Hip and femur procedures except major joint without complications in Virginia
What 13 hospitals in Virginia charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint without complications (DRG 482), from 2024 Medicare claims.
Average charge
$92,558
Hospital list price billed
Average payment
$13,660
Medicare + patient + other payers
Medicare paid
$10,498
Average per stay
State rank
#23 of 36
1 = lowest average payment
Hospitals in Virginia billed an average of $92,558 for hip and femur procedures except major joint without complications, about 6.8 times the average total payment of $13,660. That payment is 4% below the U.S. average of $14,276.
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 $13,660Billed $92,558
About 15¢ 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 without 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 |
|---|---|---|---|---|
| Carilion Medical CenterRoanoke | 24 | $68,536 | $14,343 | $10,164 |
| University of Virginia Medical CenterCharlottesville | 20 | $69,130 | $21,027 | $15,499 |
| Winchester Medical Center INCWinchester | 18 | $32,987 | $13,879 | $10,473 |
| Cjw Medical CenterRichmond | 17 | $237,550 | $10,636 | $9,080 |
| Reston Hospital CenterReston | 16 | $85,288 | $11,811 | $10,176 |
| Augusta HealthFishersville | 15 | $71,709 | $13,951 | $9,993 |
| Lewisgale Medical CenterSalem | 15 | $128,443 | $14,961 | $9,983 |
| Virginia Hospital Center - ArlingtonArlington | 15 | $44,647 | $12,529 | $10,602 |
| Danville Regional Medical CenterDanville | 15 | $96,328 | $12,652 | $10,477 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 14 | $70,185 | $11,761 | $10,075 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 12 | $58,522 | $11,963 | $9,952 |
| Henrico Doctors' HospitalRichmond | 12 | $187,850 | $11,176 | $9,150 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 11 | $72,890 | $13,494 | $8,720 |
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
| Cjw Medical CenterRichmond, VA | $10,636 |
|---|---|
| Henrico Doctors' HospitalRichmond, VA | $11,176 |
| Bon Secours - St Marys Hospital of RichmondRichmond, VA | $11,761 |
| Reston Hospital CenterReston, VA | $11,811 |
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $11,963 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $21,027 |
|---|---|
| Lewisgale Medical CenterSalem, VA | $14,961 |
| Carilion Medical CenterRoanoke, VA | $14,343 |
| Augusta HealthFishersville, VA | $13,951 |
| Winchester Medical Center INCWinchester, VA | $13,879 |
Hip and femur procedures except major joint without complications in other states
Questions
How much does hip and femur procedures except major joint without complications cost in Virginia?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint without complications (DRG 482) at 13 hospitals in Virginia was billed at $92,558 on average, while the average total payment was $13,660, of which Medicare paid $10,498. 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 6.8 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.