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Hip replacement in North Carolina: what insurers pay

Posted commercial rates at 53 North Carolina hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 27130

HospitalMedian across insurers× MedicareInsurersFile date
Person Memorial Hospital Roxboro$10,7550.8×22026-07-10
Novant Health New Hanover Regional Medical Center Wilmington$11,8320.9×32026-03-30
Frye Regional Medical Center Hickory$12,0971.0×42026-07-08
Rutherford Regional Medical Center Rutherfordton$13,0821.1×12026-07-10
Highlands Cashiers Hospital Highlands$14,0001.1×12026-09-01
Transylvania Regional Hospital, Inc Brevard$14,0001.1×12026-09-01
Angel Medical Center Franklin$14,0001.1×12026-09-01
Blue Ridge Regional Hospital Spruce Pine$14,0001.1×12026-09-01
Atrium Health Lincoln Lincolnton$15,0891.2×12025-12-01
Atrium Health Cabarrus Concord$15,2971.2×12025-12-01
Atrium Health Pineville Charlotte$15,2971.2×12025-12-05
Atrium Health Union Monroe$15,2971.2×12025-12-04
Atrium Health University City Charlotte$15,2971.2×12025-12-05
Harris Regional Hospital Sylva$24,3602.0×12026-07-10
Caromont Regional Medical Center Gastonia$29,5002.4×42026-05-11

MS-DRG 470

HospitalMedian across insurers× MedicareInsurersFile date
Unc Health Blue Ridge Morganton$11,6600.9×12026-04-01
Frye Regional Medical Center Hickory$13,0551.0×12026-07-08
Ecu Health North Hospital Roanoke Rapids$15,6451.2×12026-04-01
Rutherford Regional Medical Center Rutherfordton$15,9361.2×32026-07-10
Maria Parham Medical Center Henderson$15,9711.2×32026-07-30
Sampson Regional Medical Center Clinton$16,0521.2×32026-05-07
Unc Rockingham Eden$16,4151.3×52026-04-01
Caldwell Memorial Hospital Lenoir$16,5131.3×52026-04-01
Wilson Medical Center Wilson$16,8771.3×32026-07-10
Harris Regional Hospital Sylva$18,2931.4×32026-07-10
Central Carolina Hospital Sanford$18,6491.4×52026-07-20
Ecu Health Bertie Hospital Windsor$19,0841.5×22026-04-01
UNC Health Johnston Smithfield$19,4771.4×42026-04-01
Angel Medical Center Franklin$20,9941.6×22026-09-01
Blue Ridge Regional Hospital Spruce Pine$21,1591.6×22026-09-01
The Outer Banks Hospital, Inc Nags Head$21,1701.6×22026-04-01
Lake Norman Regional Medical Center Mooresville$21,6381.6×52026-04-01
North Carolina Specialty Hospital Durham$21,8601.6×22026-02-25
Swain County Hospital Bryson City$22,3101.7×32026-07-30
Ecu Health Medical Center Greenville$22,3751.7×32026-04-01
Transylvania Regional Hospital, Inc Brevard$22,7561.7×22026-09-01
Highlands Cashiers Hospital Highlands$23,7061.8×22026-09-01
UNC Rex Hospital Raleigh$24,2831.8×72026-04-01
Atrium Health Stanly Albemarle$24,7751.9×12026-09-15
UNC Hospitals (Chapel Hill) Chapel Hill$26,3311.9×82026-04-01
Atrium Health Lincoln Lincolnton$26,7502.0×12025-12-01
Catawba Valley Medical Center Hickory$26,9622.1×22026-09-27
Duke Regional Hospital Durham$28,1372.1×42026-04-01
WakeMed Raleigh Campus Raleigh$29,1172.1×42026-02-11
WakeMed Cary Hospital Cary$29,1172.1×42026-02-11
Novant Health New Hanover Regional Medical Center Wilmington$29,1752.1×52026-03-30
Adventhealth Hendersonville Hendersonville$29,3762.2×22026-04-01
Atrium Health Cleveland Shelby$31,2222.4×22025-12-01
Duke University Hospital Durham$31,2602.3×42026-04-01
Duke Raleigh Hospital Raleigh$31,2602.3×42026-04-01
Atrium Health Pineville Charlotte$31,5862.4×42025-12-05
Atrium Health Union Monroe$31,5862.4×42025-12-04
Atrium Health University City Charlotte$31,5862.4×42025-12-05
Novant Health Brunswick Medical Center Supply$31,8902.3×12026-03-30
Atrium Health Cabarrus Concord$32,2452.4×42025-12-01
Novant Health Ballantyne Medical Center Charlotte$37,8042.8×22026-03-30
Novant Health Presbyterian Medical Center Charlotte$37,8402.8×22026-03-31
Novant Health Matthews Medical Center Matthews$37,8402.8×22026-03-30
Novant Health Huntersville Medical Center Huntersville$37,8402.8×22026-03-30
Novant Health Mint Hill Medical Center Charlotte$37,8402.8×22026-03-30
Caromont Regional Medical Center Gastonia$38,4432.9×82026-05-11
Unc Health Wayne Goldsboro$39,3082.9×22026-04-01
Novant Health Forsyth Medical Center Winston-Salem$41,9923.2×22026-03-30
Novant Health Thomasville Medical Center Thomasville$41,9923.2×22026-03-31
Novant Health Medical Park Hospital Winston-Salem$41,9923.2×22026-03-30
Cape Fear Valley Medical Center Fayetteville$45,4543.3×12026-03-21
Cape Fear Valley Hoke Hospital Raeford$46,5873.4×12026-03-30

