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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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In 2024 Medicare paid Sentara Leigh Hospital an average of $13,976 per inpatient hip or knee replacement stay (MS-DRG 470, 37 stays) and $11,313 per outpatient case (APC 5115, 999 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $54,979, 3.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Sentara Leigh Hospital less than 71% of the 34 Virginia hospitals that report inpatient hip or knee replacement.