CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Lewisgale Hospital Montgomery

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,885

about 1.3× the $14,044 Medicare rate · typically $15,642–$22,760

modeled estimate · not a bill or quote

What this hospital charges insurers

$19,088

About the fair price

about $203 over the fair price · 1.4× Medicare

Medicare pays $14,044 Fair price $18,885 This hospital $19,088

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 $19,088

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 $18,885 (about 1.3× the $14,044 Medicare rate). Lewisgale Hospital Montgomery charges insurers about $19,088 — about the fair price. Located in Blacksburg, VA.

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	$4,416 - $53,555	31%
Blue Cross Blue Shieldmajor	$2,990 - $41,748	21%
Aetnamajor	$17,724 - $32,331	126%
Cignamajor	$17,700 - $41,460	126%
Humanamajor	$17,352	124%
Devoted Health	$17,700	126%
Sentara	$17,352 - $32,729	124%
+ 7 smaller / regional plans	$17,352 - $19,088

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Lewisgale Hospital Montgomery is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Lewisgale Hospital Montgomery

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.