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Unc Hospitals: what a joint replacement costs

Chapel Hill, NC 27514 · CMS Certification Number 340061. 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
$8,842
Southpoint Surgery Center, 8.7 mi
Outpatient here
$11,386
101 Medicare cases, APC 5115
Inpatient here
$23,765
51 Medicare stays, MS-DRG 470

Medicare prices at Unc Hospitals

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$23,765$57,9902.4×$11,386
Shoulder replacement$50,140$100,3012.0×$16,981
Hip replacement after a fracture (DRG 522)$27,540$64,1842.3×—

Quality

Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 4.6%. Overall Care Compare rating: 5 of 5 stars. Government · Acute · 724 beds

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

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Questions

How much does Medicare pay Unc Hospitals for a knee or hip replacement?

In 2024 Medicare paid Unc Hospitals an average of $23,765 per inpatient hip or knee replacement stay (MS-DRG 470, 51 stays) and $11,386 per outpatient case (APC 5115, 101 cases).

What is Unc Hospitals's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $57,990, 2.4× 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 Unc Hospitals?

Yes for Medicare facility payments. Southpoint Surgery Center, an orthopedic surgery center 8.7 mi away, is paid about $8,842 by Medicare for a knee replacement (CPT 27447), $14,923 less than an inpatient stay at Unc Hospitals. Not every patient is a surgery-center candidate.

How does Unc Hospitals compare with other North Carolina hospitals?

Medicare paid Unc Hospitals more than 100% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.