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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,995 | $97,948 | 7.0× | $11,347 |
| Shoulder replacement | — | — | — | $15,836 |
| Hip replacement after a fracture (DRG 522) | $16,069 | $88,091 | 5.5× | — |
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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In 2024 Medicare paid Bon Secours St Francis Medical Center an average of $13,995 per inpatient hip or knee replacement stay (MS-DRG 470, 27 stays) and $11,347 per outpatient case (APC 5115, 294 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $97,948, 7.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
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.
Medicare paid Bon Secours St Francis Medical Center less than 68% of the 34 Virginia hospitals that report inpatient hip or knee replacement.