CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Henrico Doctors' Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$25,885

about 1.8× the $14,044 Medicare rate · typically $16,936–$47,359

modeled estimate · not a bill or quote

What this hospital charges insurers

$22,294

Below the fair price — a good deal

about $3,591 under the fair price · 1.6× Medicare

Medicare pays $14,044 Fair price $25,885 This hospital $22,294

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 $22,294

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 $25,885 (about 1.8× the $14,044 Medicare rate). Henrico Doctors' Hospital charges insurers about $22,294 — below the fair price — a good deal. Located in Richmond, 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	$3,601 - $38,063	26%
Blue Cross Blue Shieldmajor	$3,080 - $41,054	22%
Aetnamajor	$13,270 - $39,773	94%
Cignamajor	$14,895 - $42,876	106%
Humanamajor	$14,603	104%
Bright Health	$14,920 - $20,264	106%
Devoted Health	$14,895	106%
Oscar Health	$22,294	159%
Sentara	$14,603 - $32,729	104%
+ 7 smaller / regional plans	$14,895 - $16,063

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 Henrico Doctors' Hospital 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 Henrico Doctors' 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.