Price AtlasInteractive atlas · All states · techysurgeon.comLewisgale 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.
Medicare prices at Lewisgale Hospital Montgomery
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $27,965 | 1.7× | $17,621–$41,460 | 7 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $41,460 | 2.6× | 1 |
| Sentara Optima Health | $34,120 | 2.1× | 1 |
| Aetna | $31,221 | 1.9× | 1 |
| Elevance/Anthem/Empire | $27,965 | 1.7× | 1 |
| Pyramid Life | $19,383 | 1.2× | 1 |
| Virginia Premier Health | $17,973 | 1.1× | 1 |
| UnitedHealthcare | $17,621 | 1.1× | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
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 the average total payment to Lewisgale Hospital Montgomery for an inpatient hip or knee replacement stay was $16,184 (MS-DRG 470, 15 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
Lewisgale Hospital Montgomery's average total payment per Medicare stay is higher than 82% of the 34 Virginia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Lewisgale Hospital Montgomery 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 $27,965 across 7 insurers, ranging from $17,621 to $41,460.