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Lewisgale Hospital Alleghany: what a joint replacement costs

Low Moor, VA 24457 · CMS Certification Number 490126. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$12,118
Medicare allowed amount, 40 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Lewisgale Hospital Alleghany

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,118
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$21,912—$14,089–$34,1206
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Sentara Optima Health$34,120—1
Elevance/Anthem/Empire$25,391—1
Aetna$22,125—1
Greenbrier Sporting Club$21,700—1
Virginia Premier Health$14,370—1
UnitedHealthcare$14,089—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

Overall Care Compare rating: 4 of 5 stars. For-profit · Acute · 205 beds

Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Lewisgale Hospital Alleghany for a knee or hip replacement?

The Medicare allowed amount averaged $12,118 per outpatient hip or knee replacement case (APC 5115, 40 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay Lewisgale Hospital Alleghany 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 $21,912 across 6 insurers, ranging from $14,089 to $34,120.