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Doctors Hospital: what a joint replacement costs

Augusta, GA 30909 · CMS Certification Number 110177. 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
$8,305
Aos Surgery Center, same ZIP
Outpatient here
$11,028
Medicare allowed amount, 98 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Doctors Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,028
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$15,145$174,22711.5×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$17,391—$14,058–$41,04711
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$41,047—1
Cigna$40,956—1
MultiPlan/PHCS (rental network)$34,523—1
Friday Health$23,070—1
Centurion$18,116—1
UnitedHealthcare$17,845—1
QTC Medical Group$17,391—1
Elevance/Anthem/Empire$17,144—1
Shared Health$15,217—1
Health One Alliance$15,045—1
Coventry$14,783—1
Health Net$14,058—1

From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 354 beds

Georgia requires a certificate of need for new surgery centers.

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Questions

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

The Medicare allowed amount averaged $11,028 per outpatient hip or knee replacement case (APC 5115, 98 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Doctors Hospital?

Yes for Medicare facility payments. Aos Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,305 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Doctors Hospital 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 $17,391 across 11 insurers, ranging from $14,058 to $41,047.