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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,471 | $56,862 | 3.9× | $11,605 |
| Shoulder replacement | $18,352 | $86,338 | 4.7× | $16,950 |
| Hip replacement after a fracture (DRG 522) | $15,542 | $67,735 | 4.4× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $41,992 | 2.9× | $32,349–$51,634 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $51,634 | 3.6× | 1 |
| BCBS NC | $32,349 | 2.2× | 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.
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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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).
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.
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.
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.
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.