Revision of hip or knee replacement with complications in Virginia
What 21 hospitals in Virginia charged and were paid for a Medicare hospital stay for revision of hip or knee replacement with complications (DRG 467), from 2024 Medicare claims.
Average charge
$166,892
Hospital list price billed
Average payment
$27,282
Medicare + patient + other payers
Medicare paid
$23,459
Average per stay
State rank
#16 of 41
1 = lowest average payment
Hospitals in Virginia billed an average of $166,892 for revision of hip or knee replacement with complications, about 6.1 times the average total payment of $27,282. That payment is 11% below the U.S. average of $30,673.
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 $27,282Billed $166,892
About 16¢ 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: revision of hip or knee replacement with 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 |
|---|---|---|---|---|
| Medical College of Virginia HospitalsRichmond | 44 | $162,978 | $36,889 | $27,404 |
| Inova Mount Vernon HospitalAlexandria | 43 | $96,498 | $28,942 | $23,428 |
| University of Virginia Medical CenterCharlottesville | 34 | $124,482 | $39,701 | $32,724 |
| Sentara Leigh HospitalNorfolk | 33 | $76,712 | $21,413 | $19,902 |
| Carilion Medical CenterRoanoke | 27 | $164,426 | $25,945 | $23,840 |
| Cjw Medical CenterRichmond | 26 | $551,414 | $23,524 | $22,168 |
| Reston Hospital CenterReston | 23 | $173,101 | $24,855 | $22,640 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 21 | $138,320 | $26,173 | $24,441 |
| Mary Washington Hospital, INCFredericksburg | 20 | $73,999 | $20,866 | $19,219 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 19 | $189,766 | $25,771 | $23,347 |
| Henrico Doctors' HospitalRichmond | 18 | $490,623 | $25,341 | $23,464 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 17 | $176,661 | $27,279 | $23,380 |
| Mary Immaculate HospitalNewport News | 16 | $151,414 | $24,088 | $22,762 |
| Stonesprings Hospital CenterDulles | 16 | $155,426 | $24,207 | $23,085 |
| Chesapeake General HospitalChesapeake | 15 | $94,013 | $21,670 | $20,473 |
| Inova Fair Oaks HospitalFairfax | 13 | $107,410 | $35,789 | $22,216 |
| Sentara Obici HospitalSuffolk | 11 | $110,290 | $22,902 | $21,697 |
| Virginia Hospital Center - ArlingtonArlington | 11 | $85,034 | $25,878 | $21,279 |
| Sentara Virginia Beach General HospitalVirginia Beach | 11 | $97,583 | $23,552 | $18,734 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 11 | $93,315 | $22,165 | $20,681 |
| Martha Jefferson HospitalCharlottesville | 11 | $72,875 | $19,761 | $18,333 |
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 | $19,761 |
|---|---|
| Mary Washington Hospital, INCFredericksburg, VA | $20,866 |
| Sentara Leigh HospitalNorfolk, VA | $21,413 |
| Chesapeake General HospitalChesapeake, VA | $21,670 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg, VA | $22,165 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $39,701 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $36,889 |
| Inova Fair Oaks HospitalFairfax, VA | $35,789 |
| Inova Mount Vernon HospitalAlexandria, VA | $28,942 |
| Bon Secours - St Marys Hospital of RichmondRichmond, VA | $27,279 |
Revision of hip or knee replacement with complications in other states
Questions
How much does revision of hip or knee replacement with complications cost in Virginia?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement with complications (DRG 467) at 21 hospitals in Virginia was billed at $166,892 on average, while the average total payment was $27,282, of which Medicare paid $23,459. 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 6.1 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.