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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient 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× | — |
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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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).
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.
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.
Medicare paid Henrico Doctors' Hospital less than 74% of the 34 Virginia hospitals that report inpatient hip or knee replacement.