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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $29,175 | 1.8× | $11,013–$45,240 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $45,240 | 2.9× | 1 |
| Cigna | $33,586 | 2.1× | 1 |
| Aetna | $29,175 | 1.8× | 1 |
| BCBS NC | $24,227 | 1.5× | 1 |
| New Hanover Health | $11,013 | 0.7× | 1 |
From the hospital's price-transparency file (2026-03-30); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-03-30); commercial plans, dollar-amount contracts only.
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 the average total payment to Novant Health New Hanover Regional Medical Center for an inpatient hip or knee replacement stay was $15,851 (MS-DRG 470, 210 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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.
Novant Health New Hanover Regional Medical Center's average total payment per Medicare stay is higher than 68% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $29,175 across 5 insurers, ranging from $11,013 to $45,240.