How much does Major hip/knee joint replacement, inpatient, w/ MCC cost in Virginia?
CPT 469 — the fair price, every hospital's price, and the Medicare benchmark for Virginia.
Estimates only. Educational estimates from public Medicare
benchmarks and hospital-published prices — not a guarantee, and not legal, medical, or financial advice.
469 Major hip/knee joint replacement, inpatient, w/ MCC
⚠ bare numeric assumed MS-DRG; verify
Market typical price
$29,107
55 facilities · typical range $23,167 – $57,543 · 1.3× Medicare IPPS
Typical
$29,107
Medicare $22,072
$3,729 lowboxed = typical rangehigh $81,097
What Medicare paysⓘ
$22,072
Market typical
$29,107
Cash / self-pay price
$53,353
Prices near you — 55 facilities, lowest first
| Facility | Type | Price | vs Medicare | Quality |
|---|---|---|---|---|
| LewisGale Hospital Pulaski (Pulaski) lowest ⚠ likely error | Hospital | $3,729negotiated | 0.2× | ★★★★★ |
| LewisGale Hospital Alleghany (Low Moor) ⚠ likely error | Hospital | $3,890negotiated | 0.2× | ★★★★★ |
| Bon Secours Maryview Medical Center (Portsmouth) | Hospital | $9,962negotiated | 0.5× | ★★★★★ |
| Sovah Health Martinsville (Martinsville) | Hospital | $10,331cash | 0.5× | — |
| UVA Health Prince William Medical Center (Manassas) | Hospital | $10,725negotiated | 0.5× | ★★★★★ |
| Bon Secours Southside Medical Center (Petersburg) | Hospital | $12,536negotiated | 0.6× | ★★★★★ |
| Twin County Regional Hospital (Galax) | Hospital | $13,539cash | 0.6× | ★★★★★ |
| Sovah Health Danville (Danville) | Hospital | $16,213cash | 0.7× | ★★★★★ hip/knee complications 4.4% |
| Spotsylvania Regional Medical Center (Fredericksburg) | Hospital | $21,615negotiated | 1.0× | ★★★★★ |
| Bon Secours Memorial Regional Medical Center (Mechanicsville) | Hospital | $22,237negotiated | 1.0× | ★★★★★ hip/knee complications 3.8% |
| Bon Secours Mary Immaculate Hospital (Newport News) | Hospital | $22,397negotiated | 1.0× | ★★★★★ hip/knee complications 4.7% |
| Wythe County Community Hospital (Wytheville) | Hospital | $22,398cash | 1.0× | ★★★★★ |
| Sentara RMH Medical Center (Harrisonburg) | Hospital | $22,734negotiated | 1.0× | ★★★★★ hip/knee complications 3.9% |
| Augusta Health (Fishersville) | Hospital | $23,167negotiated | 1.0× | ★★★★★ hip/knee complications 4.3% |
| Sentara Halifax Regional Hospital (South Boston) | Hospital | $23,196negotiated | 1.1× | ★★★★★ |
| Bon Secours St. Mary's Hospital (Richmond) | Hospital | $23,487negotiated | 1.1× | ★★★★★ hip/knee complications 2.8% |
| Bon Secours St. Francis Medical Center (Midlothian) | Hospital | $23,522negotiated | 1.1× | ★★★★★ hip/knee complications 4.0% |
| TriCities Hospital, formerly John Randolph Medical Center (Hopewell) | Hospital | $24,850negotiated | 1.1× | ★★★★★ |
| Retreat Doctors' Hospital (Richmond) | Hospital | $24,914negotiated | 1.1× | ★★★★★ hip/knee complications 3.3% |
| Henrico Doctors' Hospital, Forest campus (Richmond) | Hospital | $24,914negotiated | 1.1× | ★★★★★ hip/knee complications 3.3% |
| Parham Doctors' Hospital — ortho/spine-focused campus (Richmond) | Hospital | $24,914negotiated | 1.1× | ★★★★★ hip/knee complications 3.3% |
| Johnston-Willis Hospital, CJW Medical Center (Richmond) | Hospital | $25,041negotiated | 1.1× | ★★★★★ hip/knee complications 3.4% |
| Chippenham Hospital, CJW Medical Center (Richmond) | Hospital | $25,041negotiated | 1.1× | ★★★★★ hip/knee complications 3.4% |
| Inova Fair Oaks Hospital (Fairfax) | Hospital | $26,151negotiated | 1.2× | ★★★★★ hip/knee complications 4.9% |
| Reston Hospital Center (Reston) | Hospital | $26,654negotiated | 1.2× | ★★★★★ hip/knee complications 3.6% |
| Inova Loudoun Hospital (Leesburg) | Hospital | $26,794negotiated | 1.2× | ★★★★★ hip/knee complications 4.1% |
| Inova Mount Vernon Hospital (Alexandria) | Hospital | $27,255negotiated | 1.2× | ★★★★★ hip/knee complications 3.7% |
| Inova Alexandria Hospital (Alexandria) | Hospital | $27,707negotiated | 1.3× | ★★★★★ hip/knee complications 4.0% |
| LewisGale Medical Center (Salem) | Hospital | $29,107negotiated | 1.3× | ★★★★★ hip/knee complications 4.2% |
| Inova Fairfax Hospital (Falls Church) | Hospital | $29,635negotiated | 1.3× | ★★★★★ |
| LewisGale Hospital Montgomery (Blacksburg) | Hospital | $29,755negotiated | 1.3× | ★★★★★ hip/knee complications 3.9% |
| StoneSprings Hospital Center (Dulles) | Hospital | $32,338negotiated | 1.5× | ★★★★★ hip/knee complications 3.1% |
| VCU Medical Center (Richmond) | Hospital | $37,658negotiated | 1.7× | ★★★★★ hip/knee complications 4.8% |
| Stafford Hospital (Stafford) | Hospital | $38,865negotiated | 1.8× | ★★★★★ |
| Mary Washington Hospital (Fredericksburg) | Hospital | $39,845negotiated | 1.8× | ★★★★★ hip/knee complications 3.9% |
