Price AtlasInteractive atlas · All states · techysurgeon.comPiedmont Macon Medical Center: what a joint replacement costs
Macon, GA 31217 · CMS Certification Number 110164. 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.
Medicare prices at Piedmont Macon Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,286 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $17,344 | $119,510 | 6.9× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $42,210 | — | $28,689–$44,347 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $44,347 | — | 1 |
| Cigna | $43,531 | — | 1 |
| Elevance/Anthem/Empire | $40,889 | — | 1 |
| MultiPlan/PHCS (rental network) | $39,982 | — | 1 |
| Aetna | $28,689 | — | 1 |
From the hospital's price-transparency file (2026-07-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-07-01); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 310 beds
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Questions
How much does Medicare pay Piedmont Macon Medical Center for a knee or hip replacement?
The Medicare allowed amount averaged $11,286 per outpatient hip or knee replacement case (APC 5115, 26 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Piedmont Macon Medical Center?
Yes for Medicare facility payments. Coliseum Same Day Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $8,426 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Piedmont Macon Medical Center 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 $42,210 across 4 insurers, ranging from $28,689 to $44,347.