Stockbridge, GA 30281 · CMS Certification Number 110191. 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 | $14,965 | $108,139 | 7.2× | $12,054 |
| Shoulder replacement | — | — | — | $17,257 |
| Hip replacement after a fracture (DRG 522) | $16,303 | $106,918 | 6.6× | — |
Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 2 of 5 stars. Government · Acute · 259 beds
Georgia requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Piedmont Henry Hospital an average of $14,965 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $12,054 per outpatient case (APC 5115, 74 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $108,139, 7.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Regenerative Orthopaedics Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $9,077 by Medicare for a knee replacement (CPT 27447), $5,888 less than an inpatient stay at Piedmont Henry Hospital. Not every patient is a surgery-center candidate.
Medicare paid Piedmont Henry Hospital less than 63% of the 27 Georgia hospitals that report inpatient hip or knee replacement.