Hendersonville, NC 28792 · CMS Certification Number 340023. 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 | $13,814 | $87,985 | 6.4× | $11,375 |
| Shoulder replacement | — | — | — | $16,184 |
| Hip replacement after a fracture (DRG 522) | $14,889 | $78,971 | 5.3× | — |
Complications after hip or knee replacement: 5.9% (no different from the national rate). Readmissions: 5%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 103 beds
North Carolina requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Adventhealth Hendersonville an average of $13,814 per inpatient hip or knee replacement stay (MS-DRG 470, 15 stays) and $11,375 per outpatient case (APC 5115, 153 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $87,985, 6.4× 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 5.9 mi away, is paid about $8,365 by Medicare for a knee replacement (CPT 27447), $5,449 less than an inpatient stay at Adventhealth Hendersonville. Not every patient is a surgery-center candidate.
Medicare paid Adventhealth Hendersonville less than 71% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.