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Sentara Obici Hospital: what a joint replacement costs

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.

Surgery center nearby
$8,466
Sentara Obici Ambulatory Surgery, LLC, 5.0 mi
Outpatient here
$11,067
181 Medicare cases, APC 5115
Inpatient here
$13,089
16 Medicare stays, MS-DRG 470

Medicare prices at Sentara Obici Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,089$61,1804.7×$11,067
Shoulder replacement———$15,658
Hip replacement after a fracture (DRG 522)$13,710$63,5744.6×—

Quality

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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Questions

How much does Medicare pay Sentara Obici Hospital for a knee or hip replacement?

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).

What is Sentara Obici Hospital's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Sentara Obici Hospital?

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.

How does Sentara Obici Hospital compare with other Virginia hospitals?

Medicare paid Sentara Obici Hospital less than 91% of the 34 Virginia hospitals that report inpatient hip or knee replacement.