Pinehurst, NC 28374 · CMS Certification Number 340115. 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 | $13,556 | $67,595 | 5.0× | $11,572 |
| Shoulder replacement | $17,798 | $79,248 | 4.5× | $16,491 |
| Hip replacement after a fracture (DRG 522) | $15,087 | $74,597 | 4.9× | — |
Complications after hip or knee replacement: 3% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 395 beds
North Carolina requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Firsthealth Moore Regional Hospital an average of $13,556 per inpatient hip or knee replacement stay (MS-DRG 470, 58 stays) and $11,572 per outpatient case (APC 5115, 479 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $67,595, 5.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Surgery Center of Pinehurst, LLC, an orthopedic surgery center same ZIP away, is paid about $8,126 by Medicare for a knee replacement (CPT 27447), $5,430 less than an inpatient stay at Firsthealth Moore Regional Hospital. Not every patient is a surgery-center candidate.
Medicare paid Firsthealth Moore Regional Hospital less than 73% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.