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Sentara Princess Anne Hospital: what a joint replacement costs

Virginia Beach, VA 23456 · CMS Certification Number 490119. 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
$8,466
Princess Anne Ambulatory Surgery Center, same ZIP
Outpatient here
$11,275
Medicare allowed amount, 294 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Sentara Princess Anne Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$11,275
Shoulder replacement$17,097$52,6903.1×$15,896
Hip replacement after a fracture (DRG 522)$17,713$58,0523.3×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$38,394—$36,709–$43,3644
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$43,364—1
Sentara Health Plan$39,622—1
Cigna$37,166—1
Elevance/Anthem/Empire$36,709—1

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 160 beds

Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Sentara Princess Anne Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $11,275 per outpatient hip or knee replacement case (APC 5115, 294 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Sentara Princess Anne Hospital?

Yes for Medicare facility payments. Princess Anne Ambulatory Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,466 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Sentara Princess Anne 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 $38,394 across 4 insurers, ranging from $36,709 to $43,364.