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Atrium Health University City: what a joint replacement costs

Charlotte, NC 28262 · CMS Certification Number 340166. 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
Mallard Creek Surgery Center, same ZIP
Outpatient here
$11,683
Medicare allowed amount, 79 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Atrium Health University City

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,683
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$31,586—$25,163–$47,5314
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$47,531—1
Cigna$36,422—1
Ortho Carolina$26,750—1
BCBS NC$25,163—1

From the hospital's price-transparency file (2025-12-05); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2025-12-05); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 5.7%. Overall Care Compare rating: 3 of 5 stars. Government · Acute · 130 beds

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

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Questions

How much does Medicare pay Atrium Health University City for a knee or hip replacement?

The Medicare allowed amount averaged $11,683 per outpatient hip or knee replacement case (APC 5115, 79 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Atrium Health University City?

Yes for Medicare facility payments. Mallard Creek Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,806 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Atrium Health University City 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 $31,586 across 4 insurers, ranging from $25,163 to $47,531.