Price AtlasInteractive atlas · All states · techysurgeon.comLewisgale Medical Center: what a joint replacement costs
Salem, VA 24153 · CMS Certification Number 490048. 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 Lewisgale Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,652 | $196,582 | 11.8× | $11,117 |
| Shoulder replacement | — | — | — | $16,011 |
| Hip replacement after a fracture (DRG 522) | $18,071 | $164,522 | 9.1× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $28,682 | 1.7× | $16,618–$31,406 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $31,406 | 1.9× | 1 |
| Aetna | $31,221 | 1.9× | 1 |
| Elevance/Anthem/Empire | $26,143 | 1.6× | 1 |
| UnitedHealthcare | $16,618 | 1.0× | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 4.2% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 506 beds
Virginia requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Lewisgale Medical Center for a knee or hip replacement?
In 2024 the average total payment to Lewisgale Medical Center for an inpatient hip or knee replacement stay was $16,652 (MS-DRG 470, 33 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,117 per outpatient case (APC 5115, 290 cases).
What is Lewisgale Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $196,582, 11.8× 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 Lewisgale Medical Center?
Yes for Medicare facility payments. Blue Ridge Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,331 by Medicare for a knee replacement (CPT 27447), $8,321 less than an inpatient stay at Lewisgale Medical Center. Not every patient is a surgery-center candidate.
How does Lewisgale Medical Center compare with other Virginia hospitals?
Lewisgale Medical Center's average total payment per Medicare stay is higher than 88% of the 34 Virginia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Lewisgale Medical Center 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 $28,682 across 4 insurers, ranging from $16,618 to $31,406.