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Bon Secours Maryview Medical Center: what a joint replacement costs

Portsmouth, VA 23707 · CMS Certification Number 490017. 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
$8,466
Bon Secours Surgery Center at Harbourview, LLC, 7.3 mi
Outpatient here
$11,009
Medicare allowed amount, 94 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Bon Secours Maryview Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,009
Shoulder replacement———$14,643
Hip replacement after a fracture (DRG 522)$16,352$79,9804.9×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$47,096—$34,475–$51,7945
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Sentara$51,794—1
BCBS (other)$47,096—1
Elevance/Anthem/Empire$47,096—1
Cigna$35,646—1
UnitedHealthcare$34,475—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.

Quality

Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 346 beds

Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Bon Secours Maryview Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $11,009 per outpatient hip or knee replacement case (APC 5115, 94 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Bon Secours Maryview Medical Center?

Yes for Medicare facility payments. Bon Secours Surgery Center at Harbourview, LLC, an orthopedic surgery center 7.3 mi away, is paid about $8,466 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Bon Secours Maryview Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $47,096 across 5 insurers, ranging from $34,475 to $51,794.