▸ Georgia · MS-DRG 469
Major joint replacement w MCC in Georgia
What Georgia hospitals charge for major joint replacement w mcc (MS-DRG 469). Rates sourced from federally-mandated machine-readable files.
Hospitals
14
Rate rows
319
Neg. median
$31,512
Min
$85
Max
$126,538
Cash median
$27,645
Across 14 Georgia hospitals, the negotiated rate for Major joint replacement w MCC ranges from $85 to $126,538, with a median of $31,512. The interquartile range is $26,939 to $58,983. Cash-pay patients typically pay $27,645; gross charges median —.
By payer in Georgia
Top 30 payers for Major joint replacement w MCC in Georgia.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Cigna | 11 | 27 | $37,097 |
| Humana | 11 | 20 | $54,663 |
| Aetna | 11 | 31 | $53,162 |
| Blue Cross Blue Shield | 11 | 42 | $36,299 |
| UnitedHealthcare | 10 | 27 | $27,894 |
| Oscar Health | 7 | 7 | $45,341 |
| WellCare | 7 | 8 | $26,759 |
| devoted health | 6 | 6 | $27,328 |
| Ambetter | 5 | 5 | $55,505 |
| clover health | 4 | 4 | $28,725 |
| Kaiser Permanente | 4 | 4 | $27,357 |
| sonder health plans | 4 | 4 | $28,725 |
| optum | 4 | 4 | $27,357 |
| va community care network | 4 | 4 | $27,357 |
| healthpartners | 3 | 47 | $72,168 |
| First Health | 2 | 3 | $7,300 |
| TRICARE | 2 | 3 | $19,134 |
| imperial insurance | 1 | 1 | $25,766 |
| Medicare | 1 | 1 | $27,646 |
| Medicare Advantage | 1 | 1 | $19,023 |
| Multiplan | 1 | 1 | $31,344 |
| naphcare | 1 | 1 | $42,851 |
| national healthcare solutions, inc. | 1 | 1 | $44,233 |
| novanet | 1 | 1 | $30,698 |
| occunet | 1 | 1 | $42,802 |
| pcc employee | 1 | 1 | $10,815 |
| peach state | 1 | 2 | $30,003 |
| prime health services | 1 | 1 | $31,344 |
| provider select | 1 | 1 | $31,990 |
| riverwood behavioral health | 1 | 2 | $27,668 |
Hospital comparison — Major joint replacement w MCC in Georgia
Sorted by lowest negotiated median rate. Up to 100 hospitals.
| Hospital | City | Negotiated median | Cash rate | Gross charge |
|---|---|---|---|---|
| St. Marys Sacred Heart Hospital | Lavonia | $19,023 | — | — |
| West Central Ga Regional Hospital | Columbus | $24,539 | — | — |
| Southern Regional Medical Center | Riverdale | $31,029 | $27,645 | — |
| St. Josephs Of Atlanta | Atlanta | $39,525 | — | — |
| Emory Decatur | Decatur | $39,525 | — | — |
| Emory University Hospital Midtown | Atlanta | $39,525 | — | — |
| Emory University Hospital | Atlanta | $39,525 | — | — |
| Ngmc Barrow | Winder | $43,758 | — | — |
| Ngmc Lumpkin Llc | Dahlonega | $52,486 | — | — |
| Emory Long Term Acute Care | Decatur | $63,193 | — | — |
| Northeast Georgia Medical Center | Gainesville | $72,168 | — | — |
| Southwell Medical | Adel | — | — | — |
| Memorial Hospital | Bainbridge | — | — | — |
| Union General Hospital | Blairsville | — | — | — |