Revision of hip or knee replacement without complications in North Carolina
What 18 hospitals in North Carolina charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.
Average charge
$112,232
Hospital list price billed
Average payment
$22,279
Medicare + patient + other payers
Medicare paid
$18,489
Average per stay
State rank
#22 of 42
1 = lowest average payment
Hospitals in North Carolina billed an average of $112,232 for revision of hip or knee replacement without complications, about 5.0 times the average total payment of $22,279. That payment is 7% below the U.S. average of $23,925.
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 $22,279Billed $112,232
About 20¢ was paid for every $1 hospitals in North Carolina billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in North Carolina:
North Carolina hospitals: revision of hip or knee replacement without 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 |
|---|---|---|---|---|
| Carolinas Medical Center/Behav HealthCharlotte | 56 | $129,455 | $24,708 | $20,161 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 49 | $140,740 | $20,714 | $17,804 |
| Duke University Medical CenterDurham | 49 | $90,725 | $27,445 | $20,010 |
| Rex HospitalRaleigh | 31 | $97,449 | $20,649 | $16,729 |
| ECU Health Medical CenterGreenville | 29 | $95,245 | $22,178 | $19,311 |
| Presbyterian HospitalCharlotte | 25 | $130,554 | $19,663 | $18,137 |
| Margaret R Pardee Mem HospitalHendersonville | 24 | $66,600 | $18,435 | $16,712 |
| Moses H Cone Memorial Hospital, theGreensboro | 23 | $80,843 | $25,291 | $16,856 |
| North Carolina Eye & Ear HospDurham | 22 | $82,345 | $20,257 | $15,440 |
| New Hanover Regional Medical CenterWilmington | 19 | $110,957 | $22,137 | $20,458 |
| Atrium Health PinevilleCharlotte | 14 | $183,115 | $18,381 | $16,749 |
| Haywood Regional Medical CenterClyde | 14 | $142,229 | $18,614 | $17,331 |
| North Carolina Baptist HospitalWinston-Salem | 13 | $114,920 | $26,823 | $22,878 |
| Carolinas Medical Center-NortheastConcord | 12 | $113,536 | $22,666 | $17,029 |
| Cape Fear Valley Medical CenterFayetteville | 12 | $150,251 | $22,035 | $20,454 |
| Duke Regional HospitalDurham | 12 | $92,738 | $21,274 | $19,508 |
| Presbyterian Hospital HuntersvilleHuntersville | 12 | $130,768 | $19,482 | $17,595 |
| Caromont Regional Medical CenterGastonia | 11 | $91,909 | $19,292 | $17,633 |
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
| Atrium Health PinevilleCharlotte, NC | $18,381 |
|---|---|
| Margaret R Pardee Mem HospitalHendersonville, NC | $18,435 |
| Haywood Regional Medical CenterClyde, NC | $18,614 |
| Caromont Regional Medical CenterGastonia, NC | $19,292 |
| Presbyterian Hospital HuntersvilleHuntersville, NC | $19,482 |
Highest
| Duke University Medical CenterDurham, NC | $27,445 |
|---|---|
| North Carolina Baptist HospitalWinston-Salem, NC | $26,823 |
| Moses H Cone Memorial Hospital, theGreensboro, NC | $25,291 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $24,708 |
| Carolinas Medical Center-NortheastConcord, NC | $22,666 |
Revision of hip or knee replacement without complications in other states
Questions
How much does revision of hip or knee replacement without complications cost in North Carolina?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 18 hospitals in North Carolina was billed at $112,232 on average, while the average total payment was $22,279, of which Medicare paid $18,489. 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 5.0 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.