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Caldwell 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.

Surgery center nearby
$8,274
Viewmont Surgery Center, 18.9 mi
Outpatient here
$11,257
54 Medicare cases, APC 5115
Inpatient here
$13,300
16 Medicare stays, MS-DRG 470

Medicare prices at Caldwell Memorial Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,300$47,9703.6×$11,257
Shoulder replacement———$16,184
Hip replacement after a fracture (DRG 522)$14,831$49,4333.3×—

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 Medicare paid Caldwell Memorial Hospital an average of $13,300 per inpatient hip or knee replacement stay (MS-DRG 470, 16 stays) and $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× 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 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?

Medicare paid Caldwell Memorial Hospital less than 85% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.