Hip and femur procedures except major joint with complications in Virginia
What 44 hospitals in Virginia charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.
Average charge
$91,235
Hospital list price billed
Average payment
$16,709
Medicare + patient + other payers
Medicare paid
$13,875
Average per stay
State rank
#17 of 50
1 = lowest average payment
Hospitals in Virginia billed an average of $91,235 for hip and femur procedures except major joint with complications, about 5.5 times the average total payment of $16,709. That payment is 10% below the U.S. average of $18,473.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $16,709Billed $91,235
About 18¢ was paid for every $1 hospitals in Virginia billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Virginia:
Virginia hospitals: hip and femur procedures except major joint with complications
Every Virginia hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Inova Fairfax HospitalFalls Church | 177 | $57,741 | $19,283 | $15,113 |
| Carilion Medical CenterRoanoke | 148 | $80,070 | $16,730 | $13,959 |
| Riverside Regional Medical CenterNewport News | 124 | $52,175 | $16,424 | $13,370 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 113 | $73,475 | $15,745 | $13,820 |
| Winchester Medical Center INCWinchester | 90 | $42,580 | $17,127 | $14,905 |
| Cjw Medical CenterRichmond | 80 | $301,066 | $14,273 | $12,801 |
| Henrico Doctors' HospitalRichmond | 74 | $239,218 | $15,158 | $12,180 |
| Mary Washington Hospital, INCFredericksburg | 70 | $42,739 | $15,287 | $13,662 |
| Inova Loudoun HospitalLeesburg | 70 | $58,833 | $15,261 | $13,290 |
| Virginia Hospital Center - ArlingtonArlington | 70 | $54,958 | $16,030 | $13,507 |
| Lewisgale Medical CenterSalem | 68 | $176,254 | $18,212 | $14,023 |
| Augusta HealthFishersville | 57 | $79,345 | $16,092 | $14,478 |
| University of Virginia Medical CenterCharlottesville | 56 | $89,606 | $26,907 | $20,225 |
| Sentara Virginia Beach General HospitalVirginia Beach | 53 | $78,796 | $14,337 | $12,822 |
| Danville Regional Medical CenterDanville | 51 | $121,978 | $16,262 | $13,463 |
| Sentara Leigh HospitalNorfolk | 46 | $61,086 | $14,361 | $12,832 |
| Sentara Rmh Medical CenterHarrisonburg | 45 | $45,562 | $17,529 | $15,919 |
| Sentara Norfolk General HospitalNorfolk | 41 | $95,218 | $20,732 | $15,327 |
| Sentara Obici HospitalSuffolk | 40 | $62,847 | $14,266 | $11,889 |
| Reston Hospital CenterReston | 40 | $126,008 | $15,096 | $13,463 |
| Martha Jefferson HospitalCharlottesville | 39 | $43,593 | $13,603 | $11,211 |
| Chesapeake General HospitalChesapeake | 39 | $57,722 | $14,192 | $12,727 |
| Medical College of Virginia HospitalsRichmond | 38 | $146,494 | $25,867 | $18,018 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 36 | $70,124 | $13,499 | $12,232 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 36 | $84,642 | $15,917 | $12,196 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 33 | $82,841 | $15,155 | $13,483 |
| Bon Secours - St Francis Medical CenterMidlothian | 32 | $103,151 | $15,515 | $13,594 |
| Sentara Bayside HospitalVirginia Beach | 29 | $62,954 | $15,853 | $11,924 |
| Inova Fair Oaks HospitalFairfax | 28 | $55,963 | $16,211 | $13,472 |
| Carilion New River Vly Med CtrChristiansburg | 26 | $89,527 | $17,720 | $13,731 |
| Southside Regional Medical CenterPetersburg | 26 | $162,987 | $14,542 | $12,546 |
| Culpeper Regional HospitalCulpeper | 21 | $68,486 | $20,440 | $13,809 |
| Inova Alexandria HospitalAlexandria | 21 | $47,613 | $17,155 | $13,813 |
| Johnston Memorial HospitalAbingdon | 20 | $82,091 | $17,470 | $13,141 |
| Bon Secours - Maryview Medical CenterPortsmouth | 19 | $95,917 | $18,224 | $15,950 |
| Sentara Careplex HospitalHampton | 19 | $55,657 | $14,654 | $13,024 |
| The Fauquier Hospital, INCWarrenton | 16 | $103,582 | $13,451 | $12,127 |
| Inova Mount Vernon HospitalAlexandria | 16 | $63,172 | $15,823 | $14,228 |
| UVA Health Haymarket Medical CenterHaymarket | 16 | $56,725 | $14,935 | $11,441 |
| John Randolph Medical CenterHopewell | 14 | $210,001 | $14,963 | $11,067 |
| Sentara Northern Virginia Medical CenterWoodbridge | 14 | $64,689 | $16,225 | $14,945 |
| Halifax Regional HospitalSouth Boston | 12 | $68,219 | $15,131 | $14,043 |
| Montgomery Regional HospitalBlacksburg | 12 | $140,360 | $18,360 | $15,155 |
| Prince William HospitalManassas | 11 | $62,596 | $15,875 | $14,515 |
Lowest and highest payments in Virginia
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| The Fauquier Hospital, INCWarrenton, VA | $13,451 |
|---|---|
| Sentara Williamsburg Regional Medical CenterWilliamsburg, VA | $13,499 |
| Martha Jefferson HospitalCharlottesville, VA | $13,603 |
| Chesapeake General HospitalChesapeake, VA | $14,192 |
| Sentara Obici HospitalSuffolk, VA | $14,266 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $26,907 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $25,867 |
| Sentara Norfolk General HospitalNorfolk, VA | $20,732 |
| Culpeper Regional HospitalCulpeper, VA | $20,440 |
| Inova Fairfax HospitalFalls Church, VA | $19,283 |
Hip and femur procedures except major joint with complications in other states
Questions
How much does hip and femur procedures except major joint with complications cost in Virginia?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 44 hospitals in Virginia was billed at $91,235 on average, while the average total payment was $16,709, of which Medicare paid $13,875. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Virginia, average charges were 5.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.