Greensboro, NC 27401 · CMS Certification Number 340091. 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 | $16,083 | $52,370 | 3.3× | $11,739 |
| Shoulder replacement | $20,381 | $74,836 | 3.7× | $16,682 |
| Hip replacement after a fracture (DRG 522) | $17,229 | $62,399 | 3.6× | — |
Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 1232 beds
North Carolina requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Cone Health an average of $16,083 per inpatient hip or knee replacement stay (MS-DRG 470, 70 stays) and $11,739 per outpatient case (APC 5115, 389 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $52,370, 3.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgical Center of Greensboro, an orthopedic surgery center 3.4 mi away, is paid about $8,474 by Medicare for a knee replacement (CPT 27447), $7,609 less than an inpatient stay at Cone Health. Not every patient is a surgery-center candidate.
Medicare paid Cone Health more than 73% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.