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Riverside Walter Reed Hospital: what a joint replacement costs

Gloucester, VA 23061 · CMS Certification Number 490130. 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
Surgical Suites of Coastal Virginia, 13.0 mi
Outpatient here
$11,318
97 Medicare cases, APC 5115
Inpatient here
$12,729
29 Medicare stays, MS-DRG 470

Medicare prices at Riverside Walter Reed Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$12,729$41,2463.2×$11,318
Shoulder replacement———$16,013

Quality

Complications after hip or knee replacement: 2.9% (no different from the national rate). Readmissions: 5.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 67 beds

Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Riverside Walter Reed Hospital for a knee or hip replacement?

In 2024 Medicare paid Riverside Walter Reed Hospital an average of $12,729 per inpatient hip or knee replacement stay (MS-DRG 470, 29 stays) and $11,318 per outpatient case (APC 5115, 97 cases).

What is Riverside Walter Reed Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $41,246, 3.2× 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 Riverside Walter Reed Hospital?

Yes for Medicare facility payments. Surgical Suites of Coastal Virginia, an orthopedic surgery center 13.0 mi away, is paid about $8,466 by Medicare for a knee replacement (CPT 27447), $4,263 less than an inpatient stay at Riverside Walter Reed Hospital. Not every patient is a surgery-center candidate.

How does Riverside Walter Reed Hospital compare with other Virginia hospitals?

Medicare paid Riverside Walter Reed Hospital less than 97% of the 34 Virginia hospitals that report inpatient hip or knee replacement.