CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Carolinas Medical Center-Northeast

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$22,177
about 1.6× the $14,044 Medicare rate · typically $12,780–$26,833
modeled estimate · not a bill or quote
What this hospital charges insurers
$23,552
About the fair price
about $1,375 over the fair price · 1.7× Medicare
Medicare pays $14,044 Fair price $22,177 This hospital $23,552

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $12,504 Priciest $23,552

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $22,177 (about 1.6× the $14,044 Medicare rate). Carolinas Medical Center-Northeast charges insurers about $23,552 — about the fair price. Located in Concord, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $15,919 - $22,089 113%
Blue Cross Blue Shieldmajor $28,068 - $36,931 200%
Aetnamajor $15,646 - $50,287 111%
Cignamajor $15,872 - $36,422 113%
Humanamajor $15,419 110%
Ambetter (Centene) $20,262 - $25,511 144%
AmeriHealth $23,002 164%
WellCare $23,435 167%
+ 7 smaller / regional plans $23,435 - $26,750

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Facility Profile & Credentials

  • Address: 920 Church St N, Concord, NC 28025
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals