Price AtlasInteractive atlas · All states · techysurgeon.comSentara Williamsburg Regional Medical Center: what a joint replacement costs
Williamsburg, VA 23188 · CMS Certification Number 490066. 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 Williamsburg Regional Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,577 | $52,734 | 3.2× | $11,232 |
| Shoulder replacement | — | — | — | $16,013 |
| Hip replacement after a fracture (DRG 522) | $13,692 | $63,817 | 4.7× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $40,146 | 2.4× | $36,080–$51,403 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $51,403 | 3.1× | 1 |
| Sentara Health Plan | $40,146 | 2.4× | 1 |
| Elevance/Anthem/Empire | $36,080 | 2.2× | 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: 5.6% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 145 beds
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Questions
How much does Medicare pay Sentara Williamsburg Regional Medical Center for a knee or hip replacement?
In 2024 the average total payment to Sentara Williamsburg Regional Medical Center for an inpatient hip or knee replacement stay was $16,577 (MS-DRG 470, 18 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,232 per outpatient case (APC 5115, 112 cases).
What is Sentara Williamsburg Regional Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $52,734, 3.2× 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 Williamsburg Regional Medical Center?
Yes for Medicare facility payments. Surgical Suites of Coastal Virginia, an orthopedic surgery center same ZIP away, is paid about $8,466 by Medicare for a knee replacement (CPT 27447), $8,111 less than an inpatient stay at Sentara Williamsburg Regional Medical Center. Not every patient is a surgery-center candidate.
How does Sentara Williamsburg Regional Medical Center compare with other Virginia hospitals?
Sentara Williamsburg Regional Medical Center's average total payment per Medicare stay is higher than 85% of the 34 Virginia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Sentara Williamsburg Regional Medical Center 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 $40,146 across 3 insurers, ranging from $36,080 to $51,403.