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North Carolina Baptist Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,854
Kimel Park Surgery Center, same ZIP
Outpatient here
$11,611
299 Medicare cases, APC 5115
Inpatient here
$23,336
12 Medicare stays, MS-DRG 470

Medicare prices at North Carolina Baptist Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$23,336$122,3275.2×$11,611
Shoulder replacement———$16,667
Hip replacement after a fracture (DRG 522)$26,618$121,3064.6×—

Quality

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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Questions

How much does Medicare pay North Carolina Baptist Hospital for a knee or hip replacement?

In 2024 Medicare paid North Carolina Baptist Hospital an average of $23,336 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $11,611 per outpatient case (APC 5115, 299 cases).

What is North Carolina Baptist Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $122,327, 5.2× 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 North Carolina Baptist Hospital?

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.

How does North Carolina Baptist Hospital compare with other North Carolina hospitals?

Medicare paid North Carolina Baptist Hospital more than 98% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.