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Wellstar North Fulton Medical Center: what a joint replacement costs

Roswell, GA 30076 · CMS Certification Number 110198. 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
Roswell Surgery Center, L.L.C., same ZIP
Outpatient here
$12,197
Medicare allowed amount, 34 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Wellstar North Fulton Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,197
Shoulder replacement———$17,257
Hip replacement after a fracture (DRG 522)$16,286$90,6045.6×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$55,510—$52,268–$75,6164
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$75,616—1
Elevance/Anthem/Empire$58,138—1
UnitedHealthcare$52,883—1
Aetna$52,268—1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 167 beds

Georgia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Wellstar North Fulton Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $12,197 per outpatient hip or knee replacement case (APC 5115, 34 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Wellstar North Fulton Medical Center?

Yes for Medicare facility payments. Roswell Surgery Center, L.L.C., an orthopedic surgery center same ZIP away, is paid about $9,077 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Wellstar North Fulton 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 $55,510 across 4 insurers, ranging from $52,268 to $75,616.