Price AtlasInteractive atlas · All states · techysurgeon.comAtrium Health Navicent the Medical Center: what a joint replacement costs
Macon, GA 31201 · CMS Certification Number 110107. 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.
Medicare prices at Atrium Health Navicent the Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,335 | $86,280 | 5.0× | $11,495 |
| Shoulder replacement | $23,104 | $90,515 | 3.9× | $16,215 |
| Hip replacement after a fracture (DRG 522) | $18,456 | $79,485 | 4.3× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $26,448 | 1.5× | $17,049–$43,299 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $43,299 | 2.5× | 1 |
| Kaiser Permanente | $32,868 | 1.9× | 1 |
| Elevance/Anthem/Empire | $26,519 | 1.5× | 1 |
| Humana | $26,448 | 1.5× | 1 |
| Aetna | $22,679 | 1.3× | 1 |
| Cigna | $22,004 | 1.3× | 1 |
| Alliant Health Plans | $17,049 | 1.0× | 1 |
From the hospital's price-transparency file (2025-11-19); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-11-19); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 6.2% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 637 beds
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Questions
How much does Medicare pay Atrium Health Navicent the Medical Center for a knee or hip replacement?
In 2024 the average total payment to Atrium Health Navicent the Medical Center for an inpatient hip or knee replacement stay was $17,335 (MS-DRG 470, 31 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,495 per outpatient case (APC 5115, 197 cases).
What is Atrium Health Navicent the Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $86,280, 5.0× 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 Atrium Health Navicent the Medical Center?
Yes for Medicare facility payments. Coliseum Same Day Surgery Center, LLC, an orthopedic surgery center 7.3 mi away, is paid about $8,426 by Medicare for a knee replacement (CPT 27447), $8,909 less than an inpatient stay at Atrium Health Navicent the Medical Center. Not every patient is a surgery-center candidate.
How does Atrium Health Navicent the Medical Center compare with other Georgia hospitals?
Atrium Health Navicent the Medical Center's average total payment per Medicare stay is higher than 74% of the 27 Georgia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Atrium Health Navicent the Medical Center 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 $26,448 across 7 insurers, ranging from $17,049 to $43,299.