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 paid | List price | List ÷ paid | Outpatient 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× | — |
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 Medicare paid Novant Health Huntersville Medical Center an average of $14,128 per inpatient hip or knee replacement stay (MS-DRG 470, 24 stays) and $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× what Medicare paid. 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.
Medicare paid Novant Health Huntersville Medical Center less than 61% of the 41 North Carolina hospitals that report inpatient hip or knee replacement.