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Sentara 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.

Surgery center nearby
$8,466
Surgical Suites of Coastal Virginia, same ZIP
Outpatient here
$11,232
112 Medicare cases, APC 5115
Inpatient here
$16,577
18 Medicare stays, MS-DRG 470

Medicare prices at Sentara Williamsburg Regional Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,577$52,7343.2×$11,232
Shoulder replacement———$16,013
Hip replacement after a fracture (DRG 522)$13,692$63,8174.7×—

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

Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Sentara Williamsburg Regional Medical Center for a knee or hip replacement?

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).

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× 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 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?

Medicare paid Sentara Williamsburg Regional Medical Center more than 85% of the 34 Virginia hospitals that report inpatient hip or knee replacement.