Concord, NC 28025 · CMS Certification Number 340001. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,605 | $106,447 | 7.3× | $11,668 |
| Shoulder replacement | — | — | — | $16,710 |
| Hip replacement after a fracture (DRG 522) | $16,033 | $99,779 | 6.2× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $32,245 | 2.2× | $26,750–$47,531 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $47,531 | 3.3× | 1 |
| Cigna | $36,422 | 2.5× | 1 |
| BCBS NC | $28,068 | 1.9× | 1 |
| Ortho Carolina | $26,750 | 1.8× | 1 |
From the hospital's price-transparency file (2025-12-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-12-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 457 beds
North Carolina requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Atrium Health Cabarrus for an inpatient hip or knee replacement stay was $14,605 (MS-DRG 470, 29 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,668 per outpatient case (APC 5115, 214 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $106,447, 7.3× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Gateway Ambulatory Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,806 by Medicare for a knee replacement (CPT 27447), $5,799 less than an inpatient stay at Atrium Health Cabarrus. Not every patient is a surgery-center candidate.
Atrium Health Cabarrus's average total payment per Medicare stay is higher than 54% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $32,245 across 4 insurers, ranging from $26,750 to $47,531.