Price AtlasInteractive atlas · All states · techysurgeon.comHenrico Doctors' Hospital: what a joint replacement costs
Richmond, VA 23229 · CMS Certification Number 490118. 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 Henrico Doctors' Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,850 | $308,171 | 22.3× | $11,330 |
| Shoulder replacement | $17,582 | $406,916 | 23.1× | $15,984 |
| Hip replacement after a fracture (DRG 522) | $14,761 | $264,407 | 17.9× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $22,294 | 1.6× | $14,875–$42,876 | 9 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Cigna | $42,876 | 3.1× | 1 |
| Sentara Optima Health | $34,120 | 2.5× | 1 |
| Elevance/Anthem/Empire | $33,834 | 2.4× | 1 |
| UnitedHealthcare | $23,075 | 1.7× | 1 |
| Oscar | $22,294 | 1.6× | 1 |
| Bright Health | $17,592 | 1.3× | 1 |
| Pyramid Life | $16,042 | 1.2× | 1 |
| Aetna | $14,896 | 1.1× | 1 |
| Virginia Premier Health | $14,875 | 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: 3.3% (no different from the national rate). Readmissions: 6.6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 340 beds
Virginia requires a certificate of need for new surgery centers.
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Questions
How much does Medicare pay Henrico Doctors' Hospital for a knee or hip replacement?
In 2024 the average total payment to Henrico Doctors' Hospital for an inpatient hip or knee replacement stay was $13,850 (MS-DRG 470, 39 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,330 per outpatient case (APC 5115, 478 cases).
What is Henrico Doctors' Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $308,171, 22.3× 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 Henrico Doctors' Hospital?
Yes for Medicare facility payments. Saint Mary's Ambulatory Surgery Center, an orthopedic surgery center 2.8 mi away, is paid about $8,665 by Medicare for a knee replacement (CPT 27447), $5,185 less than an inpatient stay at Henrico Doctors' Hospital. Not every patient is a surgery-center candidate.
How does Henrico Doctors' Hospital compare with other Virginia hospitals?
Henrico Doctors' Hospital's average total payment per Medicare stay is lower than 74% of the 34 Virginia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Henrico Doctors' Hospital 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 $14,875 to $42,876.