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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $29,376 | 2.1× | $28,384–$30,367 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS NC | $30,367 | 2.2× | 1 |
| Aetna | $28,384 | 2.1× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
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.
Open the interactive price tagBuild a reportAll North Carolina hospitals
In 2024 the average total payment to Adventhealth Hendersonville for an inpatient hip or knee replacement stay was $13,814 (MS-DRG 470, 15 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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.
Adventhealth Hendersonville's average total payment per Medicare stay is lower than 71% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $29,376 across 2 insurers, ranging from $28,384 to $30,367.