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Carteret General Hospital: what a joint replacement costs

Morehead City, NC 28557 · CMS Certification Number 340142. 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
$8,126
The Surgical Center of Morehead City, same ZIP
Outpatient here
$11,905
Medicare allowed amount, 102 cases, APC 5115
Inpatient here
$15,896
Avg total payment (incl. patient share), 85 Medicare stays, MS-DRG 470

Medicare prices at Carteret General Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,896$40,1262.5×$11,905
Shoulder replacement$23,175$49,4652.1×$11,156
Hip replacement after a fracture (DRG 522)$17,834$36,1542.0×—

Quality

Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 117 beds

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

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Questions

How much does Medicare pay Carteret General Hospital for a knee or hip replacement?

In 2024 the average total payment to Carteret General Hospital for an inpatient hip or knee replacement stay was $15,896 (MS-DRG 470, 85 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,905 per outpatient case (APC 5115, 102 cases).

What is Carteret General Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $40,126, 2.5× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Carteret General Hospital?

Yes for Medicare facility payments. The Surgical Center of Morehead City, an orthopedic surgery center same ZIP away, is paid about $8,126 by Medicare for a knee replacement (CPT 27447), $7,770 less than an inpatient stay at Carteret General Hospital. Not every patient is a surgery-center candidate.

How does Carteret General Hospital compare with other North Carolina hospitals?

Carteret General Hospital's average total payment per Medicare stay is higher than 71% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.