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Fauquier Hospital: what a joint replacement costs

Warrenton, VA 20186 · CMS Certification Number 490023. 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
$9,158
Haymarket Surgery Center, LLC, 16.6 mi
Outpatient here
$12,237
123 Medicare cases, APC 5115
Inpatient here
$13,482
41 Medicare stays, MS-DRG 470

Medicare prices at Fauquier Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,482$113,9418.5×$12,237
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$14,432$121,3858.4×—

Quality

Complications after hip or knee replacement: 5.6% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 97 beds

Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Fauquier Hospital for a knee or hip replacement?

In 2024 Medicare paid Fauquier Hospital an average of $13,482 per inpatient hip or knee replacement stay (MS-DRG 470, 41 stays) and $12,237 per outpatient case (APC 5115, 123 cases).

What is Fauquier Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $113,941, 8.5× 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 Fauquier Hospital?

Yes for Medicare facility payments. Haymarket Surgery Center, LLC, an orthopedic surgery center 16.6 mi away, is paid about $9,158 by Medicare for a knee replacement (CPT 27447), $4,324 less than an inpatient stay at Fauquier Hospital. Not every patient is a surgery-center candidate.

How does Fauquier Hospital compare with other Virginia hospitals?

Medicare paid Fauquier Hospital less than 85% of the 34 Virginia hospitals that report inpatient hip or knee replacement.