2026 Forecast Verified

Hip Replacement Surgery Cost in North Carolina (2026)

In line with national pricing · Regional price parity: 98.8 · NC

North Carolina Average
$31,616
Near national average
Typical Range
$19,760 – $49,400
National avg: $32,000
Editorial view of North Carolina
Regional Pricing Confidence
89% Confidence Index
The North Carolina Market

What Drives Pricing Here

Three factors explain most of why hip replacement surgery costs what it does in North Carolina.

Regional Price Parity

North Carolina's cost-of-living index sits at 98.8 — near the national benchmark (100). This directly scales facility and staffing overhead, which flow through to every procedure price.

Specialist Availability

170 facilities perform this procedure in North Carolina — competition keeps pricing honest and gives you real leverage to shop quotes.

Vs. National Benchmark

North Carolina tracks within 1.2% of the national average ($32,000) — a typical mid-market pricing environment with wide provider variance.

State Context

Hip Replacement Surgery in North Carolina: What to Know

North Carolina offers excellent options for hip replacement surgery. UNC Rex Hospital in Raleigh performs more total joint replacements than any other Triangle area hospital and boasts national recognition for low 30-day readmission rates. For high-volume expertise, North Carolina Specialty Hospital in Durham performs over 1,000 joint replacements annually and holds Advanced Total Joint Certification. Atrium Health's Carolinas Medical Center in Charlotte and Wake Forest Baptist's Joint Replacement Program are both nationally recognized in the top 10% for hip replacements by U.S. News & World Report.

To potentially reduce costs, consider Ambulatory Surgery Centers (ASCs) in North Carolina, which can offer hip replacement surgery significantly cheaper than traditional hospitals, often with comparable or better outcomes and lower infection rates. Many facilities, including EmergeOrtho, also offer minimally invasive approaches like the direct anterior technique for potentially faster recovery. Verify current pricing directly with providers.

Itemized Breakdown

Estimated Cost Breakdown in North Carolina

Pricing for hip replacement surgery in North Carolina is roughly in line with the rest of the country. Here's the breakdown.

Facility Fee

OR time and hospital staffing

$6,639 - $12,330

Most significant cost

Surgeon Fee

Expertise and experience level

$6,639 - $12,330

Implants & Supplies

$3,320 - $6,165

Post-Op Care

Recovery and aftercare

$3,320 - $6,165

Anesthesia

Anesthesiologist or CRNA fee

$2,213 - $4,110

Total Estimated Cost

North Carolina all-in range

$19,760 – $49,400

Financing Options

Many North Carolina clinics partner with CareCredit or Alphaeon. A typical 24-month, 0% APR term on $31,616 looks like:

$1,317/mo
Est. 24 months · 0% APR promo
  • Soft credit check — no hard pull
  • Instant approval decisions
  • HSA/FSA eligible for qualifying cases

Based on CMS Medicare data and regional price parities. Learn about our methodology →

Ranges adjusted for North Carolina's regional price parity (98.8). See the national percentage breakdown →

Hospital-Level Data

Facility Costs in North Carolina

North Carolina has both hospital and outpatient surgery center options for hip replacement surgery. Outpatient centers typically charge less due to lower overhead. Rates shown are negotiated amounts — what insurers actually pay, not inflated list prices.

Facility City Negotiated Rate Medicare Volume
Novant Health New Hanover Regional Medical Center Wilmington $6,426 $5,108 503
Carolina East Medical Center New Bern $6,412 $5,106 316
Novant Health Presbyterian Medical Center Charlotte $6,244 $4,961 314
Memorial Mission Hospital And Asheville Surgery Ce Asheville $5,836 $4,630 306
Rex Hospital Raleigh $6,144 $4,854 262
Duke Health Raleigh Hospital Raleigh $6,021 $4,733 230
Carolinas Medical Center/Behav Health Charlotte $6,198 $4,915 230
Margaret R Pardee Memorial Hospital Hendersonville $5,848 $4,656 225
Novant Health Forsyth Medical Center Winston-Salem $6,067 $4,786 190
Caromont Regional Medical Center Gastonia $6,211 $4,929 184
Facility City Negotiated Rate Medicare Volume
Novant Health New Hanover Regional Medical Center Wilmington $17,700 $15,402 154
Memorial Mission Hospital And Asheville Surgery Ce Asheville $15,499 $12,942 140
Ecu Health Medical Center Greenville $20,666 $16,385 100
Firsthealth Moore Regional Hospital Pinehurst $14,828 $12,861 86
Wakemed Raleigh $17,443 $14,759 81
Carolinas Medical Center/Behav Health Charlotte $21,368 $17,367 81
Memorial Mission Hospital And Asheville Surgery Ce Asheville $21,661 $19,153 76
North Carolina Baptist Hospital Winston-Salem $23,062 $17,212 72
Cone Health Greensboro $17,731 $14,239 71
Duke University Hospital Durham $23,809 $18,321 70
Regional Comparison

Hip Replacement Surgery Cost in Nearby States

See how North Carolina's hip replacement surgery costs compare to neighboring states. Prices can vary significantly even across state lines.

