Major hip and knee joint replacement or reattachment of lower extremity with MCC or…
In 2024, Medicare and patients paid an average of $32,812 per stay at 70 hospitals. Half of hospitals averaged between $24,115 and $36,469.
Also known as: Hip replacement, knee replacement, joint replacement, arthroplasty
National figures, 2024
- Average payment per case
- $32,812
- Typical range (middle half of hospitals)
- $24,115–$36,469
- Medicare’s share
- $28,095
- Average billed charge
- $180,053
- Hospitals reporting
- 70
Hospitals in North Carolina
Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.
- Average payment across these 4 hospitals
- $29,736
- Median hospital
- $28,010
- Lowest to highest
- $21,737–$41,728
- Medicare stays
- 58
4 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Novant Health Presbyterian Medical Center | 12 | $21,737 | 34% below the national average | $20,056 | $101,387 |
| Novant Health New Hanover Regional Medical Center | 21 | $27,678 | 16% below the national average | $26,156 | $86,738 |
| Memorial Mission Hospital And Asheville Surgery Ce | 12 | $28,343 | 14% below the national average | $26,370 | $183,918 |
| Duke University Hospital | 13 | $41,728 | 27% above the national average | $30,405 | $151,104 |
National trend
Average payment and billed charge per stay, and how many Medicare stays were reported each year.
- Average payment
- Average billed charge
View data as a table
| Year of care | Average payment | Average billed charge |
|---|---|---|
| 2020 | $24K | $112K |
| 2021 | $30K | $141K |
| 2022 | $34K | $170K |
| 2023 | $33K | $156K |
| 2024 | $33K | $180K |
By state, 2024
Case-weighted average payment across each state’s reporting hospitals, lowest first.
Show all 27 states
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| Missouri | 1 | 14 | $19,709 | $19,709–$19,709 |
| Tennessee | 1 | 11 | $21,293 | $21,293–$21,293 |
| Texas | 5 | 83 | $22,528 | $21,996–$22,703 |
| Iowa | 1 | 15 | $22,750 | $22,750–$22,750 |
| Oklahoma | 1 | 11 | $22,950 | $22,950–$22,950 |
| Indiana | 1 | 14 | $23,585 | $23,585–$23,585 |
| West Virginia | 1 | 11 | $23,985 | $23,985–$23,985 |
| South Dakota | 2 | 23 | $24,237 | $23,523–$24,836 |
| Virginia | 2 | 25 | $26,397 | $24,539–$29,429 |
| Kansas | 2 | 24 | $26,988 | $26,101–$27,622 |
| Florida | 4 | 76 | $28,243 | $23,464–$31,888 |
| Nevada | 1 | 17 | $28,513 | $28,513–$28,513 |
| Michigan | 2 | 31 | $28,669 | $28,095–$30,832 |
| Alaska | 1 | 11 | $29,087 | $29,087–$29,087 |
| New Jersey | 3 | 34 | $29,614 | $26,327–$32,323 |
| North Carolina | 4 | 58 | $29,736 | $26,193–$31,689 |
| Massachusetts | 4 | 107 | $30,278 | $30,370–$38,804 |
| Illinois | 6 | 91 | $30,498 | $24,554–$30,505 |
| Washington | 2 | 23 | $31,820 | $30,752–$33,091 |
| Ohio | 1 | 12 | $32,231 | $32,231–$32,231 |
| Utah | 1 | 14 | $32,439 | $32,439–$32,439 |
| Wisconsin | 1 | 14 | $32,501 | $32,501–$32,501 |
| Pennsylvania | 3 | 41 | $36,630 | $34,253–$39,050 |
| Minnesota | 2 | 29 | $36,796 | $34,345–$39,611 |
| New York | 6 | 179 | $38,725 | $36,537–$40,755 |
| California | 9 | 155 | $43,802 | $31,639–$46,735 |
| Colorado | 3 | 37 | $46,630 | $26,472–$58,525 |
About these numbers
Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.
Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.
Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.