CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Bon Secours Maryview Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$28,488
about 2.0× the $14,044 Medicare rate · typically $16,414–$38,493
modeled estimate · not a bill or quote
What this hospital charges insurers
$36,898
Above the fair price
about $8,410 over the fair price · 2.6× Medicare
Medicare pays $14,044 Fair price $28,488 This hospital $36,898

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $8,878 Priciest $36,898

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 $28,488 (about 2.0× the $14,044 Medicare rate). Bon Secours Maryview Medical Center charges insurers about $36,898 — above the fair price. Located in Portsmouth, VA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $28,488. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $14,954 - $34,475 106%
Blue Cross Blue Shieldmajor $14,954 - $47,096 106%
Aetnamajor $14,954 106%
Cignamajor $14,954 - $37,147 106%
Humanamajor $15,253 109%
Sentara $51,794 369%
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 3636 High Street, Portsmouth, VA 23707
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals