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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,729 | $41,246 | 3.2× | $11,318 |
| Shoulder replacement | — | — | — | $16,013 |
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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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).
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.
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.
Medicare paid Riverside Walter Reed Hospital less than 97% of the 34 Virginia hospitals that report inpatient hip or knee replacement.