US Health Care Costs

Hip replacement after a hip fracture in North Carolina

MS-DRG 522: Hip replacement with principal diagnosis of hip fracture without mcc

$76,458typical hospital bill
$16,052typical amount paid
$13,877–$27,540range paid across 44 hospitals

North Carolina hospitals billed Medicare a typical $76,458 for this stay in 2024, about 4.8 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.

Billed (list price)Actually paid (Medicare + patient)

HospitalCityMedicare staysBilledPaid
Wakemed, Cary HospitalCary35$84,126$13,877
Frye Regional Medical CenterHickory12$121,815$13,882
Atrium Health PinevilleCharlotte49$103,152$14,396
Haywood Regional Medical CenterClyde18$77,517$14,558
Duke Health Lake Norman HospitalMooresville13$142,374$14,674
Iredell Memorial Hospital IncStatesville17$110,121$14,803
Caldwell Memorial HospitalLenoir15$49,433$14,831
AdventHealth HendersonvilleHendersonville14$78,971$14,889
Pardee Hospital Henderson CountyHendersonville26$61,242$14,899
Rex HospitalRaleigh48$66,906$14,918
Northern Regional HospitalMount Airy19$23,109$14,971
Firsthealth Moore Regional HospitalPinehurst53$74,597$15,087
High Point Regional Health SystemHigh Point11$76,296$15,243
Novant Health Forsyth Medical CenterWinston-Salem53$67,735$15,542
Atrium Health ClevelandShelby22$102,447$15,581
Johnston HealthSmithfield21$63,722$15,588
Novant Health Huntersville Medical CenterHuntersville16$96,533$15,690
Atrium Health UnionMonroe22$93,747$15,716
Novant Health Brunswick Medical CenterSupply14$102,346$15,938
Memorial Mission Hospital and Asheville Surgery CeAsheville70$102,591$15,978
Novant Health Presbyterian Medical CenterCharlotte17$104,726$16,028
Carolinas Medical Center-NortheastConcord31$99,779$16,033
Catawba Valley Medical CenterHickory20$60,465$16,071
Onslow Memorial HospitalJacksonville12$66,104$16,319
Alamance Regional Medical CenterBurlington13$63,519$16,349
Harris Regional HospitalSylva14$91,888$16,470
Cape Fear Valley Medical CenterFayetteville32$58,521$17,198
The Moses H. Cone Memorial HospitalGreensboro52$62,399$17,229
Blue Ridge Healthcare Hospitals, IncMorganton17$81,438$17,297
Duke Regional HospitalDurham25$65,063$17,427
Carolina East Medical CenterNew Bern25$53,489$17,735
Novant Health New Hanover Regional Medical CenterWilmington69$76,620$17,825
Carteret General HospitalMorehead City13$36,154$17,834
Wakemed, Raleigh CampusRaleigh58$84,541$17,970
Caromont Regional Medical CenterGastonia25$97,065$18,071
Sentara Albemarle Medical CenterElizabeth City24$62,622$18,115
Atrium Health LincolnLincolnton14$92,616$19,136
Ecu Health Medical CenterGreenville40$68,818$19,166
Unc Health Care WayneGoldsboro19$49,398$19,244
Watauga Medical CenterBoone23$53,118$19,598
Carolinas Medical Center/Behav HealthCharlotte34$120,271$21,260
Duke University HospitalDurham38$73,992$26,086
North Carolina Baptist HospitalWinston-Salem22$121,306$26,618
Unc HospitalsChapel Hill35$64,184$27,540

Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.