Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Sentara 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.

Surgery center nearby
$8,466
Careplex Orthopaedic Ambulatory Surgical Ctr, same ZIP
Outpatient here
$11,322
169 Medicare cases, APC 5115
Inpatient here
$14,084
11 Medicare stays, MS-DRG 470

Medicare prices at Sentara Careplex Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,084$57,1664.1×$11,322
Shoulder replacement———$16,182
Hip replacement after a fracture (DRG 522)$14,837$55,0303.7×—

Quality

Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 224 beds

Virginia requires a certificate of need for new surgery centers.

Open the interactive price tagBuild a reportAll Virginia hospitals

Questions

How much does Medicare pay Sentara Careplex Hospital for a knee or hip replacement?

In 2024 Medicare paid Sentara Careplex Hospital an average of $14,084 per inpatient hip or knee replacement stay (MS-DRG 470, 11 stays) and $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× 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 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?

Medicare paid Sentara Careplex Hospital less than 62% of the 34 Virginia hospitals that report inpatient hip or knee replacement.