Knee Replacement Surgery Cost in North Carolina (2026)
Near the US median for knee replacement surgery pricing · NC
What Drives Pricing Here
Three factors explain most of why knee 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
107 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 ($35,000) — a typical mid-market pricing environment with wide provider variance.
Knee Replacement Surgery in North Carolina: What to Know
North Carolina offers diverse options for knee replacement surgery. UNC Rex Hospital in Raleigh leads the Triangle area in total joint replacements, recognized as a Blue Distinction Center. For robotic-assisted surgery, North Carolina Specialty Hospital in Durham offers MAKOplasty and CORI systems, performing over 1,000 hip and knee procedures annually. Moore Regional Hospital in Pinehurst utilizes the ROSA® Knee System, with 93% of their 1,300+ annual knee replacements being outpatient procedures.
Consider Ambulatory Surgery Centers (ASCs) in North Carolina for significantly lower costs, often 40% less than hospital outpatient departments, and lower infection rates. The Nash Joint Replacement Center in Rocky Mount is a Blue Distinction Center+ for its quality and lower readmission rates. EmergeOrtho, with 37 locations, provides statewide access to advanced techniques. Verify current pricing directly with providers.
Estimated Cost Breakdown in North Carolina
North Carolina sits near the middle of the pack for knee replacement surgery pricing. The cost components typically split like this.
Facility Fee
OR time and hospital staffing
Most significant cost
Surgeon Fee
Expertise and experience level
Implants & Supplies
Post-Op Care
Recovery and aftercare
Anesthesia
Anesthesiologist or CRNA fee
Total Estimated Cost
North Carolina all-in range
Financing Options
Many North Carolina clinics partner with CareCredit or Alphaeon. A typical 24-month, 0% APR term on $34,580 looks like:
- 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 →
Facility Costs in North Carolina
You can get knee replacement surgery at hospitals or ambulatory surgery centers across North Carolina. The table below shows real negotiated rates from CMS Medicare data — not sticker prices.
| Facility | City | Negotiated Rate | Medicare | Volume |
|---|---|---|---|---|
| Rex Hospital | Raleigh | $12,310 | $10,710 | 1,164 |
| Novant Health New Hanover Regional Medical Center | Wilmington | $12,745 | $11,142 | 798 |
| Carolinas Medical Center/Behav Health | Charlotte | $12,151 | $10,549 | 621 |
| Firsthealth Moore Regional Hospital | Pinehurst | $12,210 | $10,610 | 614 |
| Memorial Mission Hospital And Asheville Surgery Ce | Asheville | $11,597 | $9,993 | 598 |
| Cone Health | Greensboro | $12,177 | $10,576 | 573 |
| Carolina East Medical Center | New Bern | $12,551 | $10,948 | 561 |
| North Carolina Specialty Hospital | Durham | $12,472 | $10,871 | 526 |
| Margaret R Pardee Memorial Hospital | Hendersonville | $11,415 | $9,808 | 467 |
| Duke University Hospital | Durham | $12,506 | $10,906 | 454 |
| Facility | City | Negotiated Rate | Medicare | Volume |
|---|---|---|---|---|
| Novant Health Forsyth Medical Center | Winston-Salem | $14,143 | $12,464 | 309 |
| Novant Health New Hanover Regional Medical Center | Wilmington | $15,613 | $13,681 | 301 |
| Novant Health Presbyterian Medical Center | Charlotte | $14,384 | $12,725 | 249 |
| Memorial Mission Hospital And Asheville Surgery Ce | Asheville | $15,239 | $12,348 | 142 |
| Carteret General Hospital | Morehead City | $15,946 | $13,878 | 125 |
| Duke University Hospital | Durham | $19,986 | $16,004 | 104 |
| Cone Health | Greensboro | $16,076 | $12,662 | 95 |
| Margaret R Pardee Memorial Hospital | Hendersonville | $12,721 | $10,883 | 94 |
| Carolinas Medical Center/Behav Health | Charlotte | $22,596 | $13,990 | 86 |
| Firsthealth Moore Regional Hospital | Pinehurst | $13,403 | $11,823 | 86 |
Knee Replacement Surgery Cost in Nearby States
Knee Replacement Surgery pricing varies across the region. Here's how North Carolina stacks up against its neighbors.
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 knee replacement surgery cost guide.
View full knee replacement surgery guideHow much does knee replacement surgery cost in North Carolina?
Does insurance cover knee replacement surgery?
What's the recovery time for knee replacement surgery?
How can I finance knee replacement surgery in North Carolina?
How do I compare knee replacement surgery facilities in North Carolina?
Is it worth traveling to another state for knee replacement surgery?
Can Medicaid help pay for knee replacement surgery in North Carolina?
How we calculate knee replacement surgery costs in North Carolina
Cost estimates combine procedure-specific pricing data with regional cost-of-living and provider-supply adjustments. Primary sources:
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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.
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HCUP (Healthcare Cost & Utilization Project) — AHRQ's HCUP databases provide nationally-representative procedure cost data by state, payer, and patient demographics.
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Bureau of Labor Statistics — Healthcare Practitioner Occupational Wages — BLS OEWS data on surgeon, anesthesiologist, and surgical staff wages by state, used to model regional labor-cost differences in procedure pricing.
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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.
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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.
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Medicare Provider Utilization & Payment Data — CMS 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.