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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,924 | $83,842 | 5.6× | $12,082 |
| Shoulder replacement | $21,099 | $105,795 | 5.0× | $16,907 |
| Hip replacement after a fracture (DRG 522) | $16,258 | $74,841 | 4.6× | — |
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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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).
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.
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.
Medicare paid Centra Health, Inc less than 50% of the 34 Virginia hospitals that report inpatient hip or knee replacement.