Summary

12 facilities within 25 miles of Richmond publish prices for Total Shoulder Replacement. Cash prices range from $65,328 to $68,259 — a 1.0x difference for an identical procedure. The Virginia average is $51,728.

$65,328 lowest
$68,259 highest
Best Value

Bon Secours Memorial Regional Medical Center

Mechanicsville, VA · Bon Secours Mercy Health · 0.2 mi

$68,259 Cash price
4/5 CMS rating
65.0% Patient satisfaction

Lowest price among hospitals rated 4 stars or above. Patient satisfaction: 65%. Cash price of $68,259 is near the statewide average of $51,728.

All facilities ranked by price

1
Bon Secours St Marys Hospital 3★ · 0.0 mi · Nonprofit
$65,328
2
Bon Secours St Francis Medical Center 3★ · 0.2 mi · Nonprofit
$68,099
3
Bon Secours Memorial Regional Medical Center 4★ · 0.2 mi · Nonprofit
$68,259
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Bon Secours St Marys Hospital Bon Secours Mercy Health Richmond, VA · 0.0 mi $65,328 $108,880 1.67x 3/5 66.0% Nonprofit
2 Bon Secours St Francis Medical Center Bon Secours Mercy Health Midlothian, VA · 0.2 mi $68,099 $113,498 1.67x 3/5 71.0% Nonprofit
3 Bon Secours Memorial Regional Medical Center Bon Secours Mercy Health Mechanicsville, VA · 0.2 mi $68,259 $113,764 1.67x 4/5 65.0% Nonprofit
4 Sentara Williamsburg Regional Medical Center Sentara Health Williamsburg, VA · 0.2 mi 4/5 79.0% Nonprofit
5 Riverside Walter Reed Hospital Riverside Health System Gloucester, VA · 0.2 mi 4/5 77.0% Nonprofit
6 Riverside Doctors' Hospital of Williamsburg Riverside Health System Williamsburg, VA · 0.2 mi 4/5 76.0% Nonprofit
7 Medical College of Virginia Hospitals VCU Health Richmond, VA · 0.0 mi 4/5 74.0% Local government
8 CJW Medical Center Richmond, VA · 0.0 mi 4/5 64.0% For-profit
9 Stafford Hospital, LLC Stafford, VA · 0.2 mi 3/5 70.0% Nonprofit
10 Henrico Doctors' Hospital HCA Virginia Richmond, VA · 0.0 mi 3/5 69.0% Nonprofit
11 Spotsylvania Regional Medical Center HCA Virginia Fredericksburg, VA · 0.2 mi 3/5 61.0% For-profit
12 Mary Washington Hospital Mary Washington Healthcare Fredericksburg, VA · 0.2 mi 2/5 61.0% Nonprofit

Insurance negotiated rates by facility

The rates below are what each insurer has contractually agreed to pay this hospital for Total Shoulder Replacement. Your actual out-of-pocket cost depends on your deductible status and copay structure.

Bon Secours St Marys Hospital

Cash: $65,328
Insurance Plan Negotiated Rate vs Cash
Aetna $17,591 -$47,737
UnitedHealthcare $17,591 -$47,737
Aetna $17,591 -$47,737
UnitedHealthcare $17,591 -$47,737
UnitedHealthcare $17,591 -$47,737
Humana $17,943 -$47,385
Humana $17,943 -$47,385

Bon Secours St Francis Medical Center

Cash: $68,099
Insurance Plan Negotiated Rate vs Cash
UnitedHealthcare $17,107 -$50,991
Aetna $17,107 -$50,991
UnitedHealthcare $17,107 -$50,991
UnitedHealthcare $17,107 -$50,991
Humana $17,107 -$50,991
Aetna $17,107 -$50,991
Humana $17,450 -$50,649

Bon Secours Memorial Regional Medical Center

Cash: $68,259
Insurance Plan Negotiated Rate vs Cash
UnitedHealthcare $17,591 -$50,668
Aetna $17,591 -$50,668
UnitedHealthcare $17,591 -$50,668
Aetna $17,591 -$50,668
UnitedHealthcare $17,591 -$50,668
Humana $17,943 -$50,316

