Williamsburg, VA 23185 · CMS Certification Number 490143. 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 | $14,086 | $41,811 | 3.0× | $11,167 |
| Shoulder replacement | — | — | — | $16,013 |
Complications after hip or knee replacement: 2.5% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 5 of 5 stars. Nonprofit · Acute · 40 beds
Virginia requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Riverside Doctors' Hospital of Williamsburg an average of $14,086 per inpatient hip or knee replacement stay (MS-DRG 470, 44 stays) and $11,167 per outpatient case (APC 5115, 64 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $41,811, 3.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Riverside Doctors' Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,466 by Medicare for a knee replacement (CPT 27447), $5,620 less than an inpatient stay at Riverside Doctors' Hospital of Williamsburg. Not every patient is a surgery-center candidate.
Medicare paid Riverside Doctors' Hospital of Williamsburg less than 59% of the 34 Virginia hospitals that report inpatient hip or knee replacement.