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Hip Replacement Cost in North Carolina (2026 Price Guide)

What does a hip replacement cost in North Carolina?

You could pay $4,886 or $12,476 for the same hip replacement in North Carolina — depending entirely on which facility you choose. The median cash price across 32 reporting hospitals is $12,361. This data comes directly from hospital price transparency files published under federal law.

How prices are distributed across North Carolina hospitals:
  • Bottom 25% of hospitals: under $4,448
  • Median: $12,361
  • Above median (top 30%): $12,476+

That's a 3× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.

Example — two patients in Charlotte:
  • Patient A (high-cost facility): ~$12,476
  • Patient B (lower-cost facility): ~$4,886
Same procedure. Same week. $7,590 difference.

Cheapest Hip Replacement Providers in North Carolina

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
5 CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC $2,550 -$9,811
6 Hugh Chatham Memorial Hospital Elkin, NC $3,116 -$9,245
7 Iredell Memorial Hospital, Inc. NC $3,516 -$8,845
8 WakeMed Cary Hospital Cary, NC $3,553 -$8,808
9 CarolinaEast Med Center NC $4,747 -$7,614
10 Cape Fear Valley Medical Center Fayetteville, NC $4,876 -$7,485
11 Cape Fear Valley - Hoke Hospital Raeford, NC $4,911 -$7,450
12 Catawba Valley Health System Hickory, NC $6,120 -$6,241

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.

Compare all procedure costs   → Hip Replacement costs nationwide

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Worth knowing: Declared gross charges vary significantly across North Carolina hospitals — the same procedure can look very different on a hospital's price list versus what you actually owe. Cash and negotiated prices are a more practical guide.
Every hospital in this dataset offers a cash price — with a median of $12,451. If your deductible hasn't been met, always ask for the self-pay rate before scheduling.

What you'll actually pay — example scenarios

Your situation Estimated out-of-pocket
Deductible not yet met (pay in full) ~$12,361
Deductible met — 20% coinsurance ~$2,472
Out-of-network provider $27,194+

Based on the state median of $12,361. Your actual cost depends on your plan deductible, coinsurance rate, and network tier. Get YOUR personalized estimate →

What this means for you

If you haven't met your deductible, you are effectively a cash-pay patient.

That means:

  • You should shop prices directly — the same way you'd compare any major purchase
  • Insurance may not get you a better deal than the cash price
  • The cheapest facility can save you $12,143+ vs. the median.

This is the single biggest lever most patients have to reduce their cost.

Lower-cost options in North Carolina start around $4,448 or below. Most hospitals cluster between $4,448 and $12,476. A smaller group reports prices above that — often academic medical centers or high-cost markets.

If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Wakemed Raleigh Campus in Raleigh (cash price from $2,056); Erlanger Health System in Murphy (cash price from $2,171); CAREPARTNERS REHABILITATION HOSPITAL in Asheville (cash price from $2,550). These are declared cash prices — contact each facility for a formal quote before scheduling.

Where hip replacement costs vary in North Carolina

Each pin represents a hospital that filed price transparency data. Green pins are below the state cash-price average; red are above. Click any pin for facility name and price details.

Below state avg Above state avg Click a pin for facility details.

Estimate YOUR exact out-of-pocket cost →

Quick decision guide:
  • Best value hospitals (lowest prices): Person Memorial Hospital: $218; Chatham Hospital, Inc.: $270; Wakemed Raleigh Campus: $2,056
  • Most expensive: FRYE REGIONAL MEDICAL CENTER: ~$18,219; Haywood Regional Medical Center: ~$16,038

→ Choosing the right facility can save $12,143+ vs. the state median.

North Carolina Hip Replacement prices by facility

All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.

How we calculate "Your Price" — We prioritize the most actionable price in this order:
  1. Cash price — the self-pay rate you can actually negotiate and pay
  2. Negotiated rate — if reported by the hospital across insurance contracts
  3. Gross charge — fallback only; this is the inflated list price few people pay

This reflects the real prices patients encounter — not inflated chargemaster rates.

