Price AtlasInteractive atlas · All states · techysurgeon.comCarilion Roanoke Memorial Hospital: what a joint replacement costs
Roanoke, VA 24014 · CMS Certification Number 490024. 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 Carilion Roanoke Memorial Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,985 | $96,718 | 6.5× | $11,171 |
| Shoulder replacement | $22,403 | $130,110 | 5.8× | $15,606 |
| Hip replacement after a fracture (DRG 522) | $16,484 | $83,133 | 5.0× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $61,127 | 4.1× | — | 1 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Elevance/Anthem/Empire | $61,127 | 4.1× | 1 |
From the hospital's price-transparency file (2025-12-15); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2025-12-15); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 7.9% (worse than the national rate). Readmissions: 7.9%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 752 beds
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Questions
How much does Medicare pay Carilion Roanoke Memorial Hospital for a knee or hip replacement?
In 2024 the average total payment to Carilion Roanoke Memorial Hospital for an inpatient hip or knee replacement stay was $14,985 (MS-DRG 470, 23 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,171 per outpatient case (APC 5115, 662 cases).
What is Carilion Roanoke Memorial Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $96,718, 6.5× 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 Carilion Roanoke Memorial Hospital?
Yes for Medicare facility payments. Roanoke Ambulatory Surgery Center, an orthopedic surgery center 4.0 mi away, is paid about $8,331 by Medicare for a knee replacement (CPT 27447), $6,654 less than an inpatient stay at Carilion Roanoke Memorial Hospital. Not every patient is a surgery-center candidate.
How does Carilion Roanoke Memorial Hospital compare with other Virginia hospitals?
Carilion Roanoke Memorial Hospital's average total payment per Medicare stay is higher than 53% of the 34 Virginia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Carilion Roanoke Memorial Hospital 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 $61,127 across 1 insurer.