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Ankle replacement in Virginia: what insurers pay

Posted commercial rates at 39 Virginia hospitals, each next to its own Medicare base rate.

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CPT 27702

HospitalMedian across insurers× MedicareInsurersFile date
Lewisgale Hospital Pulaski Pulaski$22,9900.9×22026-09-01
Lewisgale Hospital Alleghany Low Moor$23,0780.9×22026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$24,7750.9×32026-09-01
Tricities Hospital Hopewell$24,9620.9×32026-09-01
Henrico Doctors' Hospital Richmond$25,0100.9×32026-09-01
Lewisgale Hospital Montgomery Blacksburg$26,3141.0×22026-09-01
Lewisgale Medical Center Salem$26,5401.0×22026-09-01
Spotsylvania Regional Medical Center Fredericksburg$28,9801.0×22026-09-01
Reston Hospital Center Reston$30,2211.1×22026-09-01
Stonesprings Hospital Center Dulles$30,3041.1×22026-09-01
Augusta Health Fishersville$48,5021.8×22026-04-01
Inova Alexandria Hospital Alexandria$48,7551.7×12026-04-01
Inova Mount Vernon Hospital Alexandria$49,1801.8×12026-04-01
Inova Loudoun Hospital Leesburg$49,5181.8×12026-04-01
Inova Fair Oaks Hospital Fairfax$49,7361.8×12026-04-01
Inova Fairfax Hospital Falls Church$50,2771.8×12026-04-01
Sentara Leigh Hospital Norfolk$51,7031.9×22026-04-01
Riverside Doctors' Hospital Of Williamsburg Williamsburg$54,2162.0×12026-01-02
Riverside Shore Memorial Hospital Onancock$54,7072.1×12026-01-02
Sentara Virginia Beach General Hospital Virginia Beach$54,8382.1×22026-04-01
Sentara Princess Anne Hospital Virginia Beach$57,2402.2×22026-04-01
Sentara Careplex Hospital Hampton$57,5562.2×22026-04-01
Sentara Norfolk General Hospital Norfolk$58,2342.2×22026-04-01
Sentara Northern Virginia Medical Center Woodbridge$58,5612.1×12026-04-01
Riverside Regional Medical Center Newport News$58,8092.2×12026-01-02
Sentara Williamsburg Regional Medical Center Williamsburg$61,0792.3×22026-04-01
Sentara Obici Hospital Suffolk$64,5922.4×22026-04-01
Sentara Martha Jefferson Hospital Charlottesville$90,0173.3×12026-04-01

MS-DRG 469

HospitalMedian across insurers× MedicareInsurersFile date
Spotsylvania Regional Medical Center Fredericksburg$24,1781.1×72026-09-01
Lewisgale Hospital Pulaski Pulaski$28,7101.4×62026-09-01
Wythe County Community Hospital Wytheville$29,2271.4×22026-07-10
Tricities Hospital Hopewell$29,4861.4×82026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$29,7341.4×92026-09-01
Henrico Doctors' Hospital Richmond$29,7341.4×92026-09-01
Lewisgale Medical Center Salem$31,2941.5×42026-09-01
Reston Hospital Center Reston$31,9011.4×92026-09-01
Lewisgale Hospital Alleghany Low Moor$32,9421.6×62026-09-01
Stonesprings Hospital Center Dulles$33,3501.5×82026-09-01
Lewisgale Hospital Montgomery Blacksburg$34,1201.6×72026-09-01
Twin County Regional Hospital Galax$35,9981.7×12026-07-10
Sentara Northern Virginia Medical Center Woodbridge$43,0401.9×52026-04-01
Bon Secours Mary Immaculate Hospital Newport News$44,8572.1×42026-04-01
Bon Secours Harbour View Medical Center Suffolk$46,3602.2×52026-04-01
Sentara Martha Jefferson Hospital Charlottesville$52,6212.4×42026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$57,3492.7×32026-04-01
Bon Secours St. Mary's Hospital Richmond$57,4312.7×52026-04-01
Bon Secours Memorial Regional Medical Center Mechanicsville$57,4312.7×52026-04-01
Bon Secours St. Francis Medical Center Midlothian$57,4312.7×52026-04-01
Sentara Rmh Medical Center Harrisonburg$59,1562.7×12026-04-01
Sentara Obici Hospital Suffolk$59,8182.8×42026-04-01
Sentara Leigh Hospital Norfolk$60,1002.9×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$60,3742.9×42026-04-01
Riverside Shore Memorial Hospital Onancock$62,1053.0×52026-01-02
Riverside Regional Medical Center Newport News$62,1053.0×52026-01-02
Riverside Doctors' Hospital Of Williamsburg Williamsburg$62,1053.0×52026-01-02
Sentara Careplex Hospital Hampton$62,5263.0×32026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$63,1303.0×32026-04-01
Inova Alexandria Hospital Alexandria$64,0862.9×72026-04-01
Inova Mount Vernon Hospital Alexandria$64,1092.9×72026-04-01
Inova Loudoun Hospital Leesburg$65,7402.9×72026-04-01
Inova Fairfax Hospital Falls Church$66,3813.0×72026-04-01
Inova Fair Oaks Hospital Fairfax$66,9763.0×72026-04-01
Augusta Health Fishersville$69,2433.3×32026-04-01
Sentara Norfolk General Hospital Norfolk$73,2503.5×42026-04-01
VCU Medical Center Richmond$78,0693.7×32026-01-02
Fauquier Hospital Warrenton$80,1553.6×12026-07-14
Carilion Roanoke Memorial Hospital Roanoke$96,1224.6×12025-12-15

Questions

How much do insurers pay for ankle replacement in Virginia?

39 Virginia hospitals post usable commercial rates for ankle replacement in their federal price-transparency files. For CPT 27702, hospital outpatient, the median across 28 hospitals is $49,627, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.