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Henrico 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.

Surgery center nearby
$8,665
Saint Mary's Ambulatory Surgery Center, 2.8 mi
Outpatient here
$11,330
478 Medicare cases, APC 5115
Inpatient here
$13,850
39 Medicare stays, MS-DRG 470

Medicare prices at Henrico Doctors' Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,850$308,17122.3×$11,330
Shoulder replacement$17,582$406,91623.1×$15,984
Hip replacement after a fracture (DRG 522)$14,761$264,40717.9×—

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 Medicare paid Henrico Doctors' Hospital an average of $13,850 per inpatient hip or knee replacement stay (MS-DRG 470, 39 stays) and $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× what Medicare paid. 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?

Medicare paid Henrico Doctors' Hospital less than 74% of the 34 Virginia hospitals that report inpatient hip or knee replacement.