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Cjw Medical Center: what a joint replacement costs

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.

Surgery center nearby
$8,665
Stony Point Surgery Center, LLC, same ZIP
Outpatient here
$11,256
Medicare allowed amount, 633 cases, APC 5115
Inpatient here
$13,531
Avg total payment (incl. patient share), 108 Medicare stays, MS-DRG 470

Medicare prices at Cjw Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,531$312,02323.1×$11,256
Shoulder replacement$23,235$365,52215.7×$16,011
Hip replacement after a fracture (DRG 522)$14,788$326,67322.1×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$22,2941.6×$14,970–$42,8769
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Cigna$42,8763.2×1
Sentara Optima Health$34,1202.5×1
UnitedHealthcare$31,5662.3×1
Elevance/Anthem/Empire$31,4272.3×1
Oscar$22,2941.6×1
Bright Health$17,5921.3×1
Pyramid Life$16,1441.2×1
Aetna$14,9901.1×1
Virginia Premier Health$14,9701.1×1

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: 3.4% (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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Questions

How much does Medicare pay Cjw Medical Center for a knee or hip replacement?

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).

What is Cjw Medical Center's list price for a joint replacement?

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.

Is a knee replacement cheaper at a surgery center near Cjw Medical Center?

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.

How does Cjw Medical Center compare with other Virginia hospitals?

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.

What do commercial insurers pay Cjw Medical Center 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 $22,294 across 9 insurers, ranging from $14,970 to $42,876.