CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Ngmc Barrow, LLC

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$24,020
about 1.7× the $14,044 Medicare rate · typically $15,257–$29,688
modeled estimate · not a bill or quote
What this hospital charges insurers
$30,389
Above the fair price
about $6,369 over the fair price · 2.2× Medicare
Medicare pays $14,044 Fair price $24,020 This hospital $30,389

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 $30,389

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 $24,020 (about 1.7× the $14,044 Medicare rate). Ngmc Barrow, LLC charges insurers about $30,389 — above the fair price. Located in Winder, 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 $24,020. 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.

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 $19,785 141%
Blue Cross Blue Shieldmajor $19,785 - $56,951 141%
Aetnamajor $20,181 - $46,355 144%
Cignamajor $20,379 - $53,910 145%
Humanamajor $20,874 - $48,859 149%
HealthPartners $18,178 - $41,632 129%

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: 316 North Broad Street, Winder, GA 30680
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals