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Novant Health Presbyterian Medical Center: what a joint replacement costs

Charlotte, NC 28233 · CMS Certification Number 340053. 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
Charlotte Surgery Center, 1.3 mi
Outpatient here
$11,667
496 Medicare cases, APC 5115
Inpatient here
$14,612
203 Medicare stays, MS-DRG 470

Medicare prices at Novant Health Presbyterian Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,612$83,4945.7×$11,667
Shoulder replacement$18,501$115,2966.2×$16,710
Hip replacement after a fracture (DRG 522)$16,028$104,7266.5×—

Quality

Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 4.6%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 877 beds

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

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Questions

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

In 2024 Medicare paid Novant Health Presbyterian Medical Center an average of $14,612 per inpatient hip or knee replacement stay (MS-DRG 470, 203 stays) and $11,667 per outpatient case (APC 5115, 496 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $83,494, 5.7× what Medicare paid. 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 Novant Health Presbyterian Medical Center?

Yes for Medicare facility payments. Charlotte Surgery Center, an orthopedic surgery center 1.3 mi away, is paid about $8,806 by Medicare for a knee replacement (CPT 27447), $5,806 less than an inpatient stay at Novant Health Presbyterian Medical Center. Not every patient is a surgery-center candidate.

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

Medicare paid Novant Health Presbyterian Medical Center more than 56% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.