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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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
Virginia requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Sentara Williamsburg Regional Medical Center an average of $16,577 per inpatient hip or knee replacement stay (MS-DRG 470, 18 stays) and $11,232 per outpatient case (APC 5115, 112 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $52,734, 3.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. 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.
Medicare paid Sentara Williamsburg Regional Medical Center more than 85% of the 34 Virginia hospitals that report inpatient hip or knee replacement.