Price AtlasInteractive atlas · All states · techysurgeon.comSentara Virginia Beach General Hospital: what a joint replacement costs
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.
Medicare prices at Sentara Virginia Beach General Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $36,470 | 2.8× | $36,115–$51,280 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $51,280 | 3.9× | 1 |
| Elevance/Anthem/Empire | $36,470 | 2.8× | 1 |
| Cigna | $36,115 | 2.8× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Quality
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.
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Questions
How much does Medicare pay Sentara Virginia Beach General Hospital for a knee or hip replacement?
In 2024 the average total payment to Sentara Virginia Beach General Hospital for an inpatient hip or knee replacement stay was $13,000 (MS-DRG 470, 24 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,343 per outpatient case (APC 5115, 208 cases).
What is Sentara Virginia Beach General Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $67,784, 5.2× 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 Sentara Virginia Beach General Hospital?
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.
How does Sentara Virginia Beach General Hospital compare with other Virginia hospitals?
Sentara Virginia Beach General Hospital's average total payment per Medicare stay is lower than 94% of the 34 Virginia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Sentara Virginia Beach General Hospital 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 $36,470 across 3 insurers, ranging from $36,115 to $51,280.