Price AtlasInteractive atlas · All states · techysurgeon.comAtrium Health Pineville: what a joint replacement costs
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.
Medicare prices at Atrium Health Pineville
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $31,586 | 2.2× | $25,163–$47,531 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $47,531 | 3.3× | 1 |
| Cigna | $36,422 | 2.5× | 1 |
| Ortho Carolina | $26,750 | 1.9× | 1 |
| BCBS NC | $25,163 | 1.7× | 1 |
From the hospital's price-transparency file (2025-12-05); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-12-05); commercial plans, dollar-amount contracts only.
Quality
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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Questions
How much does Medicare pay Atrium Health Pineville for a knee or hip replacement?
In 2024 the average total payment to Atrium Health Pineville for an inpatient hip or knee replacement stay was $14,429 (MS-DRG 470, 62 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,513 per outpatient case (APC 5115, 337 cases).
What is Atrium Health Pineville's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $103,251, 7.2× the average total payment for a Medicare stay. 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 Atrium Health Pineville?
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.
How does Atrium Health Pineville compare with other North Carolina hospitals?
Atrium Health Pineville's average total payment per Medicare stay is lower than 56% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Atrium Health Pineville 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 $31,586 across 4 insurers, ranging from $25,163 to $47,531.