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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $20,543 | $86,175 | 4.2× | $11,161 |
| Shoulder replacement | — | — | — | $15,049 |
| Hip replacement after a fracture (DRG 522) | $27,279 | $137,238 | 5.0× | — |
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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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).
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.
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.
Medicare paid Medical College of Virginia Hospitals more than 97% of the 34 Virginia hospitals that report inpatient hip or knee replacement.