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Winchester Medical Center: what a joint replacement costs

Winchester, VA 22601 · CMS Certification Number 490005. 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
$8,477
Valley Health Ambulatory Surgery Center, 7.6 mi
Outpatient here
$12,584
267 Medicare cases, APC 5115
Inpatient here
$15,714
85 Medicare stays, MS-DRG 470

Medicare prices at Winchester Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$15,714$38,9532.5×$12,584
Shoulder replacement———$18,024
Hip replacement after a fracture (DRG 522)$17,542$41,0322.3×—

Quality

Complications after hip or knee replacement: 2.6% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 399 beds

Virginia requires a certificate of need for new surgery centers.

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Questions

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

In 2024 Medicare paid Winchester Medical Center an average of $15,714 per inpatient hip or knee replacement stay (MS-DRG 470, 85 stays) and $12,584 per outpatient case (APC 5115, 267 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $38,953, 2.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Winchester Medical Center?

Yes for Medicare facility payments. Valley Health Ambulatory Surgery Center, an orthopedic surgery center 7.6 mi away, is paid about $8,477 by Medicare for a knee replacement (CPT 27447), $7,237 less than an inpatient stay at Winchester Medical Center. Not every patient is a surgery-center candidate.

How does Winchester Medical Center compare with other Virginia hospitals?

Medicare paid Winchester Medical Center more than 74% of the 34 Virginia hospitals that report inpatient hip or knee replacement.