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Atrium Health Cabarrus: what a joint replacement costs

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.

Surgery center nearby
$8,806
Gateway Ambulatory Surgery Center, same ZIP
Outpatient here
$11,668
Medicare allowed amount, 214 cases, APC 5115
Inpatient here
$14,605
Avg total payment (incl. patient share), 29 Medicare stays, MS-DRG 470

Medicare prices at Atrium Health Cabarrus

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,605$106,4477.3×$11,668
Shoulder replacement———$16,710
Hip replacement after a fracture (DRG 522)$16,033$99,7796.2×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$32,2452.2×$26,750–$47,5314
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$47,5313.3×1
Cigna$36,4222.5×1
BCBS NC$28,0681.9×1
Ortho Carolina$26,7501.8×1

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.

Quality

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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Questions

How much does Medicare pay Atrium Health Cabarrus for a knee or hip replacement?

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).

What is Atrium Health Cabarrus's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Atrium Health Cabarrus?

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.

How does Atrium Health Cabarrus compare with other North Carolina hospitals?

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.

What do commercial insurers pay Atrium Health Cabarrus for a 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.