Sentara Williamsburg Regional Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Sentara Health Plan Medicare Managed Care Plan $17,450
Humana Medicare Managed Care Plan $17,621
Anthem Anthem Medicare Managed Care Plan $17,920
UnitedHealthcare Dsnp Medicare Managed Care Plan $17,963
UnitedHealthcare All Commercial Plans $31,849
UnitedHealthcare Options Ppo $35,289
Anthem Anthem Exchange $57,773
Anthem Anthem Hmo $61,790
Anthem Anthem Ppo $64,365

Riverside Walter Reed Hospital

Cash: N/A
Insurance Plan Negotiated Rate
Aetna All Commerical Products $8,442
Humana Tricare $10,595
Johns Hopkins Health Plan Tricare $11,516
Molina Medicare Advantage $12,286
Veterans Administration Veterans Administration $12,286
UnitedHealthcare Medicare Advantage $12,531
Aetna Medicare Advantage $12,654
Anthem Medicare Advantage $12,654
Humana Medicare Advantage $12,654
Aetna Managed Medicaid $12,734
Molina Managed Medicaid $12,734
UnitedHealthcare Managed Medicaid $12,734
Sentara Health Plans Medicare Advantage $12,900
Sentara Health Plans Managed Medicaid $13,055
Humana Managed Medicaid $13,371

2 additional plans not shown.

Riverside Doctors' Hospital of Williamsburg

Cash: N/A
Insurance Plan Negotiated Rate
Humana Tricare $10,595
Johns Hopkins Health Plan Tricare $11,516
Veterans Administration Veterans Administration $12,286
UnitedHealthcare Medicare Advantage $12,531
Aetna Medicare Advantage $12,654
Anthem Medicare Advantage $12,654
Humana Medicare Advantage $12,654
Aetna Managed Medicaid $12,734
Anthem Managed Medicaid $12,734
UnitedHealthcare Managed Medicaid $12,734
Sentara Health Plans Medicare Advantage $12,900
Sentara Health Plans Managed Medicaid $13,055
Humana Managed Medicaid $13,371
UnitedHealthcare Non-Options Products $22,621
Anthem HMO Products $37,933

1 additional plans not shown.

Medical College of Virginia Hospitals

Cash: N/A
Insurance Plan Negotiated Rate
Aetna MEDICARE ADVANTAGE $12,286
Anthem MEDICARE ADVANTAGE $12,286
Cigna MEDICARE ADVANTAGE $12,408
SENTARA MEDICARE ADVANTAGE $12,433
CLEAR SPRING MEDICARE ADVANTAGE $12,591
MOLINA MEDICARE ADVANTAGE $12,591
UnitedHealthcare MEDICARE ADVANTAGE DSNP $12,777
Humana MEDICARE ADVANTAGE $12,900
Anthem MANAGED MEDICAID $13,786
SENTARA MANAGED MEDICAID $13,786
Aetna MANAGED MEDICAID $13,924
UnitedHealthcare MANAGED MEDICAID $14,062
MOLINA MANAGED MEDICAID $14,476

CJW Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Universal Healthcare Group MCR $4,250
Lifeworks MCR $4,950
Bright Health COMM $10,932
Oscar COMM $12,499
Humana MCR $14,000
Aetna SharedSavings $19,878
UnitedHealthcare NavigateCorePayer $20,288
Anthem HIX $21,838
Devoted MCR $21,989
Cigna IFP $23,272
Anthem HPN $27,712
Optima Health HMO $29,307
Optima Health POS $29,307
Optima Health PPO $29,307
Anthem HMO $30,039

7 additional plans not shown.

Henrico Doctors' Hospital

Cash: N/A
Insurance Plan Negotiated Rate
Universal Healthcare Group MCR $4,250
Lifeworks MCR $4,950
Bright Health COMM $10,932
Oscar COMM $12,499
Humana MCR $14,000
Aetna SharedSavings $19,878
UnitedHealthcare NavigateCorePayer $20,288
Devoted MCR $21,989
Anthem HIX $22,046
Cigna IFP $23,272
Anthem HPN $27,975
Optima Health HMO $29,307
Optima Health POS $29,307
Optima Health PPO $29,307
Anthem HMO $30,324

7 additional plans not shown.

