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Catawba Valley Medical Center: what a joint replacement costs

Hickory, NC 28602 · CMS Certification Number 340143. 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
$8,274
Viewmont Surgery Center, 7.5 mi
Outpatient here
$11,534
Medicare allowed amount, 223 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Catawba Valley Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,534
Shoulder replacement———$16,408
Hip replacement after a fracture (DRG 522)$16,071$60,4653.8×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$26,962—$26,924–$27,0002
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
DirectNet$27,000—1
Aetna$26,924—1

From the hospital's price-transparency file (); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 258 beds

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

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Questions

How much does Medicare pay Catawba Valley Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $11,534 per outpatient hip or knee replacement case (APC 5115, 223 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Catawba Valley Medical Center?

Yes for Medicare facility payments. Viewmont Surgery Center, an orthopedic surgery center 7.5 mi away, is paid about $8,274 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Catawba Valley Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $26,962 across 2 insurers, ranging from $26,924 to $27,000.