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Sgmc Health: what a joint replacement costs

Valdosta, GA 31602 · CMS Certification Number 110122. 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
$7,609
Hughston Surgical Center of Valdosta, LLC, same ZIP
Outpatient here
$11,020
Medicare allowed amount, 103 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Sgmc Health

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,020
Shoulder replacement———$15,504
Hip replacement after a fracture (DRG 522)$14,981$69,4374.6×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$15,726—$11,935–$19,5162
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Centene/Superior/Ambetter$19,516—1
South Georgia Purchasing Alliance$11,935—1

From the hospital's price-transparency file (2026-03-25); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-25); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 2 of 5 stars. Government · Acute · 335 beds

Georgia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Sgmc Health for a knee or hip replacement?

The Medicare allowed amount averaged $11,020 per outpatient hip or knee replacement case (APC 5115, 103 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Sgmc Health?

Yes for Medicare facility payments. Hughston Surgical Center of Valdosta, LLC, an orthopedic surgery center same ZIP away, is paid about $7,609 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Sgmc Health 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 $15,726 across 2 insurers, ranging from $11,935 to $19,516.