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Bon Secours Mary Immaculate Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,466
Mary Immaculate Ambulatory Surgery Center, same ZIP
Outpatient here
$11,199
567 Medicare cases, APC 5115
Inpatient here
$13,161
22 Medicare stays, MS-DRG 470

Medicare prices at Bon Secours Mary Immaculate Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,161$87,0286.6×$11,199
Shoulder replacement———$15,754

Quality

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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Questions

How much does Medicare pay Bon Secours Mary Immaculate Hospital for a knee or hip replacement?

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).

What is Bon Secours Mary Immaculate Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Bon Secours Mary Immaculate Hospital?

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.

How does Bon Secours Mary Immaculate Hospital compare with other Virginia hospitals?

Medicare paid Bon Secours Mary Immaculate Hospital less than 88% of the 34 Virginia hospitals that report inpatient hip or knee replacement.