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Atrium Health Cleveland: what a joint replacement costs

Shelby, NC 28150 · CMS Certification Number 340021. 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
$8,126
Atrium Health Surgery Center Shelby, same ZIP
Outpatient here
$11,451
85 Medicare cases, APC 5115
Inpatient here
$13,935
13 Medicare stays, MS-DRG 470

Medicare prices at Atrium Health Cleveland

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,935$96,5916.9×$11,451
Shoulder replacement———$16,536
Hip replacement after a fracture (DRG 522)$15,581$102,4476.6×—

Quality

Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 3 of 5 stars. Government · Acute · 241 beds

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

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Questions

How much does Medicare pay Atrium Health Cleveland for a knee or hip replacement?

In 2024 Medicare paid Atrium Health Cleveland an average of $13,935 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $11,451 per outpatient case (APC 5115, 85 cases).

What is Atrium Health Cleveland's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $96,591, 6.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Atrium Health Cleveland?

Yes for Medicare facility payments. Atrium Health Surgery Center Shelby, an orthopedic surgery center same ZIP away, is paid about $8,126 by Medicare for a knee replacement (CPT 27447), $5,809 less than an inpatient stay at Atrium Health Cleveland. Not every patient is a surgery-center candidate.

How does Atrium Health Cleveland compare with other North Carolina hospitals?

Medicare paid Atrium Health Cleveland less than 66% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.