CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Wellstar West Georgia Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$23,835
about 1.7× the $14,044 Medicare rate · typically $16,439–$29,050
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,843
About the fair price
about $8 over the fair price · 1.7× Medicare
Medicare pays $14,044 Fair price $23,835 This hospital $23,843

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 $23,843

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 $23,835 (about 1.7× the $14,044 Medicare rate). Wellstar West Georgia Medical Center charges insurers about $23,843 — about the fair price. Located in Lagrange, GA.

What each insurance company pays

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

5 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 $17,559 - $52,883 125%
Blue Cross Blue Shieldmajor $17,559 - $66,157 125%
Aetnamajor $17,215 - $52,268 123%
Cignamajor $17,215 - $75,616 123%
Humanamajor $17,559 125%
Ambetter (Centene) $30,298 216%
CareSource $33,741 240%
Clover Health $18,420 131%
Oscar Health $29,265 208%
WellCare $18,076 129%
+ 4 smaller / regional plans $18,076 - $31,847

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Facility Profile & Credentials

  • Address: 1514 Vernon Road, Lagrange, GA 30240
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals