Hendersonville, NC 28791 · CMS Certification Number 340017. 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 | $13,236 | $49,586 | 3.7× | $11,210 |
| Shoulder replacement | $17,297 | $68,720 | 4.0× | $16,043 |
| Hip replacement after a fracture (DRG 522) | $14,899 | $61,242 | 4.1× | — |
Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 5 of 5 stars. Government · Acute · 222 beds
North Carolina requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Margaret R Pardee Memorial Hospital an average of $13,236 per inpatient hip or knee replacement stay (MS-DRG 470, 71 stays) and $11,210 per outpatient case (APC 5115, 385 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $49,586, 3.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Western Carolina Surgery Center, an orthopedic surgery center 7.4 mi away, is paid about $8,365 by Medicare for a knee replacement (CPT 27447), $4,871 less than an inpatient stay at Margaret R Pardee Memorial Hospital. Not every patient is a surgery-center candidate.
Medicare paid Margaret R Pardee Memorial Hospital less than 93% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.