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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,878 | $124,703 | 8.4× | $11,993 |
| Shoulder replacement | — | — | — | $17,257 |
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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In 2024 Medicare paid Northside Hospital Duluth an average of $14,878 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $11,993 per outpatient case (APC 5115, 154 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $124,703, 8.4× what Medicare paid. 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 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.
Medicare paid Northside Hospital Duluth less than 74% of the 27 Georgia hospitals that report inpatient hip or knee replacement.