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Ecu Health Medical Center: what a joint replacement costs

Greenville, NC 27834 · CMS Certification Number 340040. 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
$8,461
Ecu Health Surgicenter, same ZIP
Outpatient here
$11,360
Medicare allowed amount, 354 cases, APC 5115
Inpatient here
$16,618
Avg total payment (incl. patient share), 61 Medicare stays, MS-DRG 470

Medicare prices at Ecu Health Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$16,618$56,1773.4×$11,360
Shoulder replacement———$15,801
Hip replacement after a fracture (DRG 522)$19,166$68,8183.6×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$22,3751.3×$20,885–$30,9343
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS NC$30,9341.9×1
Nc Dept Of Public Safety$22,3751.3×1
Amerihealth Mcaid Adv$20,8851.3×1

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

Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 7.7%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 909 beds

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

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Questions

How much does Medicare pay Ecu Health Medical Center for a knee or hip replacement?

In 2024 the average total payment to Ecu Health Medical Center for an inpatient hip or knee replacement stay was $16,618 (MS-DRG 470, 61 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,360 per outpatient case (APC 5115, 354 cases).

What is Ecu Health Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $56,177, 3.4× 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 Ecu Health Medical Center?

Yes for Medicare facility payments. Ecu Health Surgicenter, an orthopedic surgery center same ZIP away, is paid about $8,461 by Medicare for a knee replacement (CPT 27447), $8,157 less than an inpatient stay at Ecu Health Medical Center. Not every patient is a surgery-center candidate.

How does Ecu Health Medical Center compare with other North Carolina hospitals?

Ecu Health Medical Center's average total payment per Medicare stay is higher than 80% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Ecu Health 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 $22,375 across 3 insurers, ranging from $20,885 to $30,934.