Rocky Mount, NC 27804 · CMS Certification Number 340147. 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 | $41,594 | 3.1× | $11,092 |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 332 beds
North Carolina requires a certificate of need for new surgery centers.
Open the interactive price tagBuild a reportAll North Carolina hospitals
In 2024 Medicare paid Unc Health Nash an average of $13,556 per inpatient hip or knee replacement stay (MS-DRG 470, 45 stays) and $11,092 per outpatient case (APC 5115, 88 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $41,594, 3.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Eastern Regional Surgical Center, an orthopedic surgery center 20.7 mi away, is paid about $8,126 by Medicare for a knee replacement (CPT 27447), $5,430 less than an inpatient stay at Unc Health Nash. Not every patient is a surgery-center candidate.
Medicare paid Unc Health Nash less than 73% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.