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Wakemed: what a joint replacement costs

Cary, NC 27518 · CMS Certification Number 340173. 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
$8,762
Rex Surgery Center of Cary, LLC, 2.4 mi
Outpatient here
$11,631
151 Medicare cases, APC 5115
Inpatient here
$13,457
15 Medicare stays, MS-DRG 470

Medicare prices at Wakemed

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,457$82,2026.1×$11,631
Shoulder replacement$19,612$115,2295.9×$16,334
Hip replacement after a fracture (DRG 522)$13,877$84,1266.1×—

Quality

Complications after hip or knee replacement: 4.1% (no different from the national rate). Readmissions: 5.6%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 156 beds

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

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Questions

How much does Medicare pay Wakemed for a knee or hip replacement?

In 2024 Medicare paid Wakemed an average of $13,457 per inpatient hip or knee replacement stay (MS-DRG 470, 15 stays) and $11,631 per outpatient case (APC 5115, 151 cases).

What is Wakemed's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $82,202, 6.1× 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 Wakemed?

Yes for Medicare facility payments. Rex Surgery Center of Cary, LLC, an orthopedic surgery center 2.4 mi away, is paid about $8,762 by Medicare for a knee replacement (CPT 27447), $4,695 less than an inpatient stay at Wakemed. Not every patient is a surgery-center candidate.

How does Wakemed compare with other North Carolina hospitals?

Medicare paid Wakemed less than 80% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.