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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,399 | $90,650 | 6.8× | $11,516 |
| Shoulder replacement | — | — | — | $15,917 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $37,840 | 2.8× | $25,864–$49,815 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $49,815 | 3.7× | 1 |
| BCBS NC | $25,864 | 1.9× | 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: 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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In 2024 the average total payment to Novant Health Matthews Medical Center for an inpatient hip or knee replacement stay was $13,399 (MS-DRG 470, 36 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,516 per outpatient case (APC 5115, 69 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $90,650, 6.8× 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. 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.
Novant Health Matthews Medical Center's average total payment per Medicare stay is lower than 83% 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 $37,840 across 2 insurers, ranging from $25,864 to $49,815.