How much does hip & femur procedures except major joint, inpatient, w/ CC cost in Virginia?

CPT 481 โ€” 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 โ€” not a guarantee, and not legal, medical, or financial advice.
481 Hip & femur procedures except major joint, inpatient, w/ CC
โš  bare numeric assumed MS-DRG; verify
Market typical price
$29,621
58 facilities ยท typical range $18,509 โ€“ $37,979 ยท 1.9ร— Medicare IPPS
What Medicare pays
$15,241
Market typical
$29,621
Cash / self-pay price
$32,287
Prices near you โ€” 58 facilities, lowest first
FacilityTypePricevs MedicareQuality
Augusta Health (Fishersville) lowest Hospital $15,997negotiated 1.0ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 4.3%
Sentara Halifax Regional Hospital (South Boston) Hospital $16,064negotiated 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Sentara RMH Medical Center (Harrisonburg) Hospital $16,238negotiated 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.9%
Centra Lynchburg General Hospital (Lynchburg) Hospital $16,334negotiated 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.3%
Centra Virginia Baptist Hospital (Lynchburg) Hospital $16,334negotiated 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.3%
LewisGale Hospital Alleghany (Low Moor) Hospital $17,088negotiated 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Henrico Doctors' Hospital, Forest campus (Richmond) Hospital $17,368negotiated 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.3%
Parham Doctors' Hospital โ€” ortho/spine-focused campus (Richmond) Hospital $17,368negotiated 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.3%
Retreat Doctors' Hospital (Richmond) Hospital $17,368negotiated 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.3%
TriCities Hospital, formerly John Randolph Medical Center (Hopewell) Hospital $17,444negotiated 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
Chippenham Hospital, CJW Medical Center (Richmond) Hospital $17,483negotiated 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.4%
Johnston-Willis Hospital, CJW Medical Center (Richmond) Hospital $17,483negotiated 1.1ร— โ˜…โ˜…โ˜…โ˜…โ˜…
hip/knee complications 3.4%
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. 1 unusually low/high price excluded from the typical price as likely data errors.
See hip & femur procedures except major joint, inpatient, w/ CC prices in another area

What should 481 cost in Virginia?

For hip & femur procedures except major joint, inpatient, w/ CC (CPT 481) in Virginia, a fair self-pay price is around $29,621, with hospitals ranging from $18,509 to $37,979 across 58 facilities. Medicare's benchmark rate is $15,241, the benchmark every published rate is measured against. The card above lists each hospital's price, cheapest first, with CMS quality stars.

Frequently asked questions

How much does hip & femur procedures except major joint, inpatient, w/ CC cost in Virginia?

A fair self-pay price for hip & femur procedures except major joint, inpatient, w/ CC (CPT 481) in Virginia is around $29,621, with hospital prices ranging from $18,509 to $37,979 across 58 facilities. These are estimates from hospital-published prices, not a guarantee.

What is the Medicare rate for CPT 481?

Medicare pays about $15,241 for hip & femur procedures except major joint, inpatient, w/ CC (CPT 481). That's the negotiation floor โ€” a fair cash-pay target is roughly 1.5โ€“2ร— it, well below typical gross charges.

Can I negotiate the price of hip & femur procedures except major joint, inpatient, w/ CC?

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.

Placing a referral for this?

Enter the patient's ZIP and plan in the facility finder to see every facility near them that publishes a price for 481, ranked, with the phone number and an out-of-pocket estimate.

Compare other procedures in Virginia

Prices last refreshed September 2026 from each hospital's official CMS machine-readable file. Medicare rate: CY2025 OPPS/PFS/CLFS. Estimates only โ€” not a guarantee.