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Piedmont Henry Hospital: what a joint replacement costs

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.

Surgery center nearby
$9,077
Regenerative Orthopaedics Surgery Center, LLC, same ZIP
Outpatient here
$12,054
Medicare allowed amount, 74 cases, APC 5115
Inpatient here
$14,965
Avg total payment (incl. patient share), 11 Medicare stays, MS-DRG 470

Medicare prices at Piedmont Henry Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,965$108,1397.2×$12,054
Shoulder replacement———$17,257
Hip replacement after a fracture (DRG 522)$16,303$106,9186.6×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$37,3982.5×$28,689–$48,1045
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elevance/Anthem/Empire$48,1043.2×1
UnitedHealthcare$43,1942.9×1
Cigna$37,3982.5×1
Alliant Health Plans$35,7682.4×1
Aetna$28,6891.9×1

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

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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Questions

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

In 2024 the average total payment to Piedmont Henry Hospital for an inpatient hip or knee replacement stay was $14,965 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,054 per outpatient case (APC 5115, 74 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $108,139, 7.2× 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 Piedmont Henry Hospital?

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.

How does Piedmont Henry Hospital compare with other Georgia hospitals?

Piedmont Henry Hospital's average total payment per Medicare stay is lower than 63% of the 27 Georgia hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Piedmont Henry 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 $37,398 across 5 insurers, ranging from $28,689 to $48,104.