# Facility City Your Price vs Median Gross Charge
#1 Person Memorial Hospital NC $218 -$12,143 $1,225
#2 Chatham Hospital, Inc. NC $270 -$12,091 $1,213
#3 Wakemed Raleigh Campus Raleigh, NC $2,056 -$10,305 $1,582–$25,284
#4 Erlanger Health System Murphy, NC $2,171 -$10,190 $2,171–$19,943
#5 CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC $2,550 -$9,811 $2,550
#6 Hugh Chatham Memorial Hospital Elkin, NC $3,116 -$9,245 $555–$15,012
#7 Iredell Memorial Hospital, Inc. NC $3,516 -$8,845 $13,023–$24,840
#8 WakeMed Cary Hospital Cary, NC $3,553 -$8,808 $3,553–$25,284
#9 CarolinaEast Med Center NC $4,747 -$7,614 $7,913
#10 Cape Fear Valley Medical Center Fayetteville, NC $4,876 -$7,485 $8,127–$11,442
#11 Cape Fear Valley - Hoke Hospital Raeford, NC $4,911 -$7,450 $8,186–$13,514
#12 Catawba Valley Health System Hickory, NC $6,120 -$6,241 $10,200
#13 Betsy Johnson Hospital Dunn, NC $9,325 -$3,036 $15,543–$23,956
#14 Novant Health New Hanover Regional Medical Center Wilmington, NC $9,366 -$2,995 $9,366
#15 Adventhealth Hendersonville Hendersonville, NC $12,271 -$90 $12,271
▼ Show 17 more North Carolina hospitals
#16 Sentara Albemarle Regional Medical Center, LLC Elizabeth City, NC $12,271 -$90 $12,271–$12,516
#17 Novant Health Thomasville Medical Center Thomasville, NC $12,451 +$90 $12,451
#18 Novant Health Kernersville Medical Center Kernersville, NC $12,451 +$90 $12,451
#19 Novant Health Forsyth Medical Center Winston-Salem, NC $12,451 +$90 $12,451
#20 Novant Health Clemmons Medical Center Clemmons, NC $12,451 +$90 $12,451
#21 Novant Health Medical Park Hospital Winston-Salem, NC $12,451 +$90 $12,451
#22 Novant Health Presbyterian Medical Center Charlotte, NC $12,476 +$115 $12,476
#23 Novant Health Mint Hill Medical Center Charlotte, NC $12,476 +$115 $12,476
#24 Novant Health Ballantyne Medical Center Charlotte, NC $12,476 +$115 $12,476
#25 Novant Health Huntersville Medical Center Huntersville, NC $12,476 +$115 $12,476
#26 Novant Health Matthews Medical Center Matthews, NC $12,476 +$115 $12,476
#27 Novant Health Charlotte Orthopedic Hospital Charlotte, NC $12,476 +$115 $12,476
#28 Novant Health Rowan Medical Center Salisbury, NC $12,476 +$115 $12,476
#29 North Carolina Specialty Hospital Durham, NC $13,472 +$1,111 $13,472–$29,277
#30 Novant Health Brunswick Medical Center Bolivia, NC $13,770 +$1,409 $13,770
#31 Haywood Regional Medical Center NC $16,038 +$3,677 $40,095–$69,967
#32 FRYE REGIONAL MEDICAL CENTER NC $18,219 +$5,858 $45,549–$58,178

Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.

Received a bill? Check it for errors → Estimate YOUR cost before you go →

Compare other procedures in North Carolina:

Where you can save the most on hip replacement in North Carolina

These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.

Facility City Your Price vs Median
Person Memorial Hospital NC $218 -$12,143
Chatham Hospital, Inc. NC $270 -$12,091
Wakemed Raleigh Campus Raleigh, NC $2,056 -$10,305
Erlanger Health System Murphy, NC $2,171 -$10,190
CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC $2,550 -$9,811

How to choose a lower-cost facility

  • Choose independent outpatient centers when possible — freestanding ASCs (ambulatory surgical centers) consistently charge less than hospital outpatient departments for identical procedures.
  • Ask for the cash price if your deductible isn't met — self-pay rates are often lower than what insurance pays before your deductible is satisfied, especially at facilities that have a high cash-price discount.
  • Avoid hospital outpatient departments for routine cases — hospital-owned locations add a facility fee that freestanding centers don't charge, often adding $500–$1,500 to the same procedure.
Important: Many procedures are done at ambulatory surgical centers (ASCs) that are often 30–60% cheaper than hospital outpatient departments with the same clinical quality. Most ASCs are not in this hospital dataset — meaning your cheapest option may not even appear here. Ask your doctor if the procedure can be done at a freestanding ASC.

Most expensive hip replacement providers in North Carolina

These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.

Facility City Price vs Median
FRYE REGIONAL MEDICAL CENTER NC $18,219 +$5,858
Haywood Regional Medical Center NC $16,038 +$3,677
Novant Health Brunswick Medical Center Bolivia, NC $13,770 +$1,409
North Carolina Specialty Hospital Durham, NC $13,472 +$1,111
Novant Health Presbyterian Medical Center Charlotte, NC $12,476 +$115

Why prices vary this much

Among the cities with the most reporting hospitals, Charlotte has a median reported price of $12,476 across 4 facilities, while facilities in Winston-Salem tend to report lower prices (median: $12,451). City-level variation within a state often reflects local market structure, not procedure complexity.

The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.

Learn more:
Allowed amount vs negotiated rate — what your EOB is really saying
How to read your medical bill
Why hospital prices are so hard to find — and what to do about it

How insurance changes what you actually pay

Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.

Understand your cost before you go:
Deductible vs out-of-pocket max
EOB vs medical bill — complete guide
How to stop medical bill problems before they start (in-network vs out-of-network)

Compare hip replacement costs in nearby states

Explore all hip replacement cost data

See hip replacement costs across all states


CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
Analyze your medical bill for errors
How to negotiate your medical bills
Track and manage your healthcare costs (free account)

Other Procedure Costs in North Carolina

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published May 10, 2026 · Updated May 10, 2026

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