facebook tracking Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications cost in Virginia: 14 hospitals compared (DRG 617)

Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications in Virginia

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.

DRG 617 Inpatient 2024 Medicare data
Average charge $62,385 Hospital list price billed
Average payment $16,576 Medicare + patient + other payers
Medicare paid $12,971 Average per stay
State rank #7 of 29 1 = lowest average payment

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.

Paid $16,576Billed $62,385

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:

Virginia hospitals: amputation of lower limb for endocrine, nutritional and metabolic disorders with complications

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
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Lowest and highest payments in Virginia

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.

Lowest

Highest

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

Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications in other states

Questions

How much does amputation of lower limb for endocrine, nutritional and metabolic disorders with complications cost in Virginia?

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.

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 3.8 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.