Suffolk, VA 23439 · CMS Certification Number 490044. 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 | $13,089 | $61,180 | 4.7× | $11,067 |
| Shoulder replacement | — | — | — | $15,658 |
| Hip replacement after a fracture (DRG 522) | $13,710 | $63,574 | 4.6× | — |
Complications after hip or knee replacement: 5.6% (no different from the national rate). Readmissions: 6.8%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 168 beds
Virginia requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Sentara Obici Hospital an average of $13,089 per inpatient hip or knee replacement stay (MS-DRG 470, 16 stays) and $11,067 per outpatient case (APC 5115, 181 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $61,180, 4.7× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Sentara Obici Ambulatory Surgery, LLC, an orthopedic surgery center 5.0 mi away, is paid about $8,466 by Medicare for a knee replacement (CPT 27447), $4,623 less than an inpatient stay at Sentara Obici Hospital. Not every patient is a surgery-center candidate.
Medicare paid Sentara Obici Hospital less than 91% of the 34 Virginia hospitals that report inpatient hip or knee replacement.