CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Coffee Regional Medical Center, Inc

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,624

about 1.3× the $14,044 Medicare rate · typically $12,782–$33,220

modeled estimate · not a bill or quote

What this hospital charges insurers

$10,982

Below the fair price — a good deal

about $7,642 under the fair price · 0.8× Medicare

Medicare pays $14,044 Fair price $18,624 This hospital $10,982 Cash price $34,413 Hospital's list price $50,607

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Lowest price of the 9 GA hospitals we have prices for — a strong deal.

Cheapest $10,982 Priciest $15,444

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Hip or knee replacement (inpatient stay) is about $18,624 (about 1.3× the $14,044 Medicare rate). Coffee Regional Medical Center, Inc charges insurers about $10,982, or about $34,413 in cash — below the fair price — a good deal. Located in Douglas, 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	$10,982	78%
Blue Cross Blue Shieldmajor	$11,091	79%
Aetnamajor	$10,982	78%
Cignamajor	$10,982	78%
Humanamajor	$10,982	78%

Government programs also on file: Military & VA.

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 (about 34,413), 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 Coffee Regional Medical Center, Inc 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 Coffee Regional Medical Center, Inc

Compare: Hip or knee replacement (inpatient stay) at other GA hospitals

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
Memorial Health Meadows Hospital · Vidalia $15,444

Insurance negotiated median for the same procedure, sorted lowest first.