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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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In 2024 Medicare paid Lewisgale Medical Center an average of $16,652 per inpatient hip or knee replacement stay (MS-DRG 470, 33 stays) and $11,117 per outpatient case (APC 5115, 290 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $196,582, 11.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Lewisgale Medical Center more than 88% of the 34 Virginia hospitals that report inpatient hip or knee replacement.