Charlottesville, VA 22908 · CMS Certification Number 490009. 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 | $24,333 | $67,781 | 2.8× | $8,957 |
| Shoulder replacement | $31,014 | $87,172 | 2.8× | $14,242 |
| Hip replacement after a fracture (DRG 522) | $27,179 | $84,541 | 3.1× | — |
Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 4.8%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 622 beds
Virginia requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Uva Health Sciences Center for an inpatient hip or knee replacement stay was $24,333 (MS-DRG 470, 74 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $8,957 per outpatient case (APC 5115, 751 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $67,781, 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.
Yes for Medicare facility payments. Monticello Community Surgery Center, LLC, an orthopedic surgery center 5.0 mi away, is paid about $8,552 by Medicare for a knee replacement (CPT 27447), $15,781 less than an inpatient stay at Uva Health Sciences Center. Not every patient is a surgery-center candidate.
Uva Health Sciences Center's average total payment per Medicare stay is higher than 100% of the 34 Virginia hospitals that report inpatient hip or knee replacement.