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Sentara Rmh Medical Center: what a joint replacement costs

Harrisonburg, VA 22801 · CMS Certification Number 490004. 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
$12,581
Medicare allowed amount, 165 cases, APC 5115
Inpatient here
$15,874
Avg total payment (incl. patient share), 20 Medicare stays, MS-DRG 470

Medicare prices at Sentara Rmh Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$15,874$45,2212.8×$12,581
Shoulder replacement———$18,285
Hip replacement after a fracture (DRG 522)$17,888$47,6842.7×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$37,6192.4×—1
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Elevance/Anthem/Empire$37,6192.4×1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 5.1%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 238 beds

Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Sentara Rmh Medical Center for a knee or hip replacement?

In 2024 the average total payment to Sentara Rmh Medical Center for an inpatient hip or knee replacement stay was $15,874 (MS-DRG 470, 20 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,581 per outpatient case (APC 5115, 165 cases).

What is Sentara Rmh Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $45,221, 2.8× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Sentara Rmh Medical Center compare with other Virginia hospitals?

Sentara Rmh Medical Center's average total payment per Medicare stay is higher than 76% of the 34 Virginia hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Sentara Rmh Medical Center 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 $37,619 across 1 insurer.