CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Lewisgale Hospital Alleghany

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$18,713

about 1.3× the $14,044 Medicare rate · typically $14,809–$23,884

modeled estimate · not a bill or quote

What this hospital charges insurers

$14,889

Below the fair price — a good deal

about $3,824 under the fair price · 1.1× Medicare

Medicare pays $14,044 Fair price $18,713 This hospital $14,889

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

A typical price — 3 charge more and 5 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.

A fair price for a Hip or knee replacement (inpatient stay) is about $18,713 (about 1.3× the $14,044 Medicare rate). Lewisgale Hospital Alleghany charges insurers about $14,889 — below the fair price — a good deal. Located in Low Moor, 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	$5,011 - $39,603	36%
Blue Cross Blue Shieldmajor	$3,503 - $39,902	25%
Aetnamajor	$14,254 - $30,020	101%
Cignamajor	$14,395	102%
Humanamajor	$14,113	100%
Devoted Health	$14,395	102%
Sentara	$14,113 - $32,729	100%
+ 7 smaller / regional plans	$14,113 - $21,700

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 Alleghany 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 Alleghany

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
Sentara Halifax Regional Hospital · South Boston $14,993
Lewisgale Hospital Pulaski · Pulaski $15,116
Carilion Medical Center · Roanoke $16,884

Insurance negotiated median for the same procedure, sorted lowest first.