Price AtlasInteractive atlas · All states · techysurgeon.comSentara Leigh Hospital: what a joint replacement costs
Norfolk, VA 23502 · CMS Certification Number 490046. 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 Leigh Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,976 | $54,979 | 3.9× | $11,313 |
| Shoulder replacement | $17,793 | $58,012 | 3.3× | $15,963 |
| Hip replacement after a fracture (DRG 522) | $14,005 | $61,113 | 4.4× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $38,219 | 2.7× | $36,728–$43,364 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $43,364 | 3.1× | 1 |
| Cigna | $38,219 | 2.7× | 1 |
| Elevance/Anthem/Empire | $36,728 | 2.6× | 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: 6.2% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 247 beds
Virginia requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Sentara Leigh Hospital for a knee or hip replacement?
In 2024 the average total payment to Sentara Leigh Hospital for an inpatient hip or knee replacement stay was $13,976 (MS-DRG 470, 37 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,313 per outpatient case (APC 5115, 999 cases).
What is Sentara Leigh Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $54,979, 3.9× 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 Leigh Hospital?
Yes for Medicare facility payments. Leigh Orthopedic Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,466 by Medicare for a knee replacement (CPT 27447), $5,510 less than an inpatient stay at Sentara Leigh Hospital. Not every patient is a surgery-center candidate.
How does Sentara Leigh Hospital compare with other Virginia hospitals?
Sentara Leigh Hospital's average total payment per Medicare stay is lower than 71% of the 34 Virginia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Sentara Leigh 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 $38,219 across 3 insurers, ranging from $36,728 to $43,364.