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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,389 | $46,004 | 2.6× | $12,060 |
| Shoulder replacement | — | — | — | $17,437 |
| Hip replacement after a fracture (DRG 522) | $19,586 | $43,789 | 2.2× | — |
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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In 2024 Medicare paid Warren Memorial Hospital an average of $17,389 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $12,060 per outpatient case (APC 5115, 81 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $46,004, 2.6× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Warren Memorial Hospital more than 91% of the 34 Virginia hospitals that report inpatient hip or knee replacement.