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Essentia Health Virginia: what a joint replacement costs

Virginia, MN 55792 · CMS Certification Number 240084. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
—
No orthopedic surgery center within 25 miles
Outpatient here
$12,234
Medicare allowed amount, 82 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Essentia Health Virginia

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,234
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$28,672—$24,060–$33,9754
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$33,975—1
BCBS MN$30,773—1
Medica$26,571—1
Sanford HealthPlan$24,060—1

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 4 of 5 stars. Government · Acute · 83 beds

Minnesota has a certificate-of-need program that does not cover surgery centers.

Open the interactive price tagBuild a reportAll Minnesota hospitals

Questions

How much does Medicare pay Essentia Health Virginia for a knee or hip replacement?

The Medicare allowed amount averaged $12,234 per outpatient hip or knee replacement case (APC 5115, 82 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay Essentia Health Virginia for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $28,672 across 4 insurers, ranging from $24,060 to $33,975.