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Lake Norman Regional Medical Center: what a joint replacement costs

Mooresville, NC 28117 · CMS Certification Number 340129. 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
Surgery Center on Bluefield, same ZIP
Outpatient here
$11,683
Medicare allowed amount, 160 cases, APC 5115
Inpatient here
$13,299
Avg total payment (incl. patient share), 11 Medicare stays, MS-DRG 470

Medicare prices at Lake Norman Regional Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,299$134,69310.1×$11,683
Shoulder replacement———$15,454
Hip replacement after a fracture (DRG 522)$14,674$142,3749.7×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$21,6381.6×$14,179–$24,6465
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$24,6461.9×1
Aetna$22,0241.7×1
Cigna$21,6381.6×1
MedCost$19,2411.4×1
BCBS NC$14,1791.1×1

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: 4.7% (no different from the national rate). Readmissions: 6.2%. Overall Care Compare rating: 1 of 5 stars. For-profit · Acute · 105 beds

North Carolina requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Lake Norman Regional Medical Center for a knee or hip replacement?

In 2024 the average total payment to Lake Norman Regional Medical Center for an inpatient hip or knee replacement stay was $13,299 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,683 per outpatient case (APC 5115, 160 cases).

What is Lake Norman Regional Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $134,693, 10.1× 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 Lake Norman Regional Medical Center?

Yes for Medicare facility payments. Surgery Center on Bluefield, an orthopedic surgery center same ZIP away, is paid about $8,806 by Medicare for a knee replacement (CPT 27447), $4,493 less than an inpatient stay at Lake Norman Regional Medical Center. Not every patient is a surgery-center candidate.

How does Lake Norman Regional Medical Center compare with other North Carolina hospitals?

Lake Norman Regional Medical Center's average total payment per Medicare stay is lower than 88% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Lake Norman Regional Medical Center 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 $21,638 across 5 insurers, ranging from $14,179 to $24,646.