Virginia Beach, VA 23454 · CMS Certification Number 490057. 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 | $13,000 | $67,784 | 5.2× | $11,343 |
| Shoulder replacement | — | — | — | $15,212 |
| Hip replacement after a fracture (DRG 522) | $14,548 | $73,232 | 5.0× | — |
Complications after hip or knee replacement: 3.7% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 276 beds
Virginia requires a certificate of need for new surgery centers.
Open the interactive price tagBuild a reportAll Virginia hospitals
In 2024 Medicare paid Sentara Virginia Beach General Hospital an average of $13,000 per inpatient hip or knee replacement stay (MS-DRG 470, 24 stays) and $11,343 per outpatient case (APC 5115, 208 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $67,784, 5.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Virginia Beach Ambulatory Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,466 by Medicare for a knee replacement (CPT 27447), $4,534 less than an inpatient stay at Sentara Virginia Beach General Hospital. Not every patient is a surgery-center candidate.
Medicare paid Sentara Virginia Beach General Hospital less than 94% of the 34 Virginia hospitals that report inpatient hip or knee replacement.