Price AtlasInteractive atlas · All states · techysurgeon.comRex Hospital: what a joint replacement costs
Raleigh, NC 27607 · CMS Certification Number 340114. 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 Rex Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,126 | $73,623 | 5.6× | $11,741 |
| Shoulder replacement | $23,768 | $111,255 | 4.7× | $16,606 |
| Hip replacement after a fracture (DRG 522) | $14,918 | $66,906 | 4.5× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $24,283 | 1.8× | $12,060–$35,332 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $35,332 | 2.7× | 1 |
| Contigo | $32,420 | 2.5× | 1 |
| Aetna | $31,000 | 2.4× | 1 |
| Cigna | $24,283 | 1.8× | 1 |
| BCBS NC | $18,490 | 1.4× | 1 |
| First Carolina Care | $16,966 | 1.3× | 1 |
| Alignment | $12,060 | 0.9× | 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: 3.6% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 5 of 5 stars. Government · Acute · 425 beds
North Carolina requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Rex Hospital for a knee or hip replacement?
In 2024 the average total payment to Rex Hospital for an inpatient hip or knee replacement stay was $13,126 (MS-DRG 470, 41 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,741 per outpatient case (APC 5115, 1077 cases).
What is Rex Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $73,623, 5.6× 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 Rex Hospital?
Yes for Medicare facility payments. Healthsouth Blue Ridge Surgery, an orthopedic surgery center same ZIP away, is paid about $8,762 by Medicare for a knee replacement (CPT 27447), $4,364 less than an inpatient stay at Rex Hospital. Not every patient is a surgery-center candidate.
How does Rex Hospital compare with other North Carolina hospitals?
Rex Hospital's average total payment per Medicare stay is lower than 95% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Rex Hospital 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 $24,283 across 7 insurers, ranging from $12,060 to $35,332.