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Northside Hospital: what a joint replacement costs

Atlanta, GA 30342 · CMS Certification Number 110161. 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
$9,077
Thrive Orthopedics ASC, LLC, same ZIP
Outpatient here
$12,107
Medicare allowed amount, 234 cases, APC 5115
Inpatient here
$18,429
Avg total payment (incl. patient share), 55 Medicare stays, MS-DRG 470

Medicare prices at Northside Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$18,429$122,0566.6×$12,107
Shoulder replacement$25,072$115,1394.6×$17,257
Hip replacement after a fracture (DRG 522)$19,989$135,5736.8×—

Quality

Complications after hip or knee replacement: 2.9% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 444 beds

Georgia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Northside Hospital for a knee or hip replacement?

In 2024 the average total payment to Northside Hospital for an inpatient hip or knee replacement stay was $18,429 (MS-DRG 470, 55 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,107 per outpatient case (APC 5115, 234 cases).

What is Northside Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $122,056, 6.6× 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 Northside Hospital?

Yes for Medicare facility payments. Thrive Orthopedics ASC, LLC, an orthopedic surgery center same ZIP away, is paid about $9,077 by Medicare for a knee replacement (CPT 27447), $9,352 less than an inpatient stay at Northside Hospital. Not every patient is a surgery-center candidate.

How does Northside Hospital compare with other Georgia hospitals?

Northside Hospital's average total payment per Medicare stay is higher than 89% of the 27 Georgia hospitals that report inpatient hip or knee replacement.