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Unc Health Nash: what a joint replacement costs

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.

Surgery center nearby
$8,126
Eastern Regional Surgical Center, 20.7 mi
Outpatient here
$11,092
88 Medicare cases, APC 5115
Inpatient here
$13,556
45 Medicare stays, MS-DRG 470

Medicare prices at Unc Health Nash

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,556$41,5943.1×$11,092
Shoulder replacement————

Quality

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.

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Questions

How much does Medicare pay Unc Health Nash for a knee or hip replacement?

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).

What is Unc Health Nash's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Unc Health Nash?

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.

How does Unc Health Nash compare with other North Carolina hospitals?

Medicare paid Unc Health Nash less than 73% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.