Knee Replacement Surgery Cost in North Carolina (2026)
Last updated: May 2026
Knee Replacement Surgery costs $11,833 on average without insurance in North Carolina, based on actual CMS data from 23 hospitals. Prices range from $266 to $32,043 depending on hospital, facility type, and whether you pay cash. These figures come from federally required hospital price transparency files — not estimates.
23 hospitals in North Carolina report pricing for knee replacement surgery. The average cash price is $11,833.
23
in North Carolina
$15,470
gross charge
$11,833
24% below list price
$266 – $32,043
120.5x spread
Hospital Prices in North Carolina
Sorted by lowest cash price| Hospital | City | List Price | Cash Price | Negotiated Range | Grade | |
|---|---|---|---|---|---|---|
| IREDELL MEMORIAL HOSPITAL INC Voluntary non-profit - Private | STATESVILLE | $266 | $72-73% | $155 – $24,475 | 0.1/10 | |
| CAPE FEAR VALLEY MEDICAL CENTER Voluntary non-profit - Private | FAYETTEVILLE | $14,476 | $8,686-40% | $12,265 – $30,662 | 0.1/10 | |
| BETSY JOHNSON REGIONAL HOSPITAL Voluntary non-profit - Private | DUNN | $14,476 | $8,686-40% | $12,265 – $30,662 | 0.1/10 | |
| NORTH CAROLINA SPECIALTY HOSPITAL Proprietary | DURHAM | $16,089 | $16,089 | $4,350 – $12,791 | 0.1/10 | |
| GRANVILLE HEALTH SYSTEMS Government - Local | OXFORD | $32,043 | $25,634-20% | $11,760 – $32,043 | 0.1/10 | |
| HUGH CHATHAM MEMORIAL HOSPITAL Voluntary non-profit - Private | ELKIN | N/A | N/A | $12,039 – $12,039 | 0.1/10 | |
| MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE Voluntary non-profit - Private | ASHEVILLE | N/A | N/A | $2,550 – $60,000 | 0.1/10 | |
| HIGH POINT REGIONAL HEALTH SYSTEM Voluntary non-profit - Private | HIGH POINT | N/A | N/A | $12,289 – $26,476 | 0.1/10 | |
| ATRIUM HEALTH UNIVERSITY CITY Government - Hospital District or Authority | CHARLOTTE | N/A | N/A | $1,148 – $15,297 | 0.1/10 | |
| THE MCDOWELL HOSPITAL Voluntary non-profit - Private | MARION | N/A | N/A | $2,550 – $38,781 | 0.1/10 | |
| ANGEL MEDICAL CENTER Voluntary non-profit - Private | FRANKLIN | N/A | N/A | $1,403 – $17,478 | 0.1/10 | |
| CAROLINAS MEDICAL CENTER-NORTHEAST Government - Hospital District or Authority | CONCORD | N/A | N/A | $1,110 – $15,297 | 0.1/10 | |
| LEXINGTON MEMORIAL HOSPITAL INC Voluntary non-profit - Private | LEXINGTON | N/A | N/A | $12,455 – $12,580 | 0.1/10 | |
| WAKEMED, RALEIGH CAMPUS Voluntary non-profit - Private | RALEIGH | N/A | N/A | $1,581 – $30,365 | 0.1/10 | |
| TRANSYLVANIA REGIONAL HOSPITAL, INC Voluntary non-profit - Private | BREVARD | N/A | N/A | $2,550 – $16,727 | 0.1/10 | |
| STANLY REGIONAL MEDICAL CENTER Voluntary non-profit - Private | ALBEMARLE | N/A | N/A | $1,148 – $12,887 | 0.1/10 | |
| WAKEMED, CARY HOSPITAL Voluntary non-profit - Private | CARY | N/A | N/A | $3,742 – $30,365 | 0.1/10 | |
| BLUE RIDGE REGIONAL HOSPITAL Voluntary non-profit - Private | SPRUCE PINE | N/A | N/A | $2,550 – $16,302 | 0.1/10 | |
| WILKES REGIONAL MEDICAL CENTER Government - Local | NORTH WILKESBORO | N/A | N/A | $12,289 – $12,719 | 0.1/10 | |
| HIGHLANDS CASHIERS HOSPITAL Voluntary non-profit - Private | HIGHLANDS | N/A | N/A | $2,550 – $16,727 | 0.1/10 | |
| ALLEGHANY MEMORIAL HOSPITAL Voluntary non-profit - Private | SPARTA | N/A | N/A | $1,664 – $4,739 | 0.1/10 | |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM Voluntary non-profit - Other | WHITEVILLE | N/A | N/A | $1,194 – $12,674 | 0.1/10 | |
| ONSLOW MEMORIAL HOSPITAL Government - Hospital District or Authority | JACKSONVILLE | N/A | N/A | $1,148 – $14,485 | 0.1/10 |
STATESVILLE, NC · Voluntary non-profit - Private
List Price
$266
Cash Price
$72-73%
Negotiated Range
$155 – $24,475
FAYETTEVILLE, NC · Voluntary non-profit - Private
List Price
$14,476
Cash Price
$8,686-40%
Negotiated Range
$12,265 – $30,662
DUNN, NC · Voluntary non-profit - Private
List Price
$14,476
Cash Price
$8,686-40%
Negotiated Range
$12,265 – $30,662
DURHAM, NC · Proprietary
List Price
$16,089
Cash Price
$16,089
Negotiated Range
$4,350 – $12,791
OXFORD, NC · Government - Local
List Price
$32,043
Cash Price
$25,634-20%
Negotiated Range
$11,760 – $32,043
ELKIN, NC · Voluntary non-profit - Private
List Price
N/A
Cash Price
N/A
Negotiated Range
$12,039 – $12,039
ASHEVILLE, NC · Voluntary non-profit - Private
List Price
N/A
Cash Price
N/A
Negotiated Range
$2,550 – $60,000
HIGH POINT, NC · Voluntary non-profit - Private
List Price
N/A
Cash Price
N/A
Negotiated Range
$12,289 – $26,476
CHARLOTTE, NC · Government - Hospital District or Authority
List Price
N/A
Cash Price
N/A
Negotiated Range
$1,148 – $15,297
MARION, NC · Voluntary non-profit - Private
List Price
N/A
Cash Price
N/A
Negotiated Range
$2,550 – $38,781
FRANKLIN, NC · Voluntary non-profit - Private
List Price
