Hip replacement with principal diagnosis of hip fracture with major complications in Virginia
What 18 hospitals in Virginia charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521), from 2024 Medicare claims.
Average charge
$108,938
Hospital list price billed
Average payment
$22,758
Medicare + patient + other payers
Medicare paid
$19,879
Average per stay
State rank
#15 of 40
1 = lowest average payment
Hospitals in Virginia billed an average of $108,938 for hip replacement with principal diagnosis of hip fracture with major complications, about 4.8 times the average total payment of $22,758. That payment is 12% below the U.S. average of $25,727.
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 $22,758Billed $108,938
About 21¢ was paid for every $1 hospitals in Virginia billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Virginia:
Virginia hospitals: hip replacement with principal diagnosis of hip fracture 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 |
|---|---|---|---|---|
| Carilion Medical CenterRoanoke | 28 | $113,620 | $23,378 | $20,513 |
| Inova Fairfax HospitalFalls Church | 24 | $77,895 | $27,068 | $22,565 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 22 | $85,594 | $22,189 | $20,028 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 22 | $109,705 | $21,424 | $18,700 |
| Winchester Medical Center INCWinchester | 18 | $58,317 | $23,949 | $22,415 |
| Virginia Hospital Center - ArlingtonArlington | 18 | $79,960 | $21,800 | $19,701 |
| Cjw Medical CenterRichmond | 18 | $369,789 | $19,097 | $17,533 |
| Sentara Virginia Beach General HospitalVirginia Beach | 17 | $98,612 | $19,571 | $18,090 |
| Lewisgale Medical CenterSalem | 16 | $206,257 | $24,429 | $21,036 |
| Sentara Bayside HospitalVirginia Beach | 15 | $74,076 | $19,942 | $18,612 |
| University of Virginia Medical CenterCharlottesville | 14 | $109,819 | $37,529 | $28,543 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 14 | $91,286 | $20,358 | $18,816 |
| Martha Jefferson HospitalCharlottesville | 14 | $55,067 | $20,597 | $15,662 |
| Mary Washington Hospital, INCFredericksburg | 13 | $58,720 | $21,030 | $18,968 |
| Sentara Leigh HospitalNorfolk | 12 | $84,221 | $18,781 | $17,792 |
| Riverside Regional Medical CenterNewport News | 12 | $70,434 | $22,041 | $19,148 |
| Inova Fair Oaks HospitalFairfax | 12 | $73,608 | $24,570 | $18,285 |
| Chesapeake General HospitalChesapeake | 11 | $92,017 | $19,714 | $18,827 |
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 Leigh HospitalNorfolk, VA | $18,781 |
|---|---|
| Cjw Medical CenterRichmond, VA | $19,097 |
| Sentara Virginia Beach General HospitalVirginia Beach, VA | $19,571 |
| Chesapeake General HospitalChesapeake, VA | $19,714 |
| Sentara Bayside HospitalVirginia Beach, VA | $19,942 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $37,529 |
|---|---|
| Inova Fairfax HospitalFalls Church, VA | $27,068 |
| Inova Fair Oaks HospitalFairfax, VA | $24,570 |
| Lewisgale Medical CenterSalem, VA | $24,429 |
| Winchester Medical Center INCWinchester, VA | $23,949 |
Hip replacement with principal diagnosis of hip fracture with major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture with major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521) at 18 hospitals in Virginia was billed at $108,938 on average, while the average total payment was $22,758, of which Medicare paid $19,879. 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 4.8 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.