MS-DRG 469

HospitalMedian across insurers× MedicareInsurersFile date
Wilson Medical Center Wilson$24,9781.2×32026-07-10
Maria Parham Medical Center Henderson$25,8671.3×32026-07-30
Rutherford Regional Medical Center Rutherfordton$27,6271.3×32026-07-10
Ecu Health North Hospital Roanoke Rapids$27,8321.4×12026-04-01
Caldwell Memorial Hospital Lenoir$28,6271.4×52026-04-01
UNC Rex Hospital Raleigh$31,0001.4×72026-04-01
Harris Regional Hospital Sylva$31,7131.5×32026-07-10
Angel Medical Center Franklin$32,9521.6×22026-09-01
Blue Ridge Regional Hospital Spruce Pine$33,2111.6×22026-09-01
Ecu Health Bertie Hospital Windsor$33,9501.6×22026-04-01
Lake Norman Regional Medical Center Mooresville$34,0261.6×52026-04-01
Swain County Hospital Bryson City$35,0821.7×32026-07-30
UNC Health Johnston Smithfield$35,6721.6×42026-04-01
Transylvania Regional Hospital, Inc Brevard$35,7181.7×22026-09-01
Duke University Hospital Durham$36,6101.7×42026-04-01
Duke Raleigh Hospital Raleigh$36,6101.7×42026-04-01
North Carolina Specialty Hospital Durham$36,7891.7×32026-02-25
Highlands Cashiers Hospital Highlands$37,2101.8×22026-09-01
The Outer Banks Hospital, Inc Nags Head$37,6581.8×22026-04-01
Atrium Health Stanly Albemarle$38,9581.9×12026-09-15
Ecu Health Medical Center Greenville$39,8031.9×32026-04-01
WakeMed Raleigh Campus Raleigh$45,7862.1×42026-02-11
WakeMed Cary Hospital Cary$45,7862.1×42026-02-11
Novant Health New Hanover Regional Medical Center Wilmington$45,8772.1×52026-03-30
Adventhealth Hendersonville Hendersonville$46,1932.2×22026-04-01
Atrium Health Union Monroe$47,5312.3×32025-12-04
Atrium Health University City Charlotte$47,5312.3×32025-12-05
UNC Hospitals (Chapel Hill) Chapel Hill$47,8212.2×72026-04-01
Atrium Health Cabarrus Concord$48,6582.3×32025-12-01
Atrium Health Pineville Charlotte$49,9292.4×32025-12-05
Novant Health Brunswick Medical Center Supply$50,1482.3×12026-03-30
Atrium Health Cleveland Shelby$51,8082.5×22025-12-01
Duke Regional Hospital Durham$58,7712.7×32026-04-01
Novant Health Presbyterian Medical Center Charlotte$59,2962.8×32026-03-31
Novant Health Matthews Medical Center Matthews$59,2962.8×32026-03-30
Novant Health Huntersville Medical Center Huntersville$59,2962.8×32026-03-30
Novant Health Mint Hill Medical Center Charlotte$59,2962.8×32026-03-30
Novant Health Ballantyne Medical Center Charlotte$59,2962.8×32026-03-30
Caromont Regional Medical Center Gastonia$59,5502.8×82026-05-11
Cape Fear Valley Hoke Hospital Raeford$67,0653.1×12026-03-30
Novant Health Thomasville Medical Center Thomasville$67,9893.3×22026-03-31
Cape Fear Valley Medical Center Fayetteville$69,0273.2×12026-03-21
Novant Health Forsyth Medical Center Winston-Salem$72,8003.5×32026-03-30
Novant Health Medical Park Hospital Winston-Salem$72,8003.5×32026-03-30

Questions

How much do insurers pay for hip replacement in North Carolina?

53 North Carolina hospitals post usable commercial rates for hip replacement in their federal price-transparency files. For CPT 27130, hospital outpatient, the median across 15 hospitals is $14,000, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.