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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $16,184 | $236,696 | 14.6× | $11,251 |
| Shoulder replacement | — | — | — | $16,032 |
| Hip replacement after a fracture (DRG 522) | $18,357 | $172,818 | 9.4× | — |
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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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).
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.
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.
Medicare paid Lewisgale Hospital Montgomery more than 82% of the 34 Virginia hospitals that report inpatient hip or knee replacement.