Salisbury, NC 28144 · CMS Certification Number 340015. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,867 | $86,387 | 6.2× | $11,260 |
| Shoulder replacement | — | — | — | $16,710 |
Complications after hip or knee replacement: 3.2% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 308 beds
North Carolina requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Novant Health Rowan Medical Center an average of $13,867 per inpatient hip or knee replacement stay (MS-DRG 470, 46 stays) and $11,260 per outpatient case (APC 5115, 37 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $86,387, 6.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Novant Health Clemmons Outpatient Surgey, LLC, an orthopedic surgery center 21.1 mi away, is paid about $8,854 by Medicare for a knee replacement (CPT 27447), $5,013 less than an inpatient stay at Novant Health Rowan Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Novant Health Rowan Medical Center less than 68% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.