CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Emory Long Term Acute Care

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$28,672
about 2.0× the $14,044 Medicare rate · typically $13,913–$45,746
modeled estimate · not a bill or quote
What this hospital charges insurers
$36,454
Above the fair price
about $7,782 over the fair price · 2.6× Medicare
Medicare pays $14,044 Fair price $28,672 This hospital $36,454

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 $36,454

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 $28,672 (about 2.0× the $14,044 Medicare rate). Emory Long Term Acute Care charges insurers about $36,454 — above the fair price. Located in Decatur, 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 $28,672. 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

✓ 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 $36,454 260%
Aetnamajor $37,105 264%
Cignamajor $37,652 268%
Humanamajor $31,533 225%
Oscar Health $26,156 186%

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: 450N Candler St, Decatur, GA 30030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL