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Unc Health Wayne: what a joint replacement costs

Goldsboro, NC 27534 · CMS Certification Number 340010. 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
$8,126
Eastern Regional Surgical Center, 22.4 mi
Outpatient here
$13,102
Medicare allowed amount, 82 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Unc Health Wayne

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$13,102
Shoulder replacement———$18,944
Hip replacement after a fracture (DRG 522)$19,244$49,3982.6×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$39,308—$32,886–$45,7312
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$45,731—1
BCBS NC$32,886—1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 316 beds

North Carolina requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Unc Health Wayne for a knee or hip replacement?

The Medicare allowed amount averaged $13,102 per outpatient hip or knee replacement case (APC 5115, 82 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Unc Health Wayne?

Yes for Medicare facility payments. Eastern Regional Surgical Center, an orthopedic surgery center 22.4 mi away, is paid about $8,126 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Unc Health Wayne 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 $39,308 across 2 insurers, ranging from $32,886 to $45,731.