▸ Compare · PriceTransparency
Major joint replacement w/o MCC
MS-DRG 470 · negotiated-rate distribution across hospitals in GA
Hospitals
14
Min
$12,429
Median
$23,539
Max
$41,632
Range multiplier
3.3×
By payer (50 payers with published rates)
| Payer | Hosp. | Rates | Min | Median | Max | Range× |
|---|---|---|---|---|---|---|
| healthpartners | 3 | 47 | $18,178 | $41,632 | $58,867 | 3.2× |
| Blue Cross Blue Shield | 11 | 42 | $73.00 | $22,247 | $56,951 | 780.1× |
| Aetna | 11 | 31 | $90.00 | $30,668 | $46,355 | 515.1× |
| UnitedHealthcare | 10 | 27 | $12,218 | $19,757 | $79,327 | 6.5× |
| Cigna | 11 | 27 | $85.00 | $21,400 | $53,910 | 634.2× |
| Humana | 11 | 20 | $12,303 | $31,533 | $48,859 | 4.0× |
| WellCare | 7 | 8 | $12,097 | $16,934 | $20,923 | 1.7× |
| Oscar Health | 7 | 7 | $19,356 | $26,156 | $26,156 | 1.4× |
| devoted health | 6 | 6 | $13,996 | $18,834 | $20,320 | 1.5× |
| Ambetter | 5 | 5 | $19,961 | $38,011 | $41,845 | 2.1× |
| Kaiser Permanente | 4 | 4 | $13,996 | $18,834 | $19,738 | 1.4× |
| optum | 4 | 4 | $13,996 | $18,834 | $19,738 | 1.4× |
| clover health | 4 | 4 | $14,696 | $19,776 | $20,725 | 1.4× |
| sonder health plans | 4 | 4 | $14,696 | $19,776 | $20,725 | 1.4× |
| va community care network | 4 | 4 | $13,996 | $18,834 | $19,738 | 1.4× |
| First Health | 2 | 3 | $95.00 | $7,300.00 | $14,155 | 149.0× |
| TRICARE | 2 | 3 | $12,429 | $12,429 | $19,600 | 1.6× |
| CareSource | 1 | 3 | $20,350 | $20,350 | $34,524 | 1.7× |
| sonder health plan | 1 | 2 | $20,745 | $20,745 | $20,745 | 1.0× |
| peach state | 1 | 2 | $18,161 | $19,255 | $20,350 | 1.1× |
| riverwood behavioral health | 1 | 2 | $19,728 | $19,742 | $19,757 | 1.0× |
| Health Net | 1 | 2 | $97.00 | $7,125.87 | $14,155 | 145.9× |
| occunet | 1 | 1 | $27,219 | $27,219 | $27,219 | 1.0× |
| pcc employee | 1 | 1 | $10,815 | $10,815 | $10,815 | 1.0× |
| prime health services | 1 | 1 | $17,713 | $17,713 | $17,713 | 1.0× |
| provider select | 1 | 1 | $18,078 | $18,078 | $18,078 | 1.0× |
| rural arizona network | 1 | 1 | $14,155 | $14,155 | $14,155 | 1.0× |
| smarthealth | 1 | 1 | $16,936 | $16,936 | $16,936 | 1.0× |
| ubh optum | 1 | 1 | $19,757 | $19,757 | $19,757 | 1.0× |
| united mine workers of america | 1 | 1 | $14,155 | $14,155 | $14,155 | 1.0× |
| three rivers | 1 | 1 | $17,713 | $17,713 | $17,713 | 1.0× |
| americas choice provider network | 1 | 1 | $17,713 | $17,713 | $17,713 | 1.0× |
| arizona medical network | 1 | 1 | $14,155 | $14,155 | $14,155 | 1.0× |
| banner health | 1 | 1 | $14,155 | $14,155 | $14,155 | 1.0× |
| blue mcr replacement | 1 | 1 | $12,097 | $12,097 | $12,097 | 1.0× |
| bridgeway health solutions | 1 | 1 | $14,155 | $14,155 | $14,155 | 1.0× |
| centurion | 1 | 1 | $29,592 | $29,592 | $29,592 | 1.0× |
| clear spring health plan | 1 | 1 | $19,728 | $19,728 | $19,728 | 1.0× |
| corvel | 1 | 1 | $17,348 | $17,348 | $17,348 | 1.0× |
| employer direct healthcare | 1 | 1 | $25,647 | $25,647 | $25,647 | 1.0× |
| facility billing - op | 1 | 1 | $12,097 | $12,097 | $12,097 | 1.0× |
| georgia workers’ compensation | 1 | 1 | $18,261 | $18,261 | $18,261 | 1.0× |
| health choice pathway | 1 | 1 | $14,155 | $14,155 | $14,155 | 1.0× |
| health management network | 1 | 1 | $14,155 | $14,155 | $14,155 | 1.0× |
| healthspring mcr replacement | 1 | 1 | $12,339 | $12,339 | $12,339 | 1.0× |
| imperial insurance | 1 | 1 | $14,862 | $14,862 | $14,862 | 1.0× |
| Medicare | 1 | 1 | $19,728 | $19,728 | $19,728 | 1.0× |
| Medicare Advantage | 1 | 1 | $12,097 | $12,097 | $12,097 | 1.0× |
| Multiplan | 1 | 1 | $17,713 | $17,713 | $17,713 | 1.0× |
| naphcare | 1 | 1 | $30,579 | $30,579 | $30,579 | 1.0× |
By hospital (top 200 by negotiated median, descending)
| Hospital | City | ST | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| Northeast Georgia Medical Center | Gainesville | GA | 6 | — | — | $18,156 | $41,632 | $58,867 |
| Emory Long Term Acute Care | Decatur | GA | 5 | — | — | $26,156 | $36,454 | $37,652 |
| Ngmc Barrow | Winder | GA | 6 | — | — | $18,178 | $30,389 | $56,951 |
| Ngmc Lumpkin Llc | Dahlonega | GA | 6 | — | — | $17,625 | $30,389 | $58,867 |
| Emory University Hospital Midtown | Atlanta | GA | 14 | — | — | $19,446 | $23,539 | $41,845 |
| Emory University Hospital | Atlanta | GA | 14 | — | — | $19,446 | $23,539 | $41,845 |
| St. Josephs Of Atlanta | Atlanta | GA | 14 | — | — | $13,996 | $22,801 | $40,029 |
| Emory Decatur | Decatur | GA | 14 | — | — | $17,930 | $22,801 | $40,029 |
| Southern Regional Medical Center | Riverdale | GA | 28 | — | $19,728 | $12,303 | $19,838 | $34,524 |
| West Central Ga Regional Hospital | Columbus | GA | 17 | — | — | $73.00 | $14,155 | $79,327 |
| St. Marys Sacred Heart Hospital | Lavonia | GA | 17 | — | — | $7,300.00 | $12,429 | $44,380 |
| Southwell Medical | Adel | GA | 0 | — | — | — | — | — |
| Memorial Hospital | Bainbridge | GA | 0 | — | — | — | — | — |
| Union General Hospital | Blairsville | GA | 0 | — | — | — | — | — |
Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.