Price AtlasInteractive atlas · All states · techysurgeon.comAtrium Health Cleveland: what a joint replacement costs
Shelby, NC 28150 · CMS Certification Number 340021. 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.
Medicare prices at Atrium Health Cleveland
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,935 | $96,591 | 6.9× | $11,451 |
| Shoulder replacement | — | — | — | $16,536 |
| Hip replacement after a fracture (DRG 522) | $15,581 | $102,447 | 6.6× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $31,222 | 2.2× | $26,022–$36,422 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $36,422 | 2.6× | 1 |
| BCBS NC | $26,022 | 1.9× | 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: 3.7% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 3 of 5 stars. Government · Acute · 241 beds
North Carolina requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Atrium Health Cleveland for a knee or hip replacement?
In 2024 the average total payment to Atrium Health Cleveland for an inpatient hip or knee replacement stay was $13,935 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,451 per outpatient case (APC 5115, 85 cases).
What is Atrium Health Cleveland's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $96,591, 6.9× 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 Cleveland?
Yes for Medicare facility payments. Atrium Health Surgery Center Shelby, an orthopedic surgery center same ZIP away, is paid about $8,126 by Medicare for a knee replacement (CPT 27447), $5,809 less than an inpatient stay at Atrium Health Cleveland. Not every patient is a surgery-center candidate.
How does Atrium Health Cleveland compare with other North Carolina hospitals?
Atrium Health Cleveland's average total payment per Medicare stay is lower than 66% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Atrium Health Cleveland 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 $31,222 across 2 insurers, ranging from $26,022 to $36,422.