CMS Price Transparency Data

Total hip replacement

Facility: Northeast Georgia Medical Center Lumpkin

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$14,227
about 1.1× the $13,117 Medicare rate · typically $9,485–$24,508
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,987
About the fair price
about $240 under the fair price · 1.1× Medicare
Medicare pays $13,117 Fair price $14,227 This hospital $13,987

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 $4,455 Priciest $13,987

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

A fair price for a Total hip replacement is about $14,227 (about 1.1× the $13,117 Medicare rate). Northeast Georgia Medical Center Lumpkin charges insurers about $13,987 — about the fair price. Located in Dahlonega, 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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $13,321 - $27,250 102%
Aetnamajor $13,588 104%
Cignamajor $13,721 - $16,181 105%
Humanamajor $13,987 107%

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Facility Profile & Credentials

  • Address: 227 Mountain Drive, Dahlonega, GA 30533
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals