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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
Medicare allowed amount, 69 cases, APC 5115
Inpatient here
$13,399
Avg total payment (incl. patient share), 36 Medicare stays, MS-DRG 470

Medicare prices at Novant Health Matthews Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,399$90,6506.8×$11,516
Shoulder replacement———$15,917

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$37,8402.8×$25,864–$49,8152
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$49,8153.7×1
BCBS NC$25,8641.9×1

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.

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 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).

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× the average total payment for a Medicare stay. 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?

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.

What do commercial insurers pay Novant Health Matthews Medical Center 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 $37,840 across 2 insurers, ranging from $25,864 to $49,815.