facebook tracking Allogeneic bone marrow transplant cost in Virginia: 2 hospitals compared (DRG 014)

Allogeneic bone marrow transplant in Virginia

What 2 hospitals in Virginia charged and were paid for a Medicare hospital stay for allogeneic bone marrow transplant (DRG 014), from 2024 Medicare claims.

DRG 014 Inpatient 2024 Medicare data
Average charge $849,812 Hospital list price billed
Average payment $231,460 Medicare + patient + other payers
Medicare paid $178,639 Average per stay
Volume 25 Medicare hospital stays

Hospitals in Virginia billed an average of $849,812 for allogeneic bone marrow transplant, about 3.7 times the average total payment of $231,460. That payment is 51% above the U.S. average of $153,663.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $231,460Billed $849,812

About 27¢ was paid for every $1 hospitals in Virginia billed for this stay.

Virginia hospitals: allogeneic bone marrow transplant

Every Virginia hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Medical College of Virginia HospitalsRichmond 13 $1,151,606 $277,583 $228,080
University of Virginia Medical CenterCharlottesville 12 $522,869 $181,492 $125,078
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Allogeneic bone marrow transplant in other states

Questions

How much does allogeneic bone marrow transplant cost in Virginia?

In 2024 Medicare data, a hospital stay for allogeneic bone marrow transplant (DRG 014) at 2 hospitals in Virginia was billed at $849,812 on average, while the average total payment was $231,460, of which Medicare paid $178,639. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Virginia, average charges were 3.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.