Fayetteville, GA 30214 · CMS Certification Number 110215. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,477 | $122,606 | 8.5× | $12,075 |
| Shoulder replacement | — | — | — | $16,918 |
| Hip replacement after a fracture (DRG 522) | $17,567 | $124,886 | 7.1× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $37,398 | 2.6× | $28,689–$48,104 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $48,104 | 3.3× | 1 |
| UnitedHealthcare | $43,194 | 3.0× | 1 |
| Cigna | $37,398 | 2.6× | 1 |
| Alliant Health Plans | $35,083 | 2.4× | 1 |
| Aetna | $28,689 | 2.0× | 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.
Complications after hip or knee replacement: 5.1% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 282 beds
Georgia requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Piedmont Fayette Hospital for an inpatient hip or knee replacement stay was $14,477 (MS-DRG 470, 21 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,075 per outpatient case (APC 5115, 260 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $122,606, 8.5× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Orthoatlanta Surgery Center of Fayetteville, LLC, an orthopedic surgery center same ZIP away, is paid about $9,077 by Medicare for a knee replacement (CPT 27447), $5,400 less than an inpatient stay at Piedmont Fayette Hospital. Not every patient is a surgery-center candidate.
Piedmont Fayette Hospital's average total payment per Medicare stay is lower than 81% of the 27 Georgia hospitals that report inpatient 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.