| Sentara Northern Virginia Medical Center (Woodbridge) | Hospital | $40,322negotiated | 1.8× | ★★★★★ |
| Sentara Martha Jefferson Hospital (Charlottesville) | Hospital | $44,145negotiated | 2.0× | ★★★★★ hip/knee complications 4.9% |
| Bon Secours Harbour View Medical Center (Suffolk) | Hospital | $46,360negotiated | 2.1× | — |
| Carilion Roanoke Memorial Hospital (Roanoke) | Hospital | $47,171cash | 2.1× | ★★★★★ hip/knee complications 7.9% |
| Chesapeake Regional Medical Center (Chesapeake) | Hospital | $48,733negotiated | 2.2× | ★★★★★ hip/knee complications 4.6% |
| Sentara Virginia Beach General Hospital (Virginia Beach) | Hospital | $57,349negotiated | 2.6× | ★★★★★ hip/knee complications 3.7% |
| Sentara Obici Hospital (Suffolk) | Hospital | $57,543negotiated | 2.6× | ★★★★★ hip/knee complications 5.6% |
| Sentara Princess Anne Hospital (Virginia Beach) | Hospital | $58,444negotiated | 2.6× | ★★★★★ |
| UVA Health Culpeper Medical Center (Culpeper) | Hospital | $59,535cash | 2.7× | ★★★★★ |
| Sentara Williamsburg Regional Medical Center (Williamsburg) | Hospital | $59,909negotiated | 2.7× | ★★★★★ hip/knee complications 5.6% |
| Sentara Leigh Hospital — orthopedic-focused (Norfolk) | Hospital | $60,100negotiated | 2.7× | ★★★★★ hip/knee complications 6.2% |
| Sentara CarePlex Hospital (Hampton) | Hospital | $62,011negotiated | 2.8× | ★★★★★ |
| Riverside Doctors' Hospital of Williamsburg (Williamsburg) | Hospital | $62,257negotiated | 2.8× | ★★★★★ hip/knee complications 2.5% |
| Riverside Regional Medical Center (Newport News) | Hospital | $62,257negotiated | 2.8× | ★★★★★ |
| Riverside Walter Reed Hospital (Gloucester) | Hospital | $62,257negotiated | 2.8× | ★★★★★ hip/knee complications 2.9% |
| UVA Health University Medical Center (Charlottesville) | Hospital | $69,405cash | 3.1× | ★★★★★ hip/knee complications 4.3% |
| Sentara Norfolk General Hospital (Norfolk) | Hospital | $70,689negotiated | 3.2× | ★★★★★ |
| Fauquier Hospital (Warrenton) | Hospital | $76,079cash | 3.4× | ★★★★★ hip/knee complications 5.6% |
| Clinch Valley Medical Center (Richlands) | Hospital | $80,842cash | 3.7× | ★★★★★ |
| UVA Health Haymarket Medical Center (Haymarket) | Hospital | $81,097cash | 3.7× | ★★★★★ |
Prices from each hospital's public machine-readable file; imaging & surgery-center prices are published self-pay rates (often the cheapest option). vs Medicare is how many times the Medicare rate each facility charges. 2 unusually low/high prices excluded from the typical price as likely data errors.
See Major hip/knee joint replacement, inpatient, w/ MCC prices in another area
What should 469 cost in Virginia?
For Major hip/knee joint replacement, inpatient, w/ MCC (CPT 469) in Virginia, a fair self-pay price is around $29,107, with hospitals ranging from $23,167 to $57,543 across 55 facilities. Medicare's benchmark rate is $22,072, the floor to negotiate toward. The card above lists each hospital's price, cheapest first, with CMS quality stars.
Frequently asked questions
How much does Major hip/knee joint replacement, inpatient, w/ MCC cost in Virginia?
A fair self-pay price for Major hip/knee joint replacement, inpatient, w/ MCC (CPT 469) in Virginia is around $29,107, with hospital prices ranging from $23,167 to $57,543 across 55 facilities. These are estimates from hospital-published prices, not a guarantee.
What is the Medicare rate for CPT 469?
Medicare pays about $22,072 for Major hip/knee joint replacement, inpatient, w/ MCC (CPT 469). That's the negotiation floor — a fair cash-pay target is roughly 1.5–2× it, well below typical gross charges.
Can I negotiate the price of Major hip/knee joint replacement, inpatient, w/ MCC?
Yes. Under the federal Hospital Price Transparency rule hospitals must publish these rates, so you can ask to pay the cash or negotiated rate instead of the gross charge. Paste your bill on the home page for a ready-to-send appeal letter and the exact numbers to cite.
Got a bill for this?
If you were charged more than the fair price, you can usually negotiate it down. Paste your itemized bill to get a personalized appeal letter, the exact numbers to cite, an AI negotiation coach, and a charity-care eligibility check — free.
Compare other procedures in Virginia
Total knee replacement (arthroplasty)Total hip replacement (arthroplasty)Partial (unicompartmental) knee replacementTotal shoulder replacement (arthroplasty)Revision total knee replacementRevision total hip replacementMajor hip/knee joint replacement, inpatient, w/o MCCRevision of hip or knee replacement, inpatient, w/o CC/MCC
Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only — not a guarantee.