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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $15,714 | $38,953 | 2.5× | $12,584 |
| Shoulder replacement | — | — | — | $18,024 |
| Hip replacement after a fracture (DRG 522) | $17,542 | $41,032 | 2.3× | — |
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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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).
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.
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.
Medicare paid Winchester Medical Center more than 74% of the 34 Virginia hospitals that report inpatient hip or knee replacement.