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 paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,161 | $87,028 | 6.6× | $11,199 |
| Shoulder replacement | — | — | — | $15,754 |
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 Medicare paid Bon Secours Mary Immaculate Hospital an average of $13,161 per inpatient hip or knee replacement stay (MS-DRG 470, 22 stays) and $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× what Medicare paid. 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.
Medicare paid Bon Secours Mary Immaculate Hospital less than 88% of the 34 Virginia hospitals that report inpatient hip or knee replacement.