CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Sentara Halifax Regional Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,857
about 1.3× the $14,044 Medicare rate · typically $14,556–$28,131
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,993
Below the fair price — a good deal
about $3,864 under the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $18,857 This hospital $14,993

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

On the higher side — 6 of 8 other VA hospitals charge less.

Cheapest $8,878 Priciest $16,884

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $18,857 (about 1.3× the $14,044 Medicare rate). Sentara Halifax Regional Hospital charges insurers about $14,993 — below the fair price — a good deal. Located in South Boston, VA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $15,155 108%
Blue Cross Blue Shieldmajor $15,119 108%
Humanamajor $14,866 106%
Sentara $14,722 105%

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Facility Profile & Credentials

  • Address: 2204 Wilborn Avenue, South Boston, VA 24592
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals