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Harris Regional Hospital: what a joint replacement costs

Sylva, NC 28779 · CMS Certification Number 340016. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$11,231
47 Medicare cases, APC 5115
Inpatient here
$14,666
18 Medicare stays, MS-DRG 470

Medicare prices at Harris Regional Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,666$87,4266.0×$11,231
Shoulder replacement———$16,184
Hip replacement after a fracture (DRG 522)$16,470$91,8885.6×—

Quality

Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 86 beds

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

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Questions

How much does Medicare pay Harris Regional Hospital for a knee or hip replacement?

In 2024 Medicare paid Harris Regional Hospital an average of $14,666 per inpatient hip or knee replacement stay (MS-DRG 470, 18 stays) and $11,231 per outpatient case (APC 5115, 47 cases).

What is Harris Regional Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $87,426, 6.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Harris Regional Hospital compare with other North Carolina hospitals?

Medicare paid Harris Regional Hospital more than 59% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.