Clyde, NC 28721 · CMS Certification Number 340184. 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 | $13,289 | $79,413 | 6.0× | $11,405 |
| Shoulder replacement | — | — | — | $16,184 |
| Hip replacement after a fracture (DRG 522) | $14,558 | $77,517 | 5.3× | — |
Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 3 of 5 stars. Government · Acute · 178 beds
North Carolina requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Haywood Regional Medical Center an average of $13,289 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $11,405 per outpatient case (APC 5115, 166 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $79,413, 6.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Orthopaedic Surgery Center of Asheville, an orthopedic surgery center 24.0 mi away, is paid about $8,365 by Medicare for a knee replacement (CPT 27447), $4,924 less than an inpatient stay at Haywood Regional Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Haywood Regional Medical Center less than 90% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.