Hip replacement with principal diagnosis of hip fracture without major complications in Virginia
What 43 hospitals in Virginia charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.
Average charge
$96,641
Hospital list price billed
Average payment
$16,859
Medicare + patient + other payers
Medicare paid
$14,124
Average per stay
State rank
#16 of 50
1 = lowest average payment
Hospitals in Virginia billed an average of $96,641 for hip replacement with principal diagnosis of hip fracture without major complications, about 5.7 times the average total payment of $16,859. That payment is 8% below the U.S. average of $18,301.
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 $16,859Billed $96,641
About 17¢ 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 without 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 | 99 | $83,133 | $16,484 | $14,300 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 76 | $74,841 | $16,258 | $13,770 |
| Inova Fairfax HospitalFalls Church | 56 | $64,525 | $21,453 | $16,491 |
| Cjw Medical CenterRichmond | 55 | $326,673 | $14,788 | $12,641 |
| Henrico Doctors' HospitalRichmond | 55 | $264,407 | $14,761 | $12,790 |
| Riverside Regional Medical CenterNewport News | 50 | $54,670 | $16,760 | $13,304 |
| Winchester Medical Center INCWinchester | 48 | $41,032 | $17,542 | $15,186 |
| University of Virginia Medical CenterCharlottesville | 44 | $84,541 | $27,179 | $20,766 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 44 | $89,043 | $15,360 | $13,002 |
| Augusta HealthFishersville | 43 | $81,007 | $16,800 | $14,313 |
| Mary Washington Hospital, INCFredericksburg | 43 | $41,488 | $16,118 | $13,695 |
| Inova Loudoun HospitalLeesburg | 42 | $65,343 | $16,187 | $13,820 |
| Virginia Hospital Center - ArlingtonArlington | 40 | $66,666 | $16,168 | $14,101 |
| Martha Jefferson HospitalCharlottesville | 37 | $49,259 | $13,529 | $11,998 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 35 | $98,357 | $15,534 | $13,842 |
| Lewisgale Medical CenterSalem | 34 | $164,522 | $18,071 | $14,680 |
| Sentara Virginia Beach General HospitalVirginia Beach | 34 | $73,232 | $14,548 | $12,984 |
| Danville Regional Medical CenterDanville | 33 | $128,876 | $16,949 | $14,545 |
| Inova Mount Vernon HospitalAlexandria | 32 | $69,164 | $16,176 | $14,575 |
| Sentara Leigh HospitalNorfolk | 29 | $61,113 | $14,005 | $12,558 |
| Bon Secours - St Francis Medical CenterMidlothian | 29 | $88,091 | $16,069 | $14,022 |
| Sentara Rmh Medical CenterHarrisonburg | 28 | $47,684 | $17,888 | $15,943 |
| Reston Hospital CenterReston | 26 | $121,271 | $15,823 | $13,189 |
| Sentara Norfolk General HospitalNorfolk | 24 | $84,445 | $20,359 | $15,825 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 24 | $63,817 | $13,692 | $12,266 |
| Sentara Bayside HospitalVirginia Beach | 24 | $58,052 | $17,713 | $11,450 |
| Montgomery Regional HospitalBlacksburg | 23 | $172,818 | $18,357 | $15,426 |
| Inova Alexandria HospitalAlexandria | 22 | $59,083 | $16,492 | $15,047 |
| Johnston Memorial HospitalAbingdon | 22 | $101,378 | $17,581 | $13,900 |
| Chesapeake General HospitalChesapeake | 22 | $70,030 | $14,517 | $13,035 |
| UVA Health Haymarket Medical CenterHaymarket | 20 | $72,078 | $14,190 | $12,640 |
| Culpeper Regional HospitalCulpeper | 19 | $62,190 | $16,651 | $15,020 |
| Southside Regional Medical CenterPetersburg | 19 | $173,129 | $14,813 | $13,030 |
| Sentara Obici HospitalSuffolk | 18 | $63,574 | $13,710 | $12,243 |
| Inova Fair Oaks HospitalFairfax | 18 | $57,114 | $16,432 | $13,601 |
| Medical College of Virginia HospitalsRichmond | 16 | $137,238 | $27,279 | $15,396 |
| Bon Secours - Maryview Medical CenterPortsmouth | 14 | $79,980 | $16,352 | $14,233 |
| Carilion New River Vly Med CtrChristiansburg | 14 | $89,710 | $20,145 | $13,562 |
| Prince William HospitalManassas | 13 | $64,218 | $18,358 | $13,761 |
| Sentara Careplex HospitalHampton | 13 | $55,030 | $14,837 | $13,205 |
| Warren Memorial HospitalFront Royal | 12 | $43,789 | $19,586 | $17,171 |
| The Fauquier Hospital, INCWarrenton | 11 | $121,385 | $14,432 | $12,800 |
| Sentara Northern Virginia Medical CenterWoodbridge | 11 | $67,354 | $16,440 | $14,956 |
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
| Martha Jefferson HospitalCharlottesville, VA | $13,529 |
|---|---|
| Sentara Williamsburg Regional Medical CenterWilliamsburg, VA | $13,692 |
| Sentara Obici HospitalSuffolk, VA | $13,710 |
| Sentara Leigh HospitalNorfolk, VA | $14,005 |
| UVA Health Haymarket Medical CenterHaymarket, VA | $14,190 |
Highest
| Medical College of Virginia HospitalsRichmond, VA | $27,279 |
|---|---|
| University of Virginia Medical CenterCharlottesville, VA | $27,179 |
| Inova Fairfax HospitalFalls Church, VA | $21,453 |
| Sentara Norfolk General HospitalNorfolk, VA | $20,359 |
| Carilion New River Vly Med CtrChristiansburg, VA | $20,145 |
Hip replacement with principal diagnosis of hip fracture without major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 43 hospitals in Virginia was billed at $96,641 on average, while the average total payment was $16,859, of which Medicare paid $14,124. 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 5.7 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.