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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,473 | $100,599 | 6.5× | — |
| Shoulder replacement | $19,670 | $125,613 | 6.4× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $15,936 | 1.0× | $15,810–$21,308 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Humana | $21,308 | 1.4× | 1 |
| UnitedHealthcare | $15,936 | 1.0× | 1 |
| BCBS NC | $15,810 | 1.0× | 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.
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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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).
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.
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.
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.
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.