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Caromont Regional Medical Center: what a joint replacement costs

Gastonia, NC 28052 · CMS Certification Number 340032. 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
$8,806
Caromont Speciality Surgery, 5.2 mi
Outpatient here
$11,508
303 Medicare cases, APC 5115
Inpatient here
$14,038
50 Medicare stays, MS-DRG 470

Medicare prices at Caromont Regional Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,038$81,1085.8×$11,508
Shoulder replacement———$16,396
Hip replacement after a fracture (DRG 522)$18,071$97,0655.4×—

Quality

Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 7.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 442 beds

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

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Questions

How much does Medicare pay Caromont Regional Medical Center for a knee or hip replacement?

In 2024 Medicare paid Caromont Regional Medical Center an average of $14,038 per inpatient hip or knee replacement stay (MS-DRG 470, 50 stays) and $11,508 per outpatient case (APC 5115, 303 cases).

What is Caromont Regional Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $81,108, 5.8× 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 Caromont Regional Medical Center?

Yes for Medicare facility payments. Caromont Speciality Surgery, an orthopedic surgery center 5.2 mi away, is paid about $8,806 by Medicare for a knee replacement (CPT 27447), $5,232 less than an inpatient stay at Caromont Regional Medical Center. Not every patient is a surgery-center candidate.

How does Caromont Regional Medical Center compare with other North Carolina hospitals?

Medicare paid Caromont Regional Medical Center less than 63% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.