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Lewisgale 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.

Surgery center nearby
$8,331
Blue Ridge Surgery Center, same ZIP
Outpatient here
$11,117
290 Medicare cases, APC 5115
Inpatient here
$16,652
33 Medicare stays, MS-DRG 470

Medicare prices at Lewisgale Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,652$196,58211.8×$11,117
Shoulder replacement———$16,011
Hip replacement after a fracture (DRG 522)$18,071$164,5229.1×—

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 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).

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× 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 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?

Medicare paid Lewisgale Medical Center more than 88% of the 34 Virginia hospitals that report inpatient hip or knee replacement.