Spotsylvania Regional Medical Center

Cash: N/A
Insurance Plan Negotiated Rate
Lifeworks MCR $4,950
Bright Health COMM $10,932
Humana MCR $14,000
Cigna IFP $20,608
Anthem HIX $21,033
Devoted MCR $22,675
UnitedHealthcare AllPayerAppendix $26,488
Anthem HMO $28,931
Anthem HPN $28,931
Anthem PPO $28,931
Optima Health HMO $29,307
Optima Health POS $29,307
Optima Health PPO $29,307
Cigna HMO $32,105
Cigna PPO $32,105

1 additional plans not shown.

Before you call

The data in this report is from each hospital's publicly filed prices. Here's how to use it.

Confirm the price

Call the hospital's billing department and ask for a price estimate or Good Faith Estimate for Total Shoulder Replacement (CPT 23472). Under federal law, they must provide this. Compare it to the published price in this report.

Ask about cash pay

If you haven't met your deductible, ask for the cash/self-pay rate. At many hospitals, the cash price is lower than the insurance-negotiated rate. You can see this in the insurance table above — some negotiated rates exceed the cash price.

Compare before you schedule

You are not required to use the facility your doctor referred you to. You can request a referral to any in-network facility. The same procedure, same quality — sometimes at a fraction of the price.

Ask about financial help

Most nonprofit hospitals in Virginia offer financial assistance to patients based on household income. This is separate from insurance — even insured patients can qualify. Ask billing for their Financial Assistance Policy.

Financial assistance by facility

Nonprofit hospitals are legally required to have financial assistance programs. Below is what we know about each facility's charitable care.

Facility Status Charity Care Provided How to Apply
Bon Secours St Marys Hospital Nonprofit Call billing, request Financial Assistance application
Bon Secours St Francis Medical Center Nonprofit Call billing, request Financial Assistance application
Bon Secours Memorial Regional Medical Center Nonprofit Call billing, request Financial Assistance application
Sentara Williamsburg Regional Medical Center Nonprofit Call billing, request Financial Assistance application
Riverside Walter Reed Hospital Nonprofit Call billing, request Financial Assistance application
Riverside Doctors' Hospital of Williamsburg Nonprofit Call billing, request Financial Assistance application
Medical College of Virginia Hospitals Local government N/A (for-profit)
CJW Medical Center For-profit N/A (for-profit)
Stafford Hospital, LLC Nonprofit Call billing, request Financial Assistance application
Henrico Doctors' Hospital Nonprofit Call billing, request Financial Assistance application
Spotsylvania Regional Medical Center For-profit N/A (for-profit)
Mary Washington Hospital Nonprofit Call billing, request Financial Assistance application

What to do next

  1. Identify your top 2-3 facilities based on price, quality rating, and distance. The data in this report shows that lower price does not mean lower quality — check the star ratings.
  2. Call billing before you schedule. Confirm the published price. Ask for a Good Faith Estimate. Ask whether there's a prompt-pay or cash-pay discount beyond the listed rate.
  3. Check your deductible status. If you haven't met your deductible, compare the cash rate to what you'd owe through insurance. In some cases, paying cash is cheaper than using your plan.
  4. Apply for financial assistance if your household income is under $60,000-$125,000 (thresholds vary). Most eligible patients never apply because they don't know the program exists.
  5. Get everything in writing. Before your procedure, get a written price estimate. After, review the bill line by line. Roughly 80% of hospital bills contain errors (Becker's Hospital Review).

Data sources

Hospital prices
Published machine-readable files, required under CMS Hospital Price Transparency Rule (45 CFR Part 180)
Quality ratings
CMS Hospital Compare, updated quarterly
Patient satisfaction
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
Financial data
CMS Cost Reports (charity care, revenue) and IRS 990 filings (officer compensation)

This report is for informational purposes only. It is not medical advice. Every price shown is a price a hospital published — not an estimate. Actual out-of-pocket costs depend on your insurance plan, deductible status, and clinical circumstances. Consult your healthcare provider and insurer before making decisions.