What 14 hospitals in Virginia charged and were paid for a Medicare hospital stay for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications (DRG 617), from 2024 Medicare claims.
Hospitals in Virginia billed an average of $62,385 for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications, about 3.8 times the average total payment of $16,576. That payment is 12% below the U.S. average of $18,910.
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.
About 27¢ was paid for every $1 hospitals in Virginia billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Virginia:
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 |
|---|---|---|---|---|
| Winchester Medical Center INCWinchester | 25 | $37,449 | $16,647 | $13,968 |
| Sentara Leigh HospitalNorfolk | 25 | $47,052 | $14,335 | $11,180 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 17 | $60,924 | $14,038 | $12,239 |
| Carilion Medical CenterRoanoke | 17 | $64,270 | $16,285 | $13,766 |
| Inova Fair Oaks HospitalFairfax | 16 | $42,233 | $14,765 | $13,643 |
| Henrico Doctors' HospitalRichmond | 15 | $148,934 | $13,033 | $11,189 |
| Inova Fairfax HospitalFalls Church | 14 | $35,967 | $18,461 | $13,250 |
| Augusta HealthFishersville | 13 | $35,390 | $15,375 | $13,618 |
| Sentara Bayside HospitalVirginia Beach | 13 | $67,345 | $15,959 | $11,624 |
| University of Virginia Medical CenterCharlottesville | 12 | $65,533 | $28,544 | $15,971 |
| Lewisgale Medical CenterSalem | 12 | $112,194 | $16,115 | $11,263 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 12 | $66,117 | $14,879 | $13,043 |
| Montgomery Regional HospitalBlacksburg | 12 | $85,216 | $18,265 | $14,543 |
| Sentara Rmh Medical CenterHarrisonburg | 11 | $37,452 | $20,550 | $13,392 |
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Henrico Doctors' HospitalRichmond, VA | $13,033 |
|---|---|
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $14,038 |
| Sentara Leigh HospitalNorfolk, VA | $14,335 |
| Inova Fair Oaks HospitalFairfax, VA | $14,765 |
| Bon Secours - St Marys Hospital of RichmondRichmond, VA | $14,879 |
| University of Virginia Medical CenterCharlottesville, VA | $28,544 |
|---|---|
| Sentara Rmh Medical CenterHarrisonburg, VA | $20,550 |
| Inova Fairfax HospitalFalls Church, VA | $18,461 |
| Montgomery Regional HospitalBlacksburg, VA | $18,265 |
| Winchester Medical Center INCWinchester, VA | $16,647 |
In 2024 Medicare data, a hospital stay for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications (DRG 617) at 14 hospitals in Virginia was billed at $62,385 on average, while the average total payment was $16,576, of which Medicare paid $12,971. Your own cost depends on your insurance, deductible and the hospital.
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 3.8 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.