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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
Medicare allowed amount, 47 cases, APC 5115
Inpatient here
$14,666
Avg total payment (incl. patient share), 18 Medicare stays, MS-DRG 470

Medicare prices at Harris Regional Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare 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×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$18,2931.2×$17,039–$24,2183
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$24,2181.7×1
Cigna$18,2931.2×1
BCBS NC$17,0391.2×1

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.

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 the average total payment to Harris Regional Hospital for an inpatient hip or knee replacement stay was $14,666 (MS-DRG 470, 18 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?

Harris Regional Hospital's average total payment per Medicare stay is higher than 59% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Harris Regional Hospital 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 $18,293 across 3 insurers, ranging from $17,039 to $24,218.