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Watauga Medical Center: what a joint replacement costs

Boone, NC 28607 · CMS Certification Number 340051. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$12,163
Medicare allowed amount, 247 cases, APC 5115
Inpatient here
$17,509
Avg total payment (incl. patient share), 46 Medicare stays, MS-DRG 470

Medicare prices at Watauga Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,509$54,8193.1×$12,163
Shoulder replacement$23,218$82,8263.6×$17,331
Hip replacement after a fracture (DRG 522)$19,598$53,1182.7×—

Quality

Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 3 of 5 stars. Government · Acute · 117 beds

North Carolina requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Watauga Medical Center for a knee or hip replacement?

In 2024 the average total payment to Watauga Medical Center for an inpatient hip or knee replacement stay was $17,509 (MS-DRG 470, 46 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,163 per outpatient case (APC 5115, 247 cases).

What is Watauga Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $54,819, 3.1× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Watauga Medical Center compare with other North Carolina hospitals?

Watauga Medical Center's average total payment per Medicare stay is higher than 88% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.