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Atrium 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.

Surgery center nearby
$8,806
Charlotte Surgery Center- Wendover Campus , 4.2 mi
Outpatient here
$11,513
337 Medicare cases, APC 5115
Inpatient here
$14,429
62 Medicare stays, MS-DRG 470

Medicare prices at Atrium Health Pineville

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,429$103,2517.2×$11,513
Shoulder replacement———$16,710
Hip replacement after a fracture (DRG 522)$14,396$103,1527.2×—

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 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).

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× 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 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?

Medicare paid Atrium Health Pineville less than 56% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.