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Hip replacement in Virginia: what insurers pay

Posted commercial rates at 45 Virginia hospitals, each next to its own Medicare base rate.

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CPT 27130

HospitalMedian across insurers× MedicareInsurersFile date
Sentara Northern Virginia Medical Center Woodbridge$12,3010.9×32026-04-01
Wythe County Community Hospital Wytheville$22,4561.8×12026-07-10
Fauquier Hospital Warrenton$25,1971.9×12026-07-14
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$25,2802.0×72026-09-01
Henrico Doctors' Hospital Richmond$25,2802.0×72026-09-01
Inova Alexandria Hospital Alexandria$26,9022.0×62026-04-01
Inova Loudoun Hospital Leesburg$26,9022.0×62026-04-01
Inova Fair Oaks Hospital Fairfax$26,9022.0×62026-04-01
Inova Mount Vernon Hospital Alexandria$26,9022.0×62026-04-01
Inova Fairfax Hospital Falls Church$27,1202.0×62026-04-01
Tricities Hospital Hopewell$28,4222.3×62026-09-01
Spotsylvania Regional Medical Center Fredericksburg$28,4402.1×62026-09-01
Reston Hospital Center Reston$30,3932.3×72026-09-01
Stonesprings Hospital Center Dulles$30,3932.3×72026-09-01
Lewisgale Hospital Pulaski Pulaski$30,9022.5×42026-09-01
Lewisgale Hospital Alleghany Low Moor$31,2442.5×52026-09-01
Lewisgale Hospital Montgomery Blacksburg$31,4062.5×42026-09-01
Lewisgale Medical Center Salem$32,2612.6×32026-09-01
Sentara Leigh Hospital Norfolk$34,0042.7×22026-04-01
Augusta Health Fishersville$34,9822.8×32026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$35,5472.8×22026-04-01
Sentara Martha Jefferson Hospital Charlottesville$36,1582.8×22026-04-01
Sentara Princess Anne Hospital Virginia Beach$36,6242.9×22026-04-01
Sentara Careplex Hospital Hampton$36,7732.9×22026-04-01
Sentara Norfolk General Hospital Norfolk$37,2003.0×22026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$38,5463.1×22026-04-01
Sentara Rmh Medical Center Harrisonburg$39,5033.1×12026-04-01
Sentara Obici Hospital Suffolk$40,1023.2×22026-04-01
Sentara Halifax Regional Hospital South Boston$43,5113.5×12026-04-01

MS-DRG 470

HospitalMedian across insurers× MedicareInsurersFile date
Lewisgale Hospital Pulaski Pulaski$19,4601.4×62026-09-01
Bon Secours Southampton Memorial Hospital Franklin$20,4861.5×32026-04-01
Spotsylvania Regional Medical Center Fredericksburg$21,2331.5×72026-09-01
Lewisgale Hospital Alleghany Low Moor$21,9121.6×62026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$22,2941.7×92026-09-01
Henrico Doctors' Hospital Richmond$22,2941.7×92026-09-01
Reston Hospital Center Reston$25,2241.8×92026-09-01
Tricities Hospital Hopewell$25,8751.9×82026-09-01
Bon Secours Southside Medical Center Petersburg$26,5152.0×42026-04-01
Sentara Northern Virginia Medical Center Woodbridge$26,5801.9×52026-04-01
Stonesprings Hospital Center Dulles$27,5981.9×82026-09-01
Lewisgale Hospital Montgomery Blacksburg$27,9652.1×72026-09-01
Lewisgale Medical Center Salem$28,6822.1×42026-09-01
Sentara Martha Jefferson Hospital Charlottesville$32,0102.3×42026-04-01
VCU Medical Center Richmond$35,3752.6×32026-01-02
Riverside Shore Memorial Hospital Onancock$35,8242.7×52026-01-02
Riverside Regional Medical Center Newport News$35,8242.7×52026-01-02
Riverside Doctors' Hospital Of Williamsburg Williamsburg$35,8242.7×52026-01-02
Sentara Virginia Beach General Hospital Virginia Beach$36,4702.7×32026-04-01
Inova Alexandria Hospital Alexandria$36,9672.6×72026-04-01
Inova Mount Vernon Hospital Alexandria$36,9802.6×72026-04-01
Sentara Rmh Medical Center Harrisonburg$37,6192.7×12026-04-01
Inova Loudoun Hospital Leesburg$37,9212.7×72026-04-01
Sentara Obici Hospital Suffolk$38,0402.8×42026-04-01
Sentara Leigh Hospital Norfolk$38,2192.9×32026-04-01
Inova Fairfax Hospital Falls Church$38,2912.7×72026-04-01
Sentara Princess Anne Hospital Virginia Beach$38,3942.9×42026-04-01
Inova Fair Oaks Hospital Fairfax$38,6342.7×72026-04-01
Sentara Careplex Hospital Hampton$39,7623.0×32026-04-01
Augusta Health Fishersville$39,9443.0×32026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$40,1463.0×32026-04-01
Bon Secours Mary Immaculate Hospital Newport News$40,2523.0×42026-04-01
Bon Secours St. Francis Medical Center Midlothian$45,3773.4×52026-04-01
Fauquier Hospital Warrenton$46,2363.3×12026-07-14
Sentara Norfolk General Hospital Norfolk$46,5823.5×42026-04-01
Bon Secours Maryview Medical Center Portsmouth$47,0963.5×52026-04-01
Bon Secours Memorial Regional Medical Center Mechanicsville$48,1763.6×52026-04-01
Bon Secours St. Mary's Hospital Richmond$49,4073.7×52026-04-01
Carilion Giles Community Hospital Pearisburg$51,5153.9×12025-12-15
Carilion Roanoke Memorial Hospital Roanoke$61,1274.6×12025-12-15
Carilion New River Valley Medical Center Christiansburg$66,4085.0×12025-12-15

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 hip replacement in Virginia?

45 Virginia hospitals post usable commercial rates for hip replacement in their federal price-transparency files. For CPT 27130, hospital outpatient, the median across 29 hospitals is $30,902, 2.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.