $48,104.