Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota in Virginia
MS-DRG 469: Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota
$294,546typical hospital bill
$26,984typical amount paid
$22,094–$31,874range paid across 2 hospitals
Virginia hospitals billed Medicare a typical $294,546 for this stay in 2024, about 10.9 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Cjw Medical Center | Richmond | 14 | $456,548 | $22,094 | |
| Carilion Medical Center | Roanoke | 11 | $132,544 | $31,874 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.