Raleigh, NC 27609 · CMS Certification Number 340073. 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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,527 | $58,644 | 4.0× | $11,558 |
| Shoulder replacement | $18,577 | $78,333 | 4.2× | $16,594 |
218 beds
North Carolina requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Duke Health Raleigh Hospital an average of $14,527 per inpatient hip or knee replacement stay (MS-DRG 470, 20 stays) and $11,558 per outpatient case (APC 5115, 111 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $58,644, 4.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Healthsouth Blue Ridge Surgery, an orthopedic surgery center 5.6 mi away, is paid about $8,762 by Medicare for a knee replacement (CPT 27447), $5,765 less than an inpatient stay at Duke Health Raleigh Hospital. Not every patient is a surgery-center candidate.
Medicare paid Duke Health Raleigh Hospital more than 51% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.