Wilmington, NC 28402 · CMS Certification Number 340141. 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 | $15,851 | $66,792 | 4.2× | $12,161 |
| Shoulder replacement | $20,875 | $98,768 | 4.7× | $17,164 |
| Hip replacement after a fracture (DRG 522) | $17,825 | $76,620 | 4.3× | — |
Complications after hip or knee replacement: 2.8% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 3 of 5 stars. Government · Acute · 769 beds
North Carolina requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Novant Health New Hanover Regional Medical Center an average of $15,851 per inpatient hip or knee replacement stay (MS-DRG 470, 210 stays) and $12,161 per outpatient case (APC 5115, 730 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $66,792, 4.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Wilmington Surgcare, an orthopedic surgery center 6.7 mi away, is paid about $8,425 by Medicare for a knee replacement (CPT 27447), $7,426 less than an inpatient stay at Novant Health New Hanover Regional Medical Center. Not every patient is a surgery-center candidate.
Medicare paid Novant Health New Hanover Regional Medical Center more than 68% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.