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Warren Memorial Hospital: what a joint replacement costs

Front Royal, VA 22630 · CMS Certification Number 490033. 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
$8,477
Valley Health Ambulatory Surgery Center, 24.2 mi
Outpatient here
$12,060
Medicare allowed amount, 81 cases, APC 5115
Inpatient here
$17,389
Avg total payment (incl. patient share), 13 Medicare stays, MS-DRG 470

Medicare prices at Warren Memorial Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,389$46,0042.6×$12,060
Shoulder replacement———$17,437
Hip replacement after a fracture (DRG 522)$19,586$43,7892.2×—

Quality

Complications after hip or knee replacement: 3.8% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 196 beds

Virginia requires a certificate of need for new surgery centers.

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Questions

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

In 2024 the average total payment to Warren Memorial Hospital for an inpatient hip or knee replacement stay was $17,389 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $12,060 per outpatient case (APC 5115, 81 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $46,004, 2.6× 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 Warren Memorial Hospital?

Yes for Medicare facility payments. Valley Health Ambulatory Surgery Center, an orthopedic surgery center 24.2 mi away, is paid about $8,477 by Medicare for a knee replacement (CPT 27447), $8,912 less than an inpatient stay at Warren Memorial Hospital. Not every patient is a surgery-center candidate.

How does Warren Memorial Hospital compare with other Virginia hospitals?

Warren Memorial Hospital's average total payment per Medicare stay is higher than 91% of the 34 Virginia hospitals that report inpatient hip or knee replacement.