CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: East Georgia Regional Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,504

about 1.3× the $14,044 Medicare rate · typically $16,587–$25,682

modeled estimate · not a bill or quote

What this hospital charges insurers

$16,561

Below the fair price — a good deal

about $1,943 under the fair price · 1.2× Medicare

Medicare pays $14,044 Fair price $18,504 This hospital $16,561

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 $16,561

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 $18,504 (about 1.3× the $14,044 Medicare rate). East Georgia Regional Medical Center charges insurers about $16,561 — below the fair price — a good deal. Located in Statesboro, GA.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$10,768 - $26,916	77%
Blue Cross Blue Shieldmajor	$3,116 - $7,553	22%
Aetnamajor	$29,825 - $35,727	212%
Humanamajor	$13,859	99%
Ambetter (Centene)	$25,195	179%
CareSource	$14,550 - $25,499	104%
Clover Health	$13,859	99%
Health Net	$14,106	100%
+ 2 smaller / regional plans	$20,564 - $25,076

Government programs also on file: Medicare.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm East Georgia Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at East Georgia Regional Medical Center

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.