Common Questions

Expert Answers for North Carolina Patients

Local regulations, insurance nuance, and surgical standards specific to North Carolina.

Compare North Carolina with any other state

See national pricing, all 50 state comparisons, and detailed cost factors in the main hip replacement surgery cost guide.

View full hip replacement surgery guide
How much does hip replacement surgery cost in North Carolina?
Expect to budget around $31,616 for hip replacement surgery in North Carolina. The typical range spans $19,760 to $49,400 — where you land depends on your provider, whether you choose a hospital or outpatient center, and the specifics of your case.
Can I use insurance for hip replacement surgery in North Carolina?
Yes — hip replacement surgery is generally covered by insurance in North Carolina when your doctor documents medical necessity. Expect to pay your deductible and copay, but the bulk of the $31,616 cost should be covered by your plan.
How long is recovery after hip replacement surgery?
The recovery timeline for hip replacement surgery is 28 to 90 days. Here's the general pattern: days 1-28 involve significant rest, days 28-90 are a gradual return to activity. North Carolina patients should also budget for post-op care costs — follow-up visits, pain management, and any required imaging or lab work.
How can I finance hip replacement surgery in North Carolina?
You have several options to cover the $31,616 average in North Carolina. Third-party financing (CareCredit, Alphaeon) offers 0% intro APR periods up to 24 months. Many surgeons also accept direct payment plans or offer discounts of 10-20% for paying in full upfront.
How do I compare hip replacement surgery facilities in North Carolina?
Start with case volume — facilities that perform more procedures generally have better outcomes. In North Carolina, also compare hospital vs. ambulatory surgery center pricing (ASCs can be 30-50% cheaper) and check whether your insurance network includes the facility.
Can I save by getting hip replacement surgery in a neighboring state?
Crossing into South Carolina could save you $1,696 on hip replacement surgery. That's $29,920 vs. North Carolina's $31,616. The key logistics to sort out: does your insurance cover South Carolina providers, and can your North Carolina doctor handle follow-up care after the procedure?
Is hip replacement surgery covered under North Carolina's Medicaid program?
Medicaid in North Carolina can cover hip replacement surgery when there's a documented medical need. The key is pre-authorization — your physician will need to submit clinical justification to your managed care organization before the procedure is approved.
Data Sources & References

How we calculate hip replacement surgery costs in North Carolina

Cost estimates combine procedure-specific pricing data with regional cost-of-living and provider-supply adjustments. Primary sources:

  • Hospital pricing transparency files — CMS-required machine-readable data published by hospitals under the CMS Hospital Price Transparency rule (effective January 2021). Provides actual negotiated rates between hospitals and insurers.
  • HCUP (Healthcare Cost & Utilization Project)AHRQ's HCUP databases provide nationally-representative procedure cost data by state, payer, and patient demographics.
  • Bureau of Labor Statistics — Healthcare Practitioner Occupational WagesBLS OEWS data on surgeon, anesthesiologist, and surgical staff wages by state, used to model regional labor-cost differences in procedure pricing.
  • BEA Regional Price Parities (RPP)U.S. Bureau of Economic Analysis state-level price-level indices, used to adjust national procedure averages for North Carolina's cost-of-living relative to the national mean.
  • FAIR Health Consumer Cost Lookup — the FAIR Health database aggregates billed and allowed amounts from over 36 billion claim records, providing a check on procedure-cost ranges by ZIP code.
  • Medicare Provider Utilization & Payment DataCMS public-use files on Medicare-allowed amounts and submitted charges by HCPCS/CPT code and state, used as a baseline for procedure-cost ranges.

Estimates are illustrative and reflect typical pricing ranges; actual costs depend on insurance coverage, surgical complexity, anesthesia type, hospital vs. ambulatory setting, and individual patient factors. Always confirm pricing directly with providers and your insurance carrier. See our methodology page for full calculation details.

Compare Hip Replacement Surgery Cost in Every State