Hip or knee replacement (inpatient stay)
Facility: Atrium Health Pineville
Billing Code: 470 (MS-DRG)
Highest price of the 9 NC hospitals we have prices for — worth calling around.
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 $22,171 (about 1.6× the $14,044 Medicare rate). Atrium Health Pineville charges insurers about $29,597 — above the fair price. Located in Charlotte, NC.
This price is above the fair BaseRate — you may be able to pay less
Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $22,171. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.
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
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 | $14,468 - $28,020 | 103% |
| Blue Cross Blue Shieldmajor | $25,163 - $62,427 | 179% |
| Aetnamajor | $14,219 - $50,287 | 101% |
| Cignamajor | $14,425 - $36,422 | 103% |
| Humanamajor | $14,013 | 100% |
| Ambetter (Centene) | $20,262 - $25,511 | 144% |
| AmeriHealth | $29,178 | 208% |
| WellCare | $29,727 | 212% |
| + 7 smaller / regional plans | $26,750 - $30,619 |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Atrium Health Pineville
Compare: Hip or knee replacement (inpatient stay) at other NC hospitals
- Maria Parham Medical Center · Henderson $12,504
- Haywood Regional Medical Center · Clyde $12,776
- Frye Regional Medical Center · Hickory $13,055
- Sentara Albemarle Medical Center · Elizabeth City $13,600
- Wilson Medical Center · Wilson $13,765
- Rutherford Regional Medical Center · Rutherfordton $14,262
- Harris Regional Hospital · Sylva $14,371
- Carteret General Hospital · Morehead City $15,195
Insurance negotiated median for the same procedure, sorted lowest first.