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Piedmont Mountainside Hospital Inc: what a joint replacement costs

Jasper, GA 30143 · CMS Certification Number 110225. 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
Advanced Center for Joint Replacement, Cherokee, LLC, 17.1 mi
Outpatient here
$11,948
Medicare allowed amount, 85 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Piedmont Mountainside Hospital Inc

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,948
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$38,390—$28,689–$57,0035
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$57,003—1
Elevance/Anthem/Empire$45,335—1
Cigna$38,390—1
Alliant Health Plans$33,224—1
Aetna$28,689—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

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 35 beds

Georgia requires a certificate of need for new surgery centers.

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Questions

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

The Medicare allowed amount averaged $11,948 per outpatient hip or knee replacement case (APC 5115, 85 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Piedmont Mountainside Hospital Inc?

Yes for Medicare facility payments. Advanced Center for Joint Replacement, Cherokee, LLC, an orthopedic surgery center 17.1 mi 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 Piedmont Mountainside Hospital Inc 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 $38,390 across 5 insurers, ranging from $28,689 to $57,003.