CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Phoebe Sumter Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,054
about 1.3× the $14,044 Medicare rate · typically $15,654–$26,100
modeled estimate · not a bill or quote
What this hospital charges insurers
$16,467
About the fair price
about $1,587 under the fair price · 1.2× Medicare
Medicare pays $14,044 Fair price $18,054 This hospital $16,467

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 $16,467

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 $18,054 (about 1.3× the $14,044 Medicare rate). Phoebe Sumter Medical Center charges insurers about $16,467 — about the fair price. Located in Americus, GA.

What each insurance company pays

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

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

✓ Aetna✓ Humana UnitedHealthcareBlue Cross Blue ShieldCignaKaiser 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
Aetnamajor $15,996 - $22,962 114%
Humanamajor $16,467 117%
Ambetter (Centene) $27,444 195%
Clover Health $16,153 115%
+ 2 smaller / regional plans $16,467 - $22,739

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Facility Profile & Credentials

  • Address: 126 Highway 280 W, Americus, GA 31719
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals