Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota in North Carolina
MS-DRG 469: Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota
$126,245typical hospital bill
$28,010typical amount paid
$21,737–$41,728range paid across 4 hospitals
North Carolina hospitals billed Medicare a typical $126,245 for this stay in 2024, about 4.5 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)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Novant Health Presbyterian Medical Center | Charlotte | 12 | $101,387 | $21,737 | |
| Novant Health New Hanover Regional Medical Center | Wilmington | 21 | $86,738 | $27,678 | |
| Memorial Mission Hospital and Asheville Surgery Ce | Asheville | 12 | $183,918 | $28,343 | |
| Duke University Hospital | Durham | 13 | $151,104 | $41,728 |
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.