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Carolina East Medical Center: what a joint replacement costs

New Bern, NC 28560 · CMS Certification Number 340131. 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
$12,230
Medicare allowed amount, 557 cases, APC 5115
Inpatient here
$17,001
Avg total payment (incl. patient share), 15 Medicare stays, MS-DRG 470

Medicare prices at Carolina East Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,001$55,3263.3×$12,230
Shoulder replacement———$17,331
Hip replacement after a fracture (DRG 522)$17,735$53,4893.0×—

Quality

Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 314 beds

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

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Questions

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

In 2024 the average total payment to Carolina East Medical Center for an inpatient hip or knee replacement stay was $17,001 (MS-DRG 470, 15 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,230 per outpatient case (APC 5115, 557 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $55,326, 3.3× 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 Carolina East Medical Center compare with other North Carolina hospitals?

Carolina East Medical Center's average total payment per Medicare stay is higher than 83% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.