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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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
Virginia requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Carilion Roanoke Memorial Hospital an average of $14,985 per inpatient hip or knee replacement stay (MS-DRG 470, 23 stays) and $11,171 per outpatient case (APC 5115, 662 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $96,718, 6.5× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Carilion Roanoke Memorial Hospital more than 53% of the 34 Virginia hospitals that report inpatient hip or knee replacement.