Price AtlasInteractive atlas · All states · techysurgeon.comNovant 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.
Medicare prices at Novant Health Presbyterian Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,612 | $83,494 | 5.7× | $11,667 |
| Shoulder replacement | $18,501 | $115,296 | 6.2× | $16,710 |
| Hip replacement after a fracture (DRG 522) | $16,028 | $104,726 | 6.5× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $37,840 | 2.6× | $25,864–$49,815 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $49,815 | 3.4× | 1 |
| BCBS NC | $25,864 | 1.8× | 1 |
From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.
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 the average total payment to Novant Health Presbyterian Medical Center for an inpatient hip or knee replacement stay was $14,612 (MS-DRG 470, 203 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Novant Health Presbyterian Medical Center's average total payment per Medicare stay is higher than 56% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Novant Health Presbyterian 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 $37,840 across 2 insurers, ranging from $25,864 to $49,815.