Price AtlasInteractive atlas · All states · techysurgeon.comJohnston Health: what a joint replacement costs
Smithfield, NC 27577 · CMS Certification Number 340090. 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 Johnston Health
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $11,341 |
| Shoulder replacement | — | — | — | $16,236 |
| Hip replacement after a fracture (DRG 522) | $15,588 | $63,722 | 4.1× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $19,477 | — | $11,406–$32,396 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $32,396 | — | 1 |
| Cigna | $26,360 | — | 1 |
| BCBS NC | $12,594 | — | 1 |
| Alignment | $11,406 | — | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 175 beds
North Carolina requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Johnston Health for a knee or hip replacement?
The Medicare allowed amount averaged $11,341 per outpatient hip or knee replacement case (APC 5115, 81 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Johnston Health?
Yes for Medicare facility payments. Holly Springs Surgery Center, LLC, an orthopedic surgery center 11.6 mi away, is paid about $8,762 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Johnston Health 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 $19,477 across 4 insurers, ranging from $11,406 to $32,396.