Hip or knee replacement (inpatient stay)
Facility: Inova Fairfax Hospital
Billing Code: 470 (MS-DRG)
Highest price of the 9 VA hospitals we have prices for — worth calling around.
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 $27,952 (about 2.0× the $14,044 Medicare rate). Inova Fairfax Hospital charges insurers about $36,543 — above the fair price. Located in Falls Church, 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 $27,952. 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.
6 of 6 major insurers have a published price at this hospital
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 | $17,810 - $50,990 | 127% |
| Blue Cross Blue Shieldmajor | $17,810 - $41,873 | 127% |
| Aetnamajor | $17,810 - $38,223 | 127% |
| Cignamajor | $18,523 - $41,581 | 132% |
| Humanamajor | $19,592 | 140% |
| Kaiser Permanentemajor | $18,523 | 132% |
| Sentara | $18,167 - $42,840 | 129% |
| + 1 smaller / regional plan | $32,487 - $39,184 |
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.
Other Procedures at Inova Fairfax Hospital
Compare: Hip or knee replacement (inpatient stay) at other VA hospitals
- Carilion Stonewall Jackson Hospital · Lexington $8,878
- Childrens Hospital of the Kings Daughters Inc · Norfolk $11,164
- Sentara Rmh Medical Center · Harrisonburg $14,457
- Sovah Health Danville · Danville $14,523
- Clinch Valley Medical Center · Richlands $14,645
- Lewisgale Hospital Alleghany · Low Moor $14,889
- Sentara Halifax Regional Hospital · South Boston $14,993
- Lewisgale Hospital Pulaski · Pulaski $15,116
Insurance negotiated median for the same procedure, sorted lowest first.