Charlotte, NC 28203 · CMS Certification Number 340113. 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 | $21,264 | $115,832 | 5.4× | $11,505 |
| Shoulder replacement | $23,741 | $143,469 | 6.0× | $16,540 |
| Hip replacement after a fracture (DRG 522) | $21,260 | $120,271 | 5.7× | — |
Complications after hip or knee replacement: 3.1% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 843 beds
North Carolina requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Carolinas Medical Center/Behav Health an average of $21,264 per inpatient hip or knee replacement stay (MS-DRG 470, 44 stays) and $11,505 per outpatient case (APC 5115, 427 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $115,832, 5.4× 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, an orthopedic surgery center 2.1 mi away, is paid about $8,806 by Medicare for a knee replacement (CPT 27447), $12,458 less than an inpatient stay at Carolinas Medical Center/Behav Health. Not every patient is a surgery-center candidate.
Medicare paid Carolinas Medical Center/Behav Health more than 95% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.