Price AtlasInteractive atlas · All states · techysurgeon.comAugusta Health: what a joint replacement costs
Fishersville, VA 22939 · CMS Certification Number 490018. 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.
Medicare prices at Augusta Health
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,894 | $89,738 | 5.0× | $12,558 |
| Shoulder replacement | — | — | — | $17,973 |
| Hip replacement after a fracture (DRG 522) | $16,800 | $81,007 | 4.8× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $39,944 | 2.2× | $31,771–$50,305 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $50,305 | 2.8× | 1 |
| UnitedHealthcare | $39,944 | 2.2× | 1 |
| Cigna | $31,771 | 1.8× | 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
Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 255 beds
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Questions
How much does Medicare pay Augusta Health for a knee or hip replacement?
In 2024 the average total payment to Augusta Health for an inpatient hip or knee replacement stay was $17,894 (MS-DRG 470, 22 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,558 per outpatient case (APC 5115, 539 cases).
What is Augusta Health's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $89,738, 5.0× the average total payment for a Medicare stay. 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 Augusta Health?
Yes for Medicare facility payments. Monticello Community Surgery Center, LLC, an orthopedic surgery center 22.8 mi away, is paid about $8,552 by Medicare for a knee replacement (CPT 27447), $9,342 less than an inpatient stay at Augusta Health. Not every patient is a surgery-center candidate.
How does Augusta Health compare with other Virginia hospitals?
Augusta Health's average total payment per Medicare stay is higher than 94% of the 34 Virginia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Augusta Health 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 $39,944 across 3 insurers, ranging from $31,771 to $50,305.