CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Emory University Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,597
about 1.4× the $14,044 Medicare rate · typically $14,329–$27,416
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,156
Above the fair price
about $6,559 over the fair price · 1.9× Medicare
Medicare pays $14,044 Fair price $19,597 This hospital $26,156

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $10,982 Priciest $26,156

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $19,597 (about 1.4× the $14,044 Medicare rate). Emory University Hospital charges insurers about $26,156 — above the fair price. Located in Atlanta, GA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $19,597. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $19,043 - $40,029 136%
Blue Cross Blue Shieldmajor $19,234 - $36,454 137%
Aetnamajor $19,424 - $37,105 138%
Cignamajor $19,615 - $37,652 140%
Humanamajor $31,533 225%
Kaiser Permanentemajor $19,043 136%
Ambetter (Centene) $40,372 287%
Clover Health $19,996 142%
Devoted Health $19,043 136%
Oscar Health $26,156 186%
WellCare $20,186 144%
+ 1 smaller / regional plan $19,996
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1364 Clifton Road, Ne, Atlanta, GA 30322
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals