Major hip and knee joint replacement or reattachment of lower extremity without major complications in North Carolina
What 41 hospitals in North Carolina charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.
Average charge
$70,675
Hospital list price billed
Average payment
$15,559
Medicare + patient + other payers
Medicare paid
$13,062
Average per stay
State rank
#26 of 48
1 = lowest average payment
Hospitals in North Carolina billed an average of $70,675 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 4.5 times the average total payment of $15,559. That payment is 10% below the U.S. average of $17,318.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $15,559Billed $70,675
About 22¢ was paid for every $1 hospitals in North Carolina billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in North Carolina:
North Carolina hospitals: major hip and knee joint replacement or reattachment of lower extremity without major complications
Every North Carolina hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Forsyth Memorial HospitalWinston-Salem | 310 | $56,862 | $14,471 | $12,484 |
| New Hanover Regional Medical CenterWilmington | 210 | $66,792 | $15,851 | $14,038 |
| Presbyterian HospitalCharlotte | 203 | $83,494 | $14,612 | $12,625 |
| Duke University Medical CenterDurham | 128 | $55,756 | $20,913 | $16,181 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 95 | $97,611 | $14,668 | $12,955 |
| Carteret General HospitalMorehead City | 85 | $40,126 | $15,896 | $14,251 |
| Rutherford Hospital INCRutherfordton | 74 | $100,599 | $15,473 | $13,044 |
| Margaret R Pardee Mem HospitalHendersonville | 71 | $49,586 | $13,236 | $11,290 |
| Moses H Cone Memorial Hospital, theGreensboro | 70 | $52,370 | $16,083 | $13,646 |
| Atrium Health PinevilleCharlotte | 62 | $103,251 | $14,429 | $11,384 |
| ECU Health Medical CenterGreenville | 61 | $56,177 | $16,618 | $13,228 |
| Firsthealth Moore Regional HospitalPinehurst | 58 | $67,595 | $13,556 | $11,986 |
| UNC HospitalsChapel Hill | 51 | $57,990 | $23,765 | $17,251 |
| Caromont Regional Medical CenterGastonia | 50 | $81,108 | $14,038 | $12,470 |
| Rowan Regional Medical CenterSalisbury | 46 | $86,387 | $13,867 | $12,364 |
| Watauga Medical CenterBoone | 46 | $54,819 | $17,509 | $15,441 |
| Nash General HospitalRocky Mount | 45 | $41,594 | $13,556 | $11,997 |
| Carolinas Medical Center/Behav HealthCharlotte | 44 | $115,832 | $21,264 | $13,432 |
| Rex HospitalRaleigh | 41 | $73,623 | $13,126 | $11,471 |
| North Carolina Eye & Ear HospDurham | 40 | $42,319 | $12,492 | $10,941 |
| Duke Regional HospitalDurham | 37 | $59,046 | $16,364 | $13,073 |
| Presbyterian Hospital-MatthewsMatthews | 36 | $90,650 | $13,399 | $11,858 |
| Carolinas Medical Center-NortheastConcord | 29 | $106,447 | $14,605 | $12,797 |
| Presbyterian Hospital HuntersvilleHuntersville | 24 | $93,254 | $14,128 | $12,197 |
| Brunswick Community HospitalSupply | 21 | $99,270 | $14,340 | $12,786 |
| Duke Health Raleigh HospitalRaleigh | 20 | $58,644 | $14,527 | $12,875 |
| Carolinas Medical Center-UnionMonroe | 20 | $102,545 | $17,699 | $11,970 |
| C J Harris Community HospitalSylva | 18 | $87,426 | $14,666 | $13,034 |
| Columbus Regional Healthcare SystemWhiteville | 18 | $61,111 | $13,470 | $11,838 |
| Caldwell Memorial HospitalLenoir | 16 | $47,970 | $13,300 | $11,668 |
| Adventhealth HendersonvilleFletcher | 15 | $87,985 | $13,814 | $12,182 |
| Carolina East Medical CenterNew Bern | 15 | $55,326 | $17,001 | $13,295 |
| Wakemed, Cary HospitalCary | 15 | $82,202 | $13,457 | $10,209 |
| Lexington Memorial Hospital INCLexington | 14 | $68,230 | $14,472 | $12,840 |
| Cleveland Regional Medical CenterShelby | 13 | $96,591 | $13,935 | $12,303 |
| Haywood Regional Medical CenterClyde | 13 | $79,413 | $13,289 | $11,657 |
| Cape Fear Valley Medical CenterFayetteville | 12 | $75,233 | $15,809 | $14,034 |
| North Carolina Baptist HospitalWinston-Salem | 12 | $122,327 | $23,336 | $15,081 |
| Wakemed, Raleigh CampusRaleigh | 12 | $96,830 | $17,441 | $13,444 |
| ECU Health North HospitalRoanoke Rapids | 12 | $35,193 | $16,591 | $8,053 |
| Lake Norman Regional Medical CenterMooresville | 11 | $134,693 | $13,299 | $11,815 |
Lowest and highest payments in North Carolina
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| North Carolina Eye & Ear HospDurham, NC | $12,492 |
|---|---|
| Rex HospitalRaleigh, NC | $13,126 |
| Margaret R Pardee Mem HospitalHendersonville, NC | $13,236 |
| Haywood Regional Medical CenterClyde, NC | $13,289 |
| Lake Norman Regional Medical CenterMooresville, NC | $13,299 |
Highest
| UNC HospitalsChapel Hill, NC | $23,765 |
|---|---|
| North Carolina Baptist HospitalWinston-Salem, NC | $23,336 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $21,264 |
| Duke University Medical CenterDurham, NC | $20,913 |
| Carolinas Medical Center-UnionMonroe, NC | $17,699 |
Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states
Questions
How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in North Carolina?
In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 41 hospitals in North Carolina was billed at $70,675 on average, while the average total payment was $15,559, of which Medicare paid $13,062. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in North Carolina, average charges were 4.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.