Newnan, GA 30265 · CMS Certification Number 110229. 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 | $16,471 | $123,139 | 7.5× | $12,014 |
| Shoulder replacement | — | — | — | $17,257 |
| Hip replacement after a fracture (DRG 522) | $16,098 | $127,047 | 7.9× | — |
Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 6.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 143 beds
Georgia requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Piedmont Newnan Hospital, Inc an average of $16,471 per inpatient hip or knee replacement stay (MS-DRG 470, 17 stays) and $12,014 per outpatient case (APC 5115, 173 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $123,139, 7.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Southern Bone & Joint, LLC, an orthopedic surgery center same ZIP away, is paid about $9,077 by Medicare for a knee replacement (CPT 27447), $7,394 less than an inpatient stay at Piedmont Newnan Hospital, Inc. Not every patient is a surgery-center candidate.
Medicare paid Piedmont Newnan Hospital, Inc more than 59% of the 27 Georgia hospitals that report inpatient hip or knee replacement.