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Atrium 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.

Surgery center nearby
$8,426
Coliseum Same Day Surgery Center, LLC, 7.3 mi
Outpatient here
$11,495
197 Medicare cases, APC 5115
Inpatient here
$17,335
31 Medicare stays, MS-DRG 470

Medicare prices at Atrium Health Navicent the Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,335$86,2805.0×$11,495
Shoulder replacement$23,104$90,5153.9×$16,215
Hip replacement after a fracture (DRG 522)$18,456$79,4854.3×—

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

Georgia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Atrium Health Navicent the Medical Center for a knee or hip replacement?

In 2024 Medicare paid Atrium Health Navicent the Medical Center an average of $17,335 per inpatient hip or knee replacement stay (MS-DRG 470, 31 stays) and $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× what Medicare paid. 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?

Medicare paid Atrium Health Navicent the Medical Center more than 74% of the 27 Georgia hospitals that report inpatient hip or knee replacement.