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Riverside 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.

Surgery center nearby
$8,466
Riverside Doctors' Surgery Center, same ZIP
Outpatient here
$11,167
64 Medicare cases, APC 5115
Inpatient here
$14,086
44 Medicare stays, MS-DRG 470

Medicare prices at Riverside Doctors' Hospital of Williamsburg

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,086$41,8113.0×$11,167
Shoulder replacement———$16,013

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 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).

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× what Medicare paid. 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?

Medicare paid Riverside Doctors' Hospital of Williamsburg less than 59% of the 34 Virginia hospitals that report inpatient hip or knee replacement.