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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $18,429 | $122,056 | 6.6× | $12,107 |
| Shoulder replacement | $25,072 | $115,139 | 4.6× | $17,257 |
| Hip replacement after a fracture (DRG 522) | $19,989 | $135,573 | 6.8× | — |
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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In 2024 Medicare paid Northside Hospital an average of $18,429 per inpatient hip or knee replacement stay (MS-DRG 470, 55 stays) and $12,107 per outpatient case (APC 5115, 234 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $122,056, 6.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Northside Hospital more than 89% of the 27 Georgia hospitals that report inpatient hip or knee replacement.