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Novant Health Matthews Medical Center: what a joint replacement costs

Matthews, NC 28106 · CMS Certification Number 340171. 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
Matthews Surgery Center, 0.3 mi
Outpatient here
$11,516
69 Medicare cases, APC 5115
Inpatient here
$13,399
36 Medicare stays, MS-DRG 470

Medicare prices at Novant Health Matthews Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,399$90,6506.8×$11,516
Shoulder replacement———$15,917

Quality

Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 102 beds

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

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Questions

How much does Medicare pay Novant Health Matthews Medical Center for a knee or hip replacement?

In 2024 Medicare paid Novant Health Matthews Medical Center an average of $13,399 per inpatient hip or knee replacement stay (MS-DRG 470, 36 stays) and $11,516 per outpatient case (APC 5115, 69 cases).

What is Novant Health Matthews Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $90,650, 6.8× what Medicare paid. 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 Novant Health Matthews Medical Center?

Yes for Medicare facility payments. Matthews Surgery Center, an orthopedic surgery center 0.3 mi away, is paid about $8,806 by Medicare for a knee replacement (CPT 27447), $4,593 less than an inpatient stay at Novant Health Matthews Medical Center. Not every patient is a surgery-center candidate.

How does Novant Health Matthews Medical Center compare with other North Carolina hospitals?

Medicare paid Novant Health Matthews Medical Center less than 83% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.