Revision of Hip or Knee Replacement Without Cc/Mcc in Virginia
MS-DRG 468: Revision of hip or knee replacement without cc/mcc
$117,297typical hospital bill
$20,871typical amount paid
$17,850–$31,992range paid across 16 hospitals
Virginia hospitals billed Medicare a typical $117,297 for this stay in 2024, about 5.6 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 | |
|---|---|---|---|---|---|
| Sentara Williamsburg Regional Medical Center | Williamsburg | 17 | $53,116 | $17,850 | |
| Cjw Medical Center | Richmond | 21 | $311,269 | $18,131 | |
| Sentara Obici Hospital | Suffolk | 11 | $83,967 | $18,297 | |
| Lewisgale Medical Center | Salem | 13 | $278,194 | $19,481 | |
| Henrico Doctors' Hospital | Richmond | 26 | $413,501 | $19,642 | |
| Sentara Leigh Hospital | Norfolk | 31 | $68,192 | $19,811 | |
| Reston Hospital Center | Reston | 22 | $144,158 | $19,837 | |
| Bon Secours Memorial Regional Medical Center | Mechanicsville | 17 | $117,479 | $20,783 | |
| Mary Immaculate Hospital | Newport News | 36 | $117,116 | $20,959 | |
| Virginia Hospital Center | Arlington | 19 | $98,695 | $21,332 | |
| Bon Secours St Marys Hospital | Richmond | 21 | $151,818 | $21,417 | |
| Centra Health - Lynchburg Gen Hospital | Lynchburg | 12 | $151,387 | $23,171 | |
| Inova Mount Vernon Hospital | Alexandria | 51 | $93,864 | $23,609 | |
| Carilion Medical Center | Roanoke | 16 | $125,662 | $28,057 | |
| Medical College of Virginia Hospitals | Richmond | 40 | $116,718 | $29,123 | |
| University of Virginia Medical Center | Charlottesville | 46 | $104,932 | $31,992 |
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.