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Piedmont 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.

Surgery center nearby
$9,077
Southern Bone & Joint, LLC, same ZIP
Outpatient here
$12,014
173 Medicare cases, APC 5115
Inpatient here
$16,471
17 Medicare stays, MS-DRG 470

Medicare prices at Piedmont Newnan Hospital, Inc

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,471$123,1397.5×$12,014
Shoulder replacement———$17,257
Hip replacement after a fracture (DRG 522)$16,098$127,0477.9×—

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 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).

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× what Medicare paid. 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?

Medicare paid Piedmont Newnan Hospital, Inc more than 59% of the 27 Georgia hospitals that report inpatient hip or knee replacement.