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Rutherford Regional Medical Center: what a joint replacement costs

Rutherfordton, NC 28139 · CMS Certification Number 340013. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,126
Atrium Health Surgery Center Shelby, 23.6 mi
Outpatient here
—
Under 11 cases
Inpatient here
$15,473
Avg total payment (incl. patient share), 74 Medicare stays, MS-DRG 470

Medicare prices at Rutherford Regional Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,473$100,5996.5×—
Shoulder replacement$19,670$125,6136.4×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$15,9361.0×$15,810–$21,3083
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Humana$21,3081.4×1
UnitedHealthcare$15,9361.0×1
BCBS NC$15,8101.0×1

From the hospital's price-transparency file (2026-07-10); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-07-10); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 2.8% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 143 beds

North Carolina requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Rutherford Regional Medical Center for a knee or hip replacement?

In 2024 the average total payment to Rutherford Regional Medical Center for an inpatient hip or knee replacement stay was $15,473 (MS-DRG 470, 74 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance).

What is Rutherford Regional Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $100,599, 6.5× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Rutherford Regional Medical Center?

Yes for Medicare facility payments. Atrium Health Surgery Center Shelby, an orthopedic surgery center 23.6 mi away, is paid about $8,126 by Medicare for a knee replacement (CPT 27447), $7,347 less than an inpatient stay at Rutherford Regional Medical Center. Not every patient is a surgery-center candidate.

How does Rutherford Regional Medical Center compare with other North Carolina hospitals?

Rutherford Regional Medical Center's average total payment per Medicare stay is higher than 63% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Rutherford Regional Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $15,936 across 3 insurers, ranging from $15,810 to $21,308.