▸ Georgia · MS-DRG 470
Major joint replacement w/o MCC in Georgia
What Georgia hospitals charge for major joint replacement w/o mcc (MS-DRG 470). Rates sourced from federally-mandated machine-readable files.
Hospitals
14
Rate rows
319
Neg. median
$20,725
Min
$73
Max
$79,327
Cash median
$19,728
Across 14 Georgia hospitals, the negotiated rate for Major joint replacement w/o MCC ranges from $73 to $79,327, with a median of $20,725. The interquartile range is $18,028 to $34,335. Cash-pay patients typically pay $19,728; gross charges median —.
By payer in Georgia
Top 30 payers for Major joint replacement w/o MCC in Georgia.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Cigna | 11 | 27 | $21,400 |
| Humana | 11 | 20 | $31,533 |
| Aetna | 11 | 31 | $30,668 |
| Blue Cross Blue Shield | 11 | 42 | $22,247 |
| UnitedHealthcare | 10 | 27 | $19,757 |
| Oscar Health | 7 | 7 | $26,156 |
| WellCare | 7 | 8 | $16,934 |
| devoted health | 6 | 6 | $18,834 |
| Ambetter | 5 | 5 | $38,011 |
| clover health | 4 | 4 | $19,776 |
| Kaiser Permanente | 4 | 4 | $18,834 |
| sonder health plans | 4 | 4 | $19,776 |
| optum | 4 | 4 | $18,834 |
| va community care network | 4 | 4 | $18,834 |
| healthpartners | 3 | 47 | $41,632 |
| First Health | 2 | 3 | $7,300 |
| TRICARE | 2 | 3 | $12,429 |
| imperial insurance | 1 | 1 | $14,862 |
| Medicare | 1 | 1 | $19,728 |
| Medicare Advantage | 1 | 1 | $12,097 |
| Multiplan | 1 | 1 | $17,713 |
| naphcare | 1 | 1 | $30,579 |
| national healthcare solutions, inc. | 1 | 1 | $31,565 |
| novanet | 1 | 1 | $17,348 |
| occunet | 1 | 1 | $27,219 |
| pcc employee | 1 | 1 | $10,815 |
| peach state | 1 | 2 | $19,255 |
| prime health services | 1 | 1 | $17,713 |
| provider select | 1 | 1 | $18,078 |
| riverwood behavioral health | 1 | 2 | $19,742 |
Hospital comparison — Major joint replacement w/o 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 | $12,429 | — | — |
| West Central Ga Regional Hospital | Columbus | $14,155 | — | — |
| Southern Regional Medical Center | Riverdale | $19,838 | $19,728 | — |
| St. Josephs Of Atlanta | Atlanta | $22,801 | — | — |
| Emory Decatur | Decatur | $22,801 | — | — |
| Emory University Hospital Midtown | Atlanta | $23,539 | — | — |
| Emory University Hospital | Atlanta | $23,539 | — | — |
| Ngmc Lumpkin Llc | Dahlonega | $30,389 | — | — |
| Ngmc Barrow | Winder | $30,389 | — | — |
| Emory Long Term Acute Care | Decatur | $36,454 | — | — |
| Northeast Georgia Medical Center | Gainesville | $41,632 | — | — |
| Union General Hospital | Blairsville | — | — | — |
| Southwell Medical | Adel | — | — | — |
| Memorial Hospital | Bainbridge | — | — | — |