Major hip and knee joint replacement or reattachment of lower extremity without major complications in Virginia
What 34 hospitals in Virginia charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.
Average charge
$108,341
Hospital list price billed
Average payment
$15,613
Medicare + patient + other payers
Medicare paid
$12,415
Average per stay
State rank
#27 of 48
1 = lowest average payment
Hospitals in Virginia billed an average of $108,341 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 6.9 times the average total payment of $15,613. That payment is 10% below the U.S. average of $17,318.
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 $15,613Billed $108,341
About 14¢ 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: major hip and knee joint replacement or reattachment of lower extremity 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 |
|---|---|---|---|---|
| Cjw Medical CenterRichmond | 108 | $312,023 | $13,531 | $11,258 |
| Winchester Medical Center INCWinchester | 85 | $38,953 | $15,714 | $12,779 |
| University of Virginia Medical CenterCharlottesville | 74 | $67,781 | $24,333 | $17,471 |
| Medical College of Virginia HospitalsRichmond | 74 | $86,175 | $20,543 | $15,598 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 72 | $104,299 | $14,111 | $12,467 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 59 | $83,842 | $14,924 | $11,804 |
| Reston Hospital CenterReston | 47 | $118,059 | $15,125 | $11,955 |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg | 44 | $41,811 | $14,086 | $8,318 |
| The Fauquier Hospital, INCWarrenton | 41 | $113,941 | $13,482 | $12,049 |
| Henrico Doctors' HospitalRichmond | 39 | $308,171 | $13,850 | $11,113 |
| Sentara Leigh HospitalNorfolk | 37 | $54,979 | $13,976 | $11,646 |
| Stonesprings Hospital CenterDulles | 35 | $114,985 | $15,958 | $11,527 |
| Inova Alexandria HospitalAlexandria | 34 | $52,181 | $15,691 | $12,930 |
| Lewisgale Medical CenterSalem | 33 | $196,582 | $16,652 | $12,747 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 32 | $97,179 | $15,133 | $11,847 |
| Riverside Walter Reed HospitalGloucester | 29 | $41,246 | $12,729 | $10,306 |
| Bon Secours - St Francis Medical CenterMidlothian | 27 | $97,948 | $13,995 | $12,229 |
| Virginia Hospital Center - ArlingtonArlington | 26 | $68,746 | $15,328 | $11,731 |
| Sentara Virginia Beach General HospitalVirginia Beach | 24 | $67,784 | $13,000 | $11,486 |
| Chesapeake General HospitalChesapeake | 24 | $65,126 | $13,635 | $10,988 |
| Carilion Medical CenterRoanoke | 23 | $96,718 | $14,985 | $12,963 |
| Augusta HealthFishersville | 22 | $89,738 | $17,894 | $11,324 |
| Mary Immaculate HospitalNewport News | 22 | $87,028 | $13,161 | $11,677 |
| Martha Jefferson HospitalCharlottesville | 22 | $41,178 | $13,484 | $10,195 |
| Sentara Rmh Medical CenterHarrisonburg | 20 | $45,221 | $15,874 | $13,988 |
| Inova Mount Vernon HospitalAlexandria | 20 | $66,190 | $15,385 | $13,885 |
| Mary Washington Hospital, INCFredericksburg | 19 | $38,889 | $15,071 | $11,803 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 18 | $52,734 | $16,577 | $9,497 |
| Inova Fair Oaks HospitalFairfax | 17 | $52,541 | $14,251 | $12,619 |
| Sentara Obici HospitalSuffolk | 16 | $61,180 | $13,089 | $11,547 |
| Montgomery Regional HospitalBlacksburg | 15 | $236,696 | $16,184 | $13,752 |
| Warren Memorial HospitalFront Royal | 13 | $46,004 | $17,389 | $15,217 |
| Inova Loudoun HospitalLeesburg | 13 | $53,699 | $14,019 | $12,511 |
| Sentara Careplex HospitalHampton | 11 | $57,166 | $14,084 | $13,046 |
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
| Riverside Walter Reed HospitalGloucester, VA | $12,729 |
|---|---|
| Sentara Virginia Beach General HospitalVirginia Beach, VA | $13,000 |
| Sentara Obici HospitalSuffolk, VA | $13,089 |
| Mary Immaculate HospitalNewport News, VA | $13,161 |
| The Fauquier Hospital, INCWarrenton, VA | $13,482 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $24,333 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $20,543 |
| Augusta HealthFishersville, VA | $17,894 |
| Warren Memorial HospitalFront Royal, VA | $17,389 |
| Lewisgale Medical CenterSalem, VA | $16,652 |
Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states
Questions
How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 34 hospitals in Virginia was billed at $108,341 on average, while the average total payment was $15,613, of which Medicare paid $12,415. 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 6.9 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.