Charlotte, NC 28210 · CMS Certification Number 340098. 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 | $14,429 | $103,251 | 7.2× | $11,513 |
| Shoulder replacement | — | — | — | $16,710 |
| Hip replacement after a fracture (DRG 522) | $14,396 | $103,152 | 7.2× | — |
Complications after hip or knee replacement: 4.6% (no different from the national rate). Readmissions: 6.3%. Overall Care Compare rating: 3 of 5 stars. Government · Acute · 344 beds
North Carolina requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Atrium Health Pineville an average of $14,429 per inpatient hip or knee replacement stay (MS-DRG 470, 62 stays) and $11,513 per outpatient case (APC 5115, 337 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $103,251, 7.2× 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- Wendover Campus , an orthopedic surgery center 4.2 mi away, is paid about $8,806 by Medicare for a knee replacement (CPT 27447), $5,623 less than an inpatient stay at Atrium Health Pineville. Not every patient is a surgery-center candidate.
Medicare paid Atrium Health Pineville less than 56% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.