Austell, GA 30106 · CMS Certification Number 110143. 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 | — | — | — | $11,579 |
| Shoulder replacement | — | — | — | $17,258 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $55,510 | — | $52,268–$75,616 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $75,616 | — | 1 |
| Elevance/Anthem/Empire | $58,138 | — | 1 |
| UnitedHealthcare | $52,883 | — | 1 |
| Aetna | $52,268 | — | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.8% (no different from the national rate). Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 382 beds
Georgia requires a certificate of need for new surgery centers.
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The Medicare allowed amount averaged $11,579 per outpatient hip or knee replacement case (APC 5115, 75 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. East-West Surgery Center, an orthopedic surgery center same ZIP away, is paid about $9,077 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $55,510 across 4 insurers, ranging from $52,268 to $75,616.