DRG 469 · Musculoskeletal

Hip & Knee Replacement Cost in North Carolina — Compare All Hospitals

Replacement of a hip, knee, or ankle joint in patients who also have serious health problems, or joint replacement performed after a fracture. The stay includes the operation, close medical monitoring, and early physical therapy.

State average
$126,408
gross charge · DRG 469
Hospitals
18
with published pricing
Price range
$23,285 – $187,565
low to high
Lowest $23,285 Highest $187,565

18 North Carolina hospitals publish gross charges for hip & knee replacement (DRG 469). Prices range from $23,285 to $187,565 — roughly 8×. The cheapest is Randolph Hospital in Asheboro; the most expensive is Duke Regional Hospital in Durham. The state average sits at $126,408.

The number you see is each hospital's published "list price" — the gross charge for the facility component of hip & knee replacement. Insurance plans negotiate substantial discounts, Medicare and Medicaid pay fixed federal rates, and uninsured patients can usually qualify for a cash-pay discount. But the gross charge still works as a useful benchmark: a hospital that lists hip & knee replacement at twice the price of another typically negotiates higher rates with insurers too, and quotes more for uninsured patients.

If you're scheduling hip & knee replacement in North Carolina, sort the list below by price, then click each hospital name to see its quality profile — CMS overall star rating, surgical-safety measures, readmission rates, patient-experience scores. The cheapest hospital isn't always the right call. Teaching hospitals often charge more because they take complex cases, and a higher-rated community hospital may deliver equivalent outcomes for a straightforward case at a lower price. Use the price column to narrow the field; use the quality data to make the final call.

Pricing comes from each hospital's Machine-Readable File (MRF), published under the federal Hospital Price Transparency Rule. North Carolina hospitals missing from the list either don't perform hip & knee replacement in volume, haven't published a usable price for DRG 469 in their most recent MRF, or fell below our data-quality thresholds (we filter out clearly erroneous entries like $0 charges). The list refreshes as hospitals update their files.

Hospitals ranked by gross charge

  1. 1

    Randolph Hospital

    Asheboro, NC

    Gross charge $23,285
  2. 2

    Duke University Hospital

    Durham, NC

    13 Medicare stays/yr
    Gross charge $76,840
    Cash pay $20,747
    Medicare pays (avg) $30,405
  3. 3

    Harris Regional Hospital

    Sylva, NC

    Gross charge $78,013
    Cash pay $31,205
  4. 4

    Rutherford Regional Health System

    Rutherfordton, NC

    Gross charge $89,366
    Cash pay $35,746
  5. 5

    Novant Health New Hanover Regional Medical Center

    Wilmington, NC

    21 Medicare stays/yr
    Gross charge $100,572
    Cash pay $45,258
    Medicare pays (avg) $26,156
  6. 6

    Wilson Medical Center

    Wilson, NC

    Gross charge $104,482
    Cash pay $41,793
  7. 7

    Novant Health Rowan Medical Center

    Salisbury, NC

    Gross charge $109,005
    Cash pay $54,503
  8. 8

    Novant Health Presbyterian Medical Center (Acute Care)

    Charlotte, NC

    12 Medicare stays/yr
    Gross charge $149,533
    Cash pay $74,766
    Medicare pays (avg) $20,056
  9. 9

    Novant Health Thomasville Medical Center

    Thomasville, NC

    Gross charge $149,533
    Cash pay $74,766
  10. 10

    Novant Health Medical Park Hospital

    Winston-Salem, NC

    Gross charge $149,533
    Cash pay $74,766
  11. 11

    Novant Health Brunswick Medical Center

    Supply, NC

    Gross charge $149,533
    Cash pay $74,766
  12. 12

    Novant Health Matthews Medical Center

    Matthews, NC

    Gross charge $149,533
    Cash pay $74,766
  13. 13

    Novant Health Huntersville Medical Center

    Huntersville, NC

    Gross charge $149,533
    Cash pay $74,766
  14. 14

    Novant Health Mint Hill Medical Center

    Charlotte, NC

    Gross charge $149,533
    Cash pay $74,766
  15. 15
    Gross charge $149,533
    Cash pay $74,766
  16. 16

    UNC Hospitals

    Chapel Hill, NC

    Gross charge $154,976
    Cash pay $92,986
  17. 17

    UNC REX Hospital

    Raleigh, NC

    Gross charge $154,976
    Cash pay $92,986
  18. 18

    Duke Regional Hospital

    Durham, NC

    Gross charge $187,565
    Cash pay $50,642
  19. 19

    CaroMont Regional Medical Center

    Gastonia, NC

    Gross charge —
  20. 20

    Ecu Health Medical Center

    Greenville, NC

    Gross charge —
    Cash pay $65,254
  21. 21

    North Carolina Baptist Hospital

    Winston-Salem, NC

    Gross charge —
  22. 22
    Gross charge —
  23. 23

    Columbus Regional Healthcare System

    Whiteville, NC

    Gross charge —
  24. 24

    Wakemed, Raleigh Campus

    Raleigh, NC

    Gross charge —
  25. 25

    Cape Fear Valley Betsy Johnson Hospital

    Dunn, NC

    Gross charge —
  26. 26

    Hugh Chatham Memorial Hospital

    Elkin, NC

    Gross charge —
  27. 27

    Vidant Roanoke Chowan Hospital

    Ahoskie, NC

    Gross charge —
    Cash pay $65,254
  28. 28

    ECU Health Edgecombe Hospital

    Tarboro, NC

    Gross charge —
    Cash pay $65,254
  29. 29

    ECU Health Duplin Hospital

    Kenansville, NC

    Gross charge —
    Cash pay $65,254
  30. 30

    ECU Health North Hospital

    Roanoke Rapids, NC

    Gross charge —
    Cash pay $65,254
  31. 31

    WakeMed Cary Hospital

    Cary, NC

    Gross charge —
  32. 32

    ECU Health Bertie Hospital

    Windsor, NC

    Gross charge —
    Cash pay $65,254
  33. 33

    ECU Health Chowan Hospital

    Edenton, NC

    Gross charge —
    Cash pay $65,254
  34. 34

    The Outer Banks Hospital, Inc

    Nags Head, NC

    Gross charge —
    Cash pay $65,254
  35. 35
    Gross charge —
  36. 36

    Angel Medical Center

    Franklin, NC

    Gross charge —
  37. 37

    Novant Health Forsyth Medical Center

    Winston-Salem, NC

    Gross charge —

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