Hip or knee replacement (inpatient stay)
Facility: Piedmont Walton Hospital
Billing Code: 470 (MS-DRG)
Highest price of the 9 GA hospitals we have prices for — worth calling around.
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 $24,519 (about 1.7× the $14,044 Medicare rate). Piedmont Walton Hospital charges insurers about $32,017, or about $36,628 in cash — above the fair price. Located in Monroe, 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 $24,519. 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.
4 of 6 major insurers have a published price at this hospital
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 | $16,802 - $43,194 | 120% |
| Blue Cross Blue Shieldmajor | $45,335 - $45,596 | 323% |
| Aetnamajor | $28,689 | 204% |
| Cignamajor | $31,294 - $45,485 | 223% |
| Ambetter (Centene) | $28,005 | 199% |
| CareSource | $34,569 | 246% |
| + 4 smaller / regional plans | $17,043 - $38,291 |
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.
Other Procedures at Piedmont Walton Hospital
Compare: Hip or knee replacement (inpatient stay) at other GA hospitals
- Coffee Regional Medical Center, Inc · Douglas $10,982
- Bacon County Hospital · Alma $12,743
- Northside Hospital Forsyth · Cumming $14,215
- Phoebe Putney Memorial Hospital · Albany $14,820
- Wellstar Paulding Medical Center · Hiram $15,030
- Wellstar North Fulton Medical Center · Roswell $15,139
- Fairview Park Hospital · Dublin $15,181
- Doctors Hospital · Augusta $15,224
Insurance negotiated median for the same procedure, sorted lowest first.