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Cape Fear Valley Medical Center: what a joint replacement costs

Fayetteville, NC 28302 · CMS Certification Number 340028. 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
$8,196
Fayetteville Ambulatory Surger, 3.3 mi
Outpatient here
$11,327
Medicare allowed amount, 135 cases, APC 5115
Inpatient here
$15,809
Avg total payment (incl. patient share), 12 Medicare stays, MS-DRG 470

Medicare prices at Cape Fear Valley Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,809$75,2334.8×$11,327
Shoulder replacement———$16,445
Hip replacement after a fracture (DRG 522)$17,198$58,5213.4×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$45,4542.9×—1
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$45,4542.9×1

From the hospital's price-transparency file (2026-03-21); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-21); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 600 beds

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

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Questions

How much does Medicare pay Cape Fear Valley Medical Center for a knee or hip replacement?

In 2024 the average total payment to Cape Fear Valley Medical Center for an inpatient hip or knee replacement stay was $15,809 (MS-DRG 470, 12 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,327 per outpatient case (APC 5115, 135 cases).

What is Cape Fear Valley Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $75,233, 4.8× 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 Cape Fear Valley Medical Center?

Yes for Medicare facility payments. Fayetteville Ambulatory Surger, an orthopedic surgery center 3.3 mi away, is paid about $8,196 by Medicare for a knee replacement (CPT 27447), $7,613 less than an inpatient stay at Cape Fear Valley Medical Center. Not every patient is a surgery-center candidate.

How does Cape Fear Valley Medical Center compare with other North Carolina hospitals?

Cape Fear Valley Medical Center's average total payment per Medicare stay is higher than 66% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Cape Fear Valley Medical Center 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 $45,454 across 1 insurer.