Johns Creek, GA 30097 · CMS Certification Number 110230. 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 | $15,382 | $57,687 | 3.8× | $12,053 |
| Shoulder replacement | — | — | — | $17,257 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $34,026 | 2.2× | $31,533–$37,652 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $37,652 | 2.4× | 1 |
| Aetna | $36,030 | 2.3× | 1 |
| UnitedHealthcare | $34,026 | 2.2× | 1 |
| Elevance/Anthem/Empire | $32,148 | 2.1× | 1 |
| Humana | $31,533 | 2.0× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 110 beds
Georgia requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Emory Johns Creek Hospital for an inpatient hip or knee replacement stay was $15,382 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,053 per outpatient case (APC 5115, 220 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $57,687, 3.8× 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. Northside Foot & Ankle Outpat, an orthopedic surgery center 6.2 mi away, is paid about $9,077 by Medicare for a knee replacement (CPT 27447), $6,305 less than an inpatient stay at Emory Johns Creek Hospital. Not every patient is a surgery-center candidate.
Emory Johns Creek Hospital's average total payment per Medicare stay is higher than 52% 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 $34,026 across 5 insurers, ranging from $31,533 to $37,652.