Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Sentara 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.

Surgery center nearby
$8,466
Virginia Beach Ambulatory Surgery Center, same ZIP
Outpatient here
$11,343
208 Medicare cases, APC 5115
Inpatient here
$13,000
24 Medicare stays, MS-DRG 470

Medicare prices at Sentara Virginia Beach General Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,000$67,7845.2×$11,343
Shoulder replacement———$15,212
Hip replacement after a fracture (DRG 522)$14,548$73,2325.0×—

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.

Open the interactive price tagBuild a reportAll Virginia hospitals

Questions

How much does Medicare pay Sentara Virginia Beach General Hospital for a knee or hip replacement?

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).

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× 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 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?

Medicare paid Sentara Virginia Beach General Hospital less than 94% of the 34 Virginia hospitals that report inpatient hip or knee replacement.