Price AtlasInteractive atlas · All states · techysurgeon.comSentara 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.
Medicare prices at Sentara Obici Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $38,040 | 2.9× | $16,394–$43,364 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $43,364 | 3.3× | 1 |
| Sentara Health Plan | $39,487 | 3.0× | 1 |
| Elevance/Anthem/Empire | $36,593 | 2.8× | 1 |
| Aetna | $16,394 | 1.3× | 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.
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 the average total payment to Sentara Obici Hospital for an inpatient hip or knee replacement stay was $13,089 (MS-DRG 470, 16 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
Sentara Obici Hospital's average total payment per Medicare stay is lower than 91% of the 34 Virginia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Sentara Obici Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $38,040 across 4 insurers, ranging from $16,394 to $43,364.