CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Clinch Valley Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,026
about 1.3× the $14,044 Medicare rate · typically $14,636–$21,534
modeled estimate · not a bill or quote
What this hospital charges insurers
$14,645
Below the fair price — a good deal
about $3,381 under the fair price · 1.0× Medicare
Medicare pays $14,044 Fair price $18,026 This hospital $14,645 Cash price $55,391 Hospital's list price $138,478

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

A typical price — 4 charge more and 4 charge less, among the 9 VA hospitals compared.

Cheapest $8,878 Priciest $16,884

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Hip or knee replacement (inpatient stay) is about $18,026 (about 1.3× the $14,044 Medicare rate). Clinch Valley Medical Center charges insurers about $14,645, or about $55,391 in cash — below the fair price — a good deal. Located in Richlands, VA.

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✓ Aetna✓ Humana CignaKaiser 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 $14,645 104%
Blue Cross Blue Shieldmajor $14,358 - $32,330 102%
Aetnamajor $14,358 102%
Humanamajor $14,358 102%
WellCare $14,358 102%
+ 5 smaller / regional plans $14,358 - $22,973
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

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Facility Profile & Credentials

  • Address: 6801 Governor Gc Perry Highway, Richlands, VA 24641
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals