Hip and femur procedures except major joint with major complications in Virginia
What 26 hospitals in Virginia charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.
Average charge
$119,421
Hospital list price billed
Average payment
$23,906
Medicare + patient + other payers
Medicare paid
$20,480
Average per stay
State rank
#21 of 46
1 = lowest average payment
Hospitals in Virginia billed an average of $119,421 for hip and femur procedures except major joint with major complications, about 5.0 times the average total payment of $23,906. That payment is 9% below the U.S. average of $26,284.
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 $23,906Billed $119,421
About 20¢ 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 major 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 | 75 | $82,396 | $27,676 | $23,230 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 52 | $116,642 | $24,702 | $22,290 |
| Riverside Regional Medical CenterNewport News | 43 | $69,041 | $22,482 | $19,693 |
| Carilion Medical CenterRoanoke | 42 | $124,092 | $23,134 | $20,359 |
| Winchester Medical Center INCWinchester | 41 | $61,051 | $23,576 | $21,138 |
| Mary Washington Hospital, INCFredericksburg | 40 | $69,311 | $22,391 | $19,491 |
| University of Virginia Medical CenterCharlottesville | 37 | $129,581 | $40,209 | $27,949 |
| Sentara Virginia Beach General HospitalVirginia Beach | 33 | $116,851 | $22,170 | $20,889 |
| Cjw Medical CenterRichmond | 32 | $359,890 | $21,967 | $17,211 |
| Sentara Leigh HospitalNorfolk | 28 | $85,600 | $22,009 | $16,806 |
| Lewisgale Medical CenterSalem | 26 | $215,508 | $24,484 | $20,758 |
| Inova Loudoun HospitalLeesburg | 25 | $87,011 | $20,786 | $19,471 |
| Sentara Rmh Medical CenterHarrisonburg | 20 | $55,359 | $27,738 | $21,969 |
| Virginia Hospital Center - ArlingtonArlington | 20 | $77,819 | $21,569 | $19,853 |
| Henrico Doctors' HospitalRichmond | 20 | $319,542 | $19,854 | $17,726 |
| Chesapeake General HospitalChesapeake | 19 | $75,042 | $19,319 | $18,030 |
| Sentara Obici HospitalSuffolk | 18 | $84,185 | $19,453 | $18,154 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 17 | $83,371 | $18,048 | $16,705 |
| Augusta HealthFishersville | 15 | $91,676 | $22,951 | $21,391 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 13 | $139,307 | $22,118 | $18,899 |
| Danville Regional Medical CenterDanville | 13 | $139,095 | $21,296 | $18,328 |
| Martha Jefferson HospitalCharlottesville | 12 | $66,778 | $18,725 | $17,016 |
| Bon Secours - St Francis Medical CenterMidlothian | 12 | $127,295 | $21,652 | $19,637 |
| Sentara Norfolk General HospitalNorfolk | 11 | $127,766 | $27,644 | $21,856 |
| Southside Regional Medical CenterPetersburg | 11 | $255,185 | $20,502 | $18,060 |
| Sentara Bayside HospitalVirginia Beach | 11 | $84,625 | $19,456 | $18,243 |
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
| Sentara Williamsburg Regional Medical CenterWilliamsburg, VA | $18,048 |
|---|---|
| Martha Jefferson HospitalCharlottesville, VA | $18,725 |
| Chesapeake General HospitalChesapeake, VA | $19,319 |
| Sentara Obici HospitalSuffolk, VA | $19,453 |
| Sentara Bayside HospitalVirginia Beach, VA | $19,456 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $40,209 |
|---|---|
| Sentara Rmh Medical CenterHarrisonburg, VA | $27,738 |
| Inova Fairfax HospitalFalls Church, VA | $27,676 |
| Sentara Norfolk General HospitalNorfolk, VA | $27,644 |
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $24,702 |
Hip and femur procedures except major joint with major complications in other states
Questions
How much does hip and femur procedures except major joint with major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 26 hospitals in Virginia was billed at $119,421 on average, while the average total payment was $23,906, of which Medicare paid $20,480. 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 5.0 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.