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Bon Secours St Francis Medical Center: what a joint replacement costs

Midlothian, VA 23114 · CMS Certification Number 490136. 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
$8,665
Stony Point Surgery Center, LLC, 5.7 mi
Outpatient here
$11,347
Medicare allowed amount, 294 cases, APC 5115
Inpatient here
$13,995
Avg total payment (incl. patient share), 27 Medicare stays, MS-DRG 470

Medicare prices at Bon Secours St Francis Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,995$97,9487.0×$11,347
Shoulder replacement———$15,836
Hip replacement after a fracture (DRG 522)$16,069$88,0915.5×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$45,3773.2×$44,837–$49,7685
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Aetna$49,7683.6×1
Cigna$46,4103.3×1
BCBS (other)$45,3773.2×1
Elevance/Anthem/Empire$45,3773.2×1
UnitedHealthcare$44,8373.2×1

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

Complications after hip or knee replacement: 4% (no different from the national rate). Readmissions: 7.1%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 130 beds

Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Bon Secours St Francis Medical Center for a knee or hip replacement?

In 2024 the average total payment to Bon Secours St Francis Medical Center for an inpatient hip or knee replacement stay was $13,995 (MS-DRG 470, 27 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,347 per outpatient case (APC 5115, 294 cases).

What is Bon Secours St Francis Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $97,948, 7.0× the average total payment for a Medicare stay. 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 Bon Secours St Francis Medical Center?

Yes for Medicare facility payments. Stony Point Surgery Center, LLC, an orthopedic surgery center 5.7 mi away, is paid about $8,665 by Medicare for a knee replacement (CPT 27447), $5,330 less than an inpatient stay at Bon Secours St Francis Medical Center. Not every patient is a surgery-center candidate.

How does Bon Secours St Francis Medical Center compare with other Virginia hospitals?

Bon Secours St Francis Medical Center's average total payment per Medicare stay is lower than 68% of the 34 Virginia hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Bon Secours St Francis Medical Center 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 $45,377 across 5 insurers, ranging from $44,837 to $49,768.