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Sentara 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.

Surgery center nearby
$8,466
Leigh Orthopedic Surgery Center, same ZIP
Outpatient here
$11,313
999 Medicare cases, APC 5115
Inpatient here
$13,976
37 Medicare stays, MS-DRG 470

Medicare prices at Sentara Leigh Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,976$54,9793.9×$11,313
Shoulder replacement$17,793$58,0123.3×$15,963
Hip replacement after a fracture (DRG 522)$14,005$61,1134.4×—

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 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).

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× 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 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?

Medicare paid Sentara Leigh Hospital less than 71% of the 34 Virginia hospitals that report inpatient hip or knee replacement.