Price AtlasInteractive atlas · All states · techysurgeon.comSentara Careplex Hospital: what a joint replacement costs
Hampton, VA 23666 · CMS Certification Number 490093. 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 Careplex Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,084 | $57,166 | 4.1× | $11,322 |
| Shoulder replacement | — | — | — | $16,182 |
| Hip replacement after a fracture (DRG 522) | $14,837 | $55,030 | 3.7× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $39,762 | 2.8× | $39,107–$43,364 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $43,364 | 3.1× | 1 |
| Sentara Health Plan | $39,762 | 2.8× | 1 |
| Elevance/Anthem/Empire | $39,107 | 2.8× | 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
Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 224 beds
Virginia requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Sentara Careplex Hospital for a knee or hip replacement?
In 2024 the average total payment to Sentara Careplex Hospital for an inpatient hip or knee replacement stay was $14,084 (MS-DRG 470, 11 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,322 per outpatient case (APC 5115, 169 cases).
What is Sentara Careplex Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $57,166, 4.1× 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 Careplex Hospital?
Yes for Medicare facility payments. Careplex Orthopaedic Ambulatory Surgical Ctr, an orthopedic surgery center same ZIP away, is paid about $8,466 by Medicare for a knee replacement (CPT 27447), $5,618 less than an inpatient stay at Sentara Careplex Hospital. Not every patient is a surgery-center candidate.
How does Sentara Careplex Hospital compare with other Virginia hospitals?
Sentara Careplex Hospital's average total payment per Medicare stay is lower than 62% of the 34 Virginia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Sentara Careplex 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 $39,762 across 3 insurers, ranging from $39,107 to $43,364.