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Northside Hospital Duluth: what a joint replacement costs

Duluth, GA 30096 · CMS Certification Number 110252. 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
Northside Foot & Ankle Outpat, 5.0 mi
Outpatient here
$11,993
Medicare allowed amount, 154 cases, APC 5115
Inpatient here
$14,878
Avg total payment (incl. patient share), 12 Medicare stays, MS-DRG 470

Medicare prices at Northside Hospital Duluth

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,878$124,7038.4×$11,993
Shoulder replacement———$17,257

Quality

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 122 beds

Georgia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Northside Hospital Duluth for a knee or hip replacement?

In 2024 the average total payment to Northside Hospital Duluth for an inpatient hip or knee replacement stay was $14,878 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,993 per outpatient case (APC 5115, 154 cases).

What is Northside Hospital Duluth's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $124,703, 8.4× 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 Northside Hospital Duluth?

Yes for Medicare facility payments. Northside Foot & Ankle Outpat, an orthopedic surgery center 5.0 mi away, is paid about $9,077 by Medicare for a knee replacement (CPT 27447), $5,801 less than an inpatient stay at Northside Hospital Duluth. Not every patient is a surgery-center candidate.

How does Northside Hospital Duluth compare with other Georgia hospitals?

Northside Hospital Duluth's average total payment per Medicare stay is lower than 74% of the 27 Georgia hospitals that report inpatient hip or knee replacement.