N/A
Cash Price
N/A
Negotiated Range
$1,403 – $17,478
CONCORD, NC · Government - Hospital District or Authority
List Price
N/A
Cash Price
N/A
Negotiated Range
$1,110 – $15,297
LEXINGTON, NC · Voluntary non-profit - Private
List Price
N/A
Cash Price
N/A
Negotiated Range
$12,455 – $12,580
RALEIGH, NC · Voluntary non-profit - Private
List Price
N/A
Cash Price
N/A
Negotiated Range
$1,581 – $30,365
BREVARD, NC · Voluntary non-profit - Private
List Price
N/A
Cash Price
N/A
Negotiated Range
$2,550 – $16,727
ALBEMARLE, NC · Voluntary non-profit - Private
List Price
N/A
Cash Price
N/A
Negotiated Range
$1,148 – $12,887
CARY, NC · Voluntary non-profit - Private
List Price
N/A
Cash Price
N/A
Negotiated Range
$3,742 – $30,365
SPRUCE PINE, NC · Voluntary non-profit - Private
List Price
N/A
Cash Price
N/A
Negotiated Range
$2,550 – $16,302
NORTH WILKESBORO, NC · Government - Local
List Price
N/A
Cash Price
N/A
Negotiated Range
$12,289 – $12,719
HIGHLANDS, NC · Voluntary non-profit - Private
List Price
N/A
Cash Price
N/A
Negotiated Range
$2,550 – $16,727
SPARTA, NC · Voluntary non-profit - Private
List Price
N/A
Cash Price
N/A
Negotiated Range
$1,664 – $4,739
WHITEVILLE, NC · Voluntary non-profit - Other
List Price
N/A
Cash Price
N/A
Negotiated Range
$1,194 – $12,674
JACKSONVILLE, NC · Government - Hospital District or Authority
List Price
N/A
Cash Price
N/A
Negotiated Range
$1,148 – $14,485
Knee Replacement Surgery Cost by City in North Carolina
Knee Replacement Surgery Cost in Other States
What Affects Knee Replacement Surgery Cost in North Carolina
If you're researching knee replacement surgery costs in North Carolina, you'll find significant price differences between providers — even those just miles apart.
Surgical costs for knee replacement surgery in North Carolina are influenced by operating room fees, anesthesia, surgeon fees, and any implants or specialized equipment. Academic medical centers and large health systems often charge more than community hospitals or ambulatory surgery centers.
Based on data from 23 hospitals in North Carolina, knee replacement surgery prices range from $266 to $32,043 — a 120.5x difference. This wide variation underscores why comparing prices before scheduling is critical for controlling your out-of-pocket costs.
Hospital vs. Outpatient Center Pricing in North Carolina
Knee replacement surgery in North Carolina can be performed in different settings depending on clinical complexity: hospital inpatient, hospital outpatient, or ambulatory surgery center (ASC).
ASCs typically offer lower prices because they have lower overhead and specialize in efficient, high-volume outpatient procedures. For eligible patients, ASCs can save 30–60% compared to hospital outpatient departments.
Not all patients are candidates for outpatient surgery. Your surgeon will determine the appropriate setting based on your health history, the procedure's complexity, and anticipated recovery needs.
Self-Pay vs. Insurance Cost Differences in North Carolina
If you're paying out of pocket for knee replacement surgery in North Carolina, you may be able to negotiate a rate lower than the hospital's published list price. Federal law requires hospitals to post cash-pay rates, making it easier to compare options before scheduling.
In North Carolina, the average cash price for knee replacement surgery is $11,833, which is 24% lower than the average list price of $15,470. This discount is typical of what self-pay patients can expect when asking for the hospital's uninsured rate.
Insured patients should check their plan's Summary of Benefits and contact their insurer for a pre-authorization cost estimate. Your out-of-pocket cost depends on your deductible, copay or coinsurance, and whether the provider is in-network. Even with insurance, comparing hospitals can help you choose a provider where your plan negotiates the best rates.
Related Procedure Costs
Frequently Asked Questions About Knee Replacement Surgery Cost in North Carolina
How much does Knee Replacement Surgery cost in North Carolina?▼
Why do Knee Replacement Surgery prices vary so much in North Carolina?▼
Can I get a cheaper Knee Replacement Surgery by paying cash?▼
What is the cheapest hospital for Knee Replacement Surgery in North Carolina?▼
Does insurance cover Knee Replacement Surgery?▼
Want the true total cost of TOTAL KNEE ARTHROPLASTY?
Total Care Cost surfaces bundled facility and professional pricing so you can compare options and cut out-of-pocket surprises before you schedule.
Data sourced from hospital machine-readable price transparency files as required by 45 CFR Parts 180 and 182. Prices are informational only and may not reflect current rates. Always confirm pricing directly with the hospital before scheduling.