CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Sentara Leigh Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,541
about 2.1× the $14,044 Medicare rate · typically $16,626–$39,255
modeled estimate · not a bill or quote
What this hospital charges insurers
$38,219
Above the fair price
about $8,678 over the fair price · 2.7× Medicare
Medicare pays $14,044 Fair price $29,541 This hospital $38,219

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 $38,219

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 $29,541 (about 2.1× the $14,044 Medicare rate). Sentara Leigh Hospital charges insurers about $38,219 — above the fair price. Located in Norfolk, 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 $29,541. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Humana AetnaKaiser 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 $15,577 - $48,770 111%
Blue Cross Blue Shieldmajor $15,540 - $41,296 111%
Cignamajor $38,219 272%
Humanamajor $15,280 109%
Sentara $15,132 - $46,334 108%

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 830 Kempsville Road, Norfolk, VA 23502
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals