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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,399 | $90,650 | 6.8× | $11,516 |
| Shoulder replacement | — | — | — | $15,917 |
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.
Open the interactive price tagBuild a reportAll North Carolina hospitals
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).
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.
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.
Medicare paid Novant Health Matthews Medical Center less than 83% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.