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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Atrium Health Navicent the Medical Center more than 74% of the 27 Georgia hospitals that report inpatient hip or knee replacement.