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Lewisgale Hospital Montgomery: what a joint replacement costs

Blacksburg, VA 24060 · CMS Certification Number 490110. 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
$8,400
Carilion Surgery Center New River Valley, LLC, 8.7 mi
Outpatient here
$11,251
121 Medicare cases, APC 5115
Inpatient here
$16,184
15 Medicare stays, MS-DRG 470

Medicare prices at Lewisgale Hospital Montgomery

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$16,184$236,69614.6×$11,251
Shoulder replacement———$16,032
Hip replacement after a fracture (DRG 522)$18,357$172,8189.4×—

Quality

Complications after hip or knee replacement: 3.9% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 146 beds

Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Lewisgale Hospital Montgomery for a knee or hip replacement?

In 2024 Medicare paid Lewisgale Hospital Montgomery an average of $16,184 per inpatient hip or knee replacement stay (MS-DRG 470, 15 stays) and $11,251 per outpatient case (APC 5115, 121 cases).

What is Lewisgale Hospital Montgomery's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $236,696, 14.6× 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 Lewisgale Hospital Montgomery?

Yes for Medicare facility payments. Carilion Surgery Center New River Valley, LLC, an orthopedic surgery center 8.7 mi away, is paid about $8,400 by Medicare for a knee replacement (CPT 27447), $7,784 less than an inpatient stay at Lewisgale Hospital Montgomery. Not every patient is a surgery-center candidate.

How does Lewisgale Hospital Montgomery compare with other Virginia hospitals?

Medicare paid Lewisgale Hospital Montgomery more than 82% of the 34 Virginia hospitals that report inpatient hip or knee replacement.