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Novant Health Forsyth Medical Center: what a joint replacement costs

Winston-Salem, NC 27103 · CMS Certification Number 340014. 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
$8,854
Kimel Park Surgery Center, same ZIP
Outpatient here
$11,605
Medicare allowed amount, 193 cases, APC 5115
Inpatient here
$14,471
Avg total payment (incl. patient share), 310 Medicare stays, MS-DRG 470

Medicare prices at Novant Health Forsyth Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,471$56,8623.9×$11,605
Shoulder replacement$18,352$86,3384.7×$16,950
Hip replacement after a fracture (DRG 522)$15,542$67,7354.4×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$41,9922.9×$32,349–$51,6342
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$51,6343.6×1
BCBS NC$32,3492.2×1

From the hospital's price-transparency file (2026-03-30); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-30); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 2.7% (no different from the national rate). Readmissions: 3.7%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 912 beds

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

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Questions

How much does Medicare pay Novant Health Forsyth Medical Center for a knee or hip replacement?

In 2024 the average total payment to Novant Health Forsyth Medical Center for an inpatient hip or knee replacement stay was $14,471 (MS-DRG 470, 310 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,605 per outpatient case (APC 5115, 193 cases).

What is Novant Health Forsyth Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $56,862, 3.9× 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 Novant Health Forsyth Medical Center?

Yes for Medicare facility payments. Kimel Park Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,854 by Medicare for a knee replacement (CPT 27447), $5,617 less than an inpatient stay at Novant Health Forsyth Medical Center. Not every patient is a surgery-center candidate.

How does Novant Health Forsyth Medical Center compare with other North Carolina hospitals?

Novant Health Forsyth Medical Center's average total payment per Medicare stay is lower than 54% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Novant Health Forsyth 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 $41,992 across 2 insurers, ranging from $32,349 to $51,634.