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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Novant Health Presbyterian Medical Center more than 56% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.