Revision of hip or knee replacement without complications in Virginia
What 16 hospitals in Virginia charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.
Average charge
$143,867
Hospital list price billed
Average payment
$23,134
Medicare + patient + other payers
Medicare paid
$18,452
Average per stay
State rank
#24 of 42
1 = lowest average payment
Hospitals in Virginia billed an average of $143,867 for revision of hip or knee replacement without complications, about 6.2 times the average total payment of $23,134. That payment is 3% below the U.S. average of $23,925.
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 $23,134Billed $143,867
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 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 |
|---|---|---|---|---|
| Inova Mount Vernon HospitalAlexandria | 51 | $93,864 | $23,609 | $18,837 |
| University of Virginia Medical CenterCharlottesville | 46 | $104,932 | $31,992 | $25,048 |
| Medical College of Virginia HospitalsRichmond | 40 | $116,718 | $29,123 | $20,208 |
| Mary Immaculate HospitalNewport News | 36 | $117,116 | $20,959 | $16,155 |
| Sentara Leigh HospitalNorfolk | 31 | $68,192 | $19,811 | $16,656 |
| Henrico Doctors' HospitalRichmond | 26 | $413,501 | $19,642 | $17,833 |
| Reston Hospital CenterReston | 22 | $144,158 | $19,837 | $16,542 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 21 | $151,818 | $21,417 | $19,700 |
| Cjw Medical CenterRichmond | 21 | $311,269 | $18,131 | $16,570 |
| Virginia Hospital Center - ArlingtonArlington | 19 | $98,695 | $21,332 | $17,571 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 17 | $53,116 | $17,850 | $16,218 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 17 | $117,479 | $20,783 | $15,798 |
| Carilion Medical CenterRoanoke | 16 | $125,662 | $28,057 | $16,413 |
| Lewisgale Medical CenterSalem | 13 | $278,194 | $19,481 | $17,781 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 12 | $151,386 | $23,171 | $16,568 |
| Sentara Obici HospitalSuffolk | 11 | $83,967 | $18,297 | $16,658 |
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 Williamsburg Regional Medical CenterWilliamsburg, VA | $17,850 |
|---|---|
| Cjw Medical CenterRichmond, VA | $18,131 |
| Sentara Obici HospitalSuffolk, VA | $18,297 |
| Lewisgale Medical CenterSalem, VA | $19,481 |
| Henrico Doctors' HospitalRichmond, VA | $19,642 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $31,992 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $29,123 |
| Carilion Medical CenterRoanoke, VA | $28,057 |
| Inova Mount Vernon HospitalAlexandria, VA | $23,609 |
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $23,171 |
Revision of hip or knee replacement without complications in other states
Questions
How much does revision of hip or knee replacement without complications cost in Virginia?
In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 16 hospitals in Virginia was billed at $143,867 on average, while the average total payment was $23,134, of which Medicare paid $18,452. 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 6.2 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.