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Bon Secours St Marys Hospital: what a joint replacement costs

Richmond, VA 23226 · CMS Certification Number 490059. 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
$8,665
Saint Mary's Ambulatory Surgery Center, same ZIP
Outpatient here
$11,984
Medicare allowed amount, 495 cases, APC 5115
Inpatient here
$14,111
Avg total payment (incl. patient share), 72 Medicare stays, MS-DRG 470

Medicare prices at Bon Secours St Marys Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$14,111$104,2997.4×$11,984
Shoulder replacement———$16,403
Hip replacement after a fracture (DRG 522)$15,534$98,3576.3×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$49,4073.5×$44,837–$49,7685
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$49,7683.5×1
BCBS (other)$49,4073.5×1
Elevance/Anthem/Empire$49,4073.5×1
Cigna$46,4103.3×1
UnitedHealthcare$44,8373.2×1

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: 2.8% (no different from the national rate). Readmissions: 4.3%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 391 beds

Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Bon Secours St Marys Hospital for a knee or hip replacement?

In 2024 the average total payment to Bon Secours St Marys Hospital for an inpatient hip or knee replacement stay was $14,111 (MS-DRG 470, 72 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,984 per outpatient case (APC 5115, 495 cases).

What is Bon Secours St Marys Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $104,299, 7.4× 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 Bon Secours St Marys Hospital?

Yes for Medicare facility payments. Saint Mary's Ambulatory Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,665 by Medicare for a knee replacement (CPT 27447), $5,446 less than an inpatient stay at Bon Secours St Marys Hospital. Not every patient is a surgery-center candidate.

How does Bon Secours St Marys Hospital compare with other Virginia hospitals?

Bon Secours St Marys Hospital's average total payment per Medicare stay is lower than 56% of the 34 Virginia hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Bon Secours St Marys 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 $49,407 across 5 insurers, ranging from $44,837 to $49,768.