Richmond, VA 23235 · CMS Certification Number 490112. 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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,531 | $312,023 | 23.1× | $11,256 |
| Shoulder replacement | $23,235 | $365,522 | 15.7× | $16,011 |
| Hip replacement after a fracture (DRG 522) | $14,788 | $326,673 | 22.1× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $22,294 | 1.6× | $14,970–$42,876 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $42,876 | 3.2× | 1 |
| Sentara Optima Health | $34,120 | 2.5× | 1 |
| UnitedHealthcare | $31,566 | 2.3× | 1 |
| Elevance/Anthem/Empire | $31,427 | 2.3× | 1 |
| Oscar | $22,294 | 1.6× | 1 |
| Bright Health | $17,592 | 1.3× | 1 |
| Pyramid Life | $16,144 | 1.2× | 1 |
| Aetna | $14,990 | 1.1× | 1 |
| Virginia Premier Health | $14,970 | 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.
Complications after hip or knee replacement: 3.4% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 758 beds
Virginia requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Cjw Medical Center for an inpatient hip or knee replacement stay was $13,531 (MS-DRG 470, 108 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,256 per outpatient case (APC 5115, 633 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $312,023, 23.1× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Stony Point Surgery Center, LLC, an orthopedic surgery center same ZIP away, is paid about $8,665 by Medicare for a knee replacement (CPT 27447), $4,866 less than an inpatient stay at Cjw Medical Center. Not every patient is a surgery-center candidate.
Cjw Medical Center's average total payment per Medicare stay is lower than 79% of the 34 Virginia hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $22,294 across 9 insurers, ranging from $14,970 to $42,876.