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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,874 | $45,221 | 2.8× | $12,581 |
| Shoulder replacement | — | — | — | $18,285 |
| Hip replacement after a fracture (DRG 522) | $17,888 | $47,684 | 2.7× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $37,619 | 2.4× | — | 1 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $37,619 | 2.4× | 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.
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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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).
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.
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.
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.