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Uva Health Sciences Center: what a joint replacement costs

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.

Surgery center nearby
$8,552
Monticello Community Surgery Center, LLC, 5.0 mi
Outpatient here
$8,957
751 Medicare cases, APC 5115
Inpatient here
$24,333
74 Medicare stays, MS-DRG 470

Medicare prices at Uva Health Sciences Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$24,333$67,7812.8×$8,957
Shoulder replacement$31,014$87,1722.8×$14,242
Hip replacement after a fracture (DRG 522)$27,179$84,5413.1×—

Quality

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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Questions

How much does Medicare pay Uva Health Sciences Center for a knee or hip replacement?

In 2024 Medicare paid Uva Health Sciences Center an average of $24,333 per inpatient hip or knee replacement stay (MS-DRG 470, 74 stays) and $8,957 per outpatient case (APC 5115, 751 cases).

What is Uva Health Sciences Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $67,781, 2.8× 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 Uva Health Sciences Center?

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.

How does Uva Health Sciences Center compare with other Virginia hospitals?

Medicare paid Uva Health Sciences Center more than 100% of the 34 Virginia hospitals that report inpatient hip or knee replacement.