Huntersville, NC 28078 · CMS Certification Number 340183. 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 | $14,128 | $93,254 | 6.6× | $11,702 |
| Shoulder replacement | $18,460 | $130,622 | 7.1× | $15,956 |
| Hip replacement after a fracture (DRG 522) | $15,690 | $96,533 | 6.2× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $37,840 | 2.7× | $25,864–$49,815 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $49,815 | 3.5× | 1 |
| BCBS NC | $25,864 | 1.8× | 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: 4.9% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 75 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 Huntersville Medical Center for an inpatient hip or knee replacement stay was $14,128 (MS-DRG 470, 24 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,702 per outpatient case (APC 5115, 187 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $93,254, 6.6× 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. Novant Health Huntersville Outpatient Surgery, an orthopedic surgery center same ZIP away, is paid about $8,806 by Medicare for a knee replacement (CPT 27447), $5,322 less than an inpatient stay at Novant Health Huntersville Medical Center. Not every patient is a surgery-center candidate.
Novant Health Huntersville Medical Center's average total payment per Medicare stay is lower than 61% 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.