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Raleigh General Hospital: what a joint replacement costs

Beckley, WV 25801 · CMS Certification Number 510070. 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
—
No orthopedic surgery center within 25 miles
Outpatient here
$10,809
Medicare allowed amount, 45 cases, APC 5115
Inpatient here
—
Under 11 stays

Medicare prices at Raleigh General Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement———$10,809
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$15,247$88,4375.8×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$28,543—$10,456–$33,4253
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS (other)$33,425—1
Employee Benefit Consultants$28,543—1
Peia$10,456—1

From the hospital's price-transparency file (2026-07-10); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-07-10); commercial plans, dollar-amount contracts only.

Quality

Overall Care Compare rating: 2 of 5 stars. For-profit · Acute · 300 beds

West Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Raleigh General Hospital for a knee or hip replacement?

The Medicare allowed amount averaged $10,809 per outpatient hip or knee replacement case (APC 5115, 45 cases) in 2024. Inpatient stays were too few to report.

What do commercial insurers pay Raleigh General Hospital 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 $28,543 across 3 insurers, ranging from $10,456 to $33,425.