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Medical College of Virginia Hospitals: what a joint replacement costs

Richmond, VA 23298 · CMS Certification Number 490032. 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
$8,665
Chippenham Ambulatory Surgery Center, LLC, 4.7 mi
Outpatient here
$11,161
223 Medicare cases, APC 5115
Inpatient here
$20,543
74 Medicare stays, MS-DRG 470

Medicare prices at Medical College of Virginia Hospitals

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$20,543$86,1754.2×$11,161
Shoulder replacement———$15,049
Hip replacement after a fracture (DRG 522)$27,279$137,2385.0×—

Quality

Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 4 of 5 stars. Government · Acute · 779 beds

Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Medical College of Virginia Hospitals for a knee or hip replacement?

In 2024 Medicare paid Medical College of Virginia Hospitals an average of $20,543 per inpatient hip or knee replacement stay (MS-DRG 470, 74 stays) and $11,161 per outpatient case (APC 5115, 223 cases).

What is Medical College of Virginia Hospitals's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $86,175, 4.2× 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 Medical College of Virginia Hospitals?

Yes for Medicare facility payments. Chippenham Ambulatory Surgery Center, LLC, an orthopedic surgery center 4.7 mi away, is paid about $8,665 by Medicare for a knee replacement (CPT 27447), $11,878 less than an inpatient stay at Medical College of Virginia Hospitals. Not every patient is a surgery-center candidate.

How does Medical College of Virginia Hospitals compare with other Virginia hospitals?

Medicare paid Medical College of Virginia Hospitals more than 97% of the 34 Virginia hospitals that report inpatient hip or knee replacement.