Price AtlasInteractive atlas · All states · techysurgeon.comPiedmont Newnan Hospital, Inc: what a joint replacement costs
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.
Medicare prices at Piedmont Newnan Hospital, Inc
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $38,344 | 2.3× | $28,689–$48,104 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $48,104 | 2.9× | 1 |
| UnitedHealthcare | $43,194 | 2.6× | 1 |
| Cigna | $38,344 | 2.3× | 1 |
| Alliant Health Plans | $35,324 | 2.1× | 1 |
| Aetna | $28,689 | 1.7× | 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: 4.9% (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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Questions
How much does Medicare pay Piedmont Newnan Hospital, Inc for a knee or hip replacement?
In 2024 the average total payment to Piedmont Newnan Hospital, Inc for an inpatient hip or knee replacement stay was $16,471 (MS-DRG 470, 17 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,014 per outpatient case (APC 5115, 173 cases).
What is Piedmont Newnan Hospital, Inc's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $123,139, 7.5× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near Piedmont Newnan Hospital, Inc?
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.
How does Piedmont Newnan Hospital, Inc compare with other Georgia hospitals?
Piedmont Newnan Hospital, Inc's average total payment per Medicare stay is higher than 59% of the 27 Georgia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Piedmont Newnan 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 $38,344 across 5 insurers, ranging from $28,689 to $48,104.