Price AtlasInteractive atlas · All states · techysurgeon.comRiverside Doctors' Hospital of Williamsburg: what a joint replacement costs
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.
Medicare prices at Riverside Doctors' Hospital of Williamsburg
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,086 | $41,811 | 3.0× | $11,167 |
| Shoulder replacement | — | — | — | $16,013 |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $35,824 | 2.5× | $30,372–$40,161 | 5 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $40,161 | 2.9× | 1 |
| Aetna | $36,000 | 2.6× | 1 |
| Sentara Health Plans | $35,824 | 2.5× | 1 |
| Cigna | $35,693 | 2.5× | 1 |
| Elevance/Anthem/Empire | $30,372 | 2.2× | 1 |
From the hospital's price-transparency file (2026-01-02); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-01-02); commercial plans, dollar-amount contracts only.
Quality
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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Questions
How much does Medicare pay Riverside Doctors' Hospital of Williamsburg for a knee or hip replacement?
In 2024 the average total payment to Riverside Doctors' Hospital of Williamsburg for an inpatient hip or knee replacement stay was $14,086 (MS-DRG 470, 44 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,167 per outpatient case (APC 5115, 64 cases).
What is Riverside Doctors' Hospital of Williamsburg's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $41,811, 3.0× 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 Riverside Doctors' Hospital of Williamsburg?
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.
How does Riverside Doctors' Hospital of Williamsburg compare with other Virginia hospitals?
Riverside Doctors' Hospital of Williamsburg's average total payment per Medicare stay is lower than 59% of the 34 Virginia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Riverside Doctors' Hospital of Williamsburg 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 $35,824 across 5 insurers, ranging from $30,372 to $40,161.