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Spotsylvania Regional Medical Center: what a joint replacement costs

Fredericksburg, VA 22408 · CMS Certification Number 490141. 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
$9,158
Fredericksburg Ambulatory Surgery Center, LLC, 6.3 mi
Outpatient here
$12,105
Medicare allowed amount, 97 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Spotsylvania Regional Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$12,105
Shoulder replacement————

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$21,233—$15,181–$34,1207
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Sentara Optima Health$34,120—1
Aetna$32,374—1
Cigna$25,224—1
Elevance/Anthem/Empire$21,233—1
Bright Health$17,592—1
Virginia Premier Health$15,485—1
UnitedHealthcare$15,181—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: 3 of 5 stars. For-profit · Acute · 126 beds

Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Spotsylvania Regional Medical Center for a knee or hip replacement?

The Medicare allowed amount averaged $12,105 per outpatient hip or knee replacement case (APC 5115, 97 cases) in 2024. Inpatient stays were too few to report.

Is a knee replacement cheaper at a surgery center near Spotsylvania Regional Medical Center?

Yes for Medicare facility payments. Fredericksburg Ambulatory Surgery Center, LLC, an orthopedic surgery center 6.3 mi away, is paid about $9,158 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.

What do commercial insurers pay Spotsylvania Regional 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 $21,233 across 7 insurers, ranging from $15,181 to $34,120.