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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,038 | $81,108 | 5.8× | $11,508 |
| Shoulder replacement | — | — | — | $16,396 |
| Hip replacement after a fracture (DRG 522) | $18,071 | $97,065 | 5.4× | — |
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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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).
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.
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.
Medicare paid Caromont Regional Medical Center less than 63% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.