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Wakemed: what a joint replacement costs

Raleigh, NC 27610 · CMS Certification Number 340069. 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
$8,762
Capital City Surgery Center, same ZIP
Outpatient here
$11,546
141 Medicare cases, APC 5115
Inpatient here
$17,441
12 Medicare stays, MS-DRG 470

Medicare prices at Wakemed

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,441$96,8305.6×$11,546
Shoulder replacement———$16,525
Hip replacement after a fracture (DRG 522)$17,970$84,5414.7×—

Quality

Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 678 beds

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

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Questions

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

In 2024 Medicare paid Wakemed an average of $17,441 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $11,546 per outpatient case (APC 5115, 141 cases).

What is Wakemed's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $96,830, 5.6× 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 Wakemed?

Yes for Medicare facility payments. Capital City Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,762 by Medicare for a knee replacement (CPT 27447), $8,679 less than an inpatient stay at Wakemed. Not every patient is a surgery-center candidate.

How does Wakemed compare with other North Carolina hospitals?

Medicare paid Wakemed more than 85% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.