Newport News, VA 23602 · CMS Certification Number 490041. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,161 | $87,028 | 6.6× | $11,199 |
| Shoulder replacement | — | — | — | $15,754 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $40,252 | 3.1× | $34,475–$44,857 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS (other) | $44,857 | 3.4× | 1 |
| Elevance/Anthem/Empire | $44,857 | 3.4× | 1 |
| Cigna | $35,646 | 2.7× | 1 |
| UnitedHealthcare | $34,475 | 2.6× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.7% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 110 beds
Virginia requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Bon Secours Mary Immaculate Hospital for an inpatient hip or knee replacement stay was $13,161 (MS-DRG 470, 22 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,199 per outpatient case (APC 5115, 567 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $87,028, 6.6× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Mary Immaculate Ambulatory Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,466 by Medicare for a knee replacement (CPT 27447), $4,695 less than an inpatient stay at Bon Secours Mary Immaculate Hospital. Not every patient is a surgery-center candidate.
Bon Secours Mary Immaculate Hospital's average total payment per Medicare stay is lower than 88% of the 34 Virginia hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $40,252 across 4 insurers, ranging from $34,475 to $44,857.