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
$120,257
gross charge · DRG 469
Hospitals
18
with published pricing
Price range
$23,285 – $154,976
low to high
Lowest $23,285 Highest $154,976

18 North Carolina hospitals publish gross charges for hip & knee replacement (DRG 469). Prices range from $23,285 to $154,976 — roughly 7×. The cheapest is Randolph Hospital in Asheboro; the most expensive is UNC REX Hospital in Raleigh. The state average sits at $120,257.

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

    Duke Regional Hospital

    Durham, NC

    Gross charge $76,840
    Cash pay $20,747
  4. 4

    Harris Regional Hospital

    Sylva, NC

    Gross charge $78,013
    Cash pay $31,205
  5. 5

    Rutherford Regional Health System

    Rutherfordton, NC

    Gross charge $89,366
    Cash pay $35,746
  6. 6

    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
  7. 7

    Wilson Medical Center

    Wilson, NC

    Gross charge $104,482
    Cash pay $41,793
  8. 8

    Novant Health Rowan Medical Center

    Salisbury, NC

    Gross charge $109,005
    Cash pay $54,503
  9. 9

    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
  10. 10

    Novant Health Thomasville Medical Center

    Thomasville, NC

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

    Novant Health Medical Park Hospital

    Winston-Salem, NC

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

    Novant Health Brunswick Medical Center

    Supply, NC

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

    Novant Health Matthews Medical Center

    Matthews, NC

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

    Novant Health Huntersville Medical Center

    Huntersville, NC

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

    Novant Health Mint Hill Medical Center

    Charlotte, NC

    Gross charge $149,533
    Cash pay $74,766
  16. 16
    Gross charge $149,533
    Cash pay $74,766
  17. 17

    UNC Hospitals

    Chapel Hill, NC

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

    UNC REX Hospital

    Raleigh, NC

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

    Atrium Health Wake Forest Baptist | Wilkes Medical Center

    North Wilkesboro, NC

    Gross charge
  24. 24

    Columbus Regional Healthcare System

    Whiteville, NC

    Gross charge
  25. 25

    Wakemed, Raleigh Campus

    Raleigh, NC

    Gross charge
  26. 26

    Cape Fear Valley Betsy Johnson Hospital

    Dunn, NC

    Gross charge
  27. 27

    Hugh Chatham Memorial Hospital

    Elkin, NC

    Gross charge
  28. 28

    Vidant Roanoke Chowan Hospital

    Ahoskie, NC

    Gross charge
    Cash pay $65,254
  29. 29

    ECU Health Edgecombe Hospital

    Tarboro, NC

    Gross charge
    Cash pay $65,254
  30. 30

    ECU Health Duplin Hospital

    Kenansville, NC

    Gross charge
    Cash pay $65,254
  31. 31

    ECU Health North Hospital

    Roanoke Rapids, NC

    Gross charge
    Cash pay $65,254
  32. 32

    WakeMed Cary Hospital

    Cary, NC

    Gross charge
  33. 33

    ECU Health Bertie Hospital

    Windsor, NC

    Gross charge
    Cash pay $65,254
  34. 34

    ECU Health Chowan Hospital

    Edenton, NC

    Gross charge
    Cash pay $65,254
  35. 35

    The Outer Banks Hospital, Inc

    Nags Head, NC

    Gross charge
    Cash pay $65,254
  36. 36
    Gross charge
  37. 37

    Angel Medical Center

    Franklin, NC

    Gross charge

Compare hip & knee replacement pricing in nearby states