Price AtlasInteractive atlas · All states · techysurgeon.comCaldwell Memorial Hospital: what a joint replacement costs
Lenoir, NC 28645 · CMS Certification Number 340041. 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.
Medicare prices at Caldwell Memorial Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,300 | $47,970 | 3.6× | $11,257 |
| Shoulder replacement | — | — | — | $16,184 |
| Hip replacement after a fracture (DRG 522) | $14,831 | $49,433 | 3.3× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $16,513 | 1.2× | $11,502–$23,738 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $23,738 | 1.8× | 1 |
| Cigna | $16,513 | 1.2× | 1 |
| Nalc Health Benefit Plan | $16,513 | 1.2× | 1 |
| BCBS NC | $14,207 | 1.1× | 1 |
| Medcost | $11,502 | 0.9× | 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.
Quality
Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 110 beds
North Carolina requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Caldwell Memorial Hospital for a knee or hip replacement?
In 2024 the average total payment to Caldwell Memorial Hospital for an inpatient hip or knee replacement stay was $13,300 (MS-DRG 470, 16 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,257 per outpatient case (APC 5115, 54 cases).
What is Caldwell Memorial Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $47,970, 3.6× the average total payment for a Medicare stay. 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 Caldwell Memorial Hospital?
Yes for Medicare facility payments. Viewmont Surgery Center, an orthopedic surgery center 18.9 mi away, is paid about $8,274 by Medicare for a knee replacement (CPT 27447), $5,026 less than an inpatient stay at Caldwell Memorial Hospital. Not every patient is a surgery-center candidate.
How does Caldwell Memorial Hospital compare with other North Carolina hospitals?
Caldwell Memorial Hospital's average total payment per Medicare stay is lower than 85% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Caldwell Memorial Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $16,513 across 5 insurers, ranging from $11,502 to $23,738.