CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Sentara Careplex Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$28,640
about 2.0× the $14,044 Medicare rate · typically $16,347–$38,852
modeled estimate · not a bill or quote
What this hospital charges insurers
$39,434
Above the fair price
about $10,794 over the fair price · 2.8× Medicare
Medicare pays $14,044 Fair price $28,640 This hospital $39,434

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 $39,434

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 $28,640 (about 2.0× the $14,044 Medicare rate). Sentara Careplex Hospital charges insurers about $39,434 — above the fair price. Located in Hampton, 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 $28,640. 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.

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 $16,088 - $48,770 115%
Blue Cross Blue Shieldmajor $16,050 - $40,740 114%
Humanamajor $15,782 112%
Sentara $15,628 - $46,224 111%

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: 3000 Coliseum Drive, Hampton, VA 23666
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals