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Centra Health, Inc: what a joint replacement costs

Lynchburg, VA 24501 · CMS Certification Number 490021. 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
$8,117
Surgery Center of Lynchburg, same ZIP
Outpatient here
$12,082
289 Medicare cases, APC 5115
Inpatient here
$14,924
59 Medicare stays, MS-DRG 470

Medicare prices at Centra Health, Inc

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,924$83,8425.6×$12,082
Shoulder replacement$21,099$105,7955.0×$16,907
Hip replacement after a fracture (DRG 522)$16,258$74,8414.6×—

Quality

Complications after hip or knee replacement: 3.3% (no different from the national rate). Readmissions: 5.3%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 519 beds

Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Centra Health, Inc for a knee or hip replacement?

In 2024 Medicare paid Centra Health, Inc an average of $14,924 per inpatient hip or knee replacement stay (MS-DRG 470, 59 stays) and $12,082 per outpatient case (APC 5115, 289 cases).

What is Centra Health, Inc's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $83,842, 5.6× 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 Centra Health, Inc?

Yes for Medicare facility payments. Surgery Center of Lynchburg, an orthopedic surgery center same ZIP away, is paid about $8,117 by Medicare for a knee replacement (CPT 27447), $6,807 less than an inpatient stay at Centra Health, Inc. Not every patient is a surgery-center candidate.

How does Centra Health, Inc compare with other Virginia hospitals?

Medicare paid Centra Health, Inc less than 50% of the 34 Virginia hospitals that report inpatient hip or knee replacement.