Winston-Salem, NC 27157 · CMS Certification Number 340047. 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 | $23,336 | $122,327 | 5.2× | $11,611 |
| Shoulder replacement | — | — | — | $16,667 |
| Hip replacement after a fracture (DRG 522) | $26,618 | $121,306 | 4.6× | — |
Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 885 beds
North Carolina requires a certificate of need for new surgery centers.
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In 2024 the average total payment to North Carolina Baptist Hospital for an inpatient hip or knee replacement stay was $23,336 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,611 per outpatient case (APC 5115, 299 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $122,327, 5.2× 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. Kimel Park Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,854 by Medicare for a knee replacement (CPT 27447), $14,482 less than an inpatient stay at North Carolina Baptist Hospital. Not every patient is a surgery-center candidate.
North Carolina Baptist Hospital's average total payment per Medicare stay is higher than 98% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.