Back and neck procedures except spinal fusion with complications in Virginia
What 5 hospitals in Virginia charged and were paid for a Medicare hospital stay for back and neck procedures except spinal fusion with complications (DRG 519), from 2024 Medicare claims.
Average charge
$77,716
Hospital list price billed
Average payment
$20,235
Medicare + patient + other payers
Medicare paid
$15,455
Average per stay
State rank
#16 of 26
1 = lowest average payment
Hospitals in Virginia billed an average of $77,716 for back and neck procedures except spinal fusion with complications, about 3.8 times the average total payment of $20,235. That payment is 1% below the U.S. average of $20,542.
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 $20,235Billed $77,716
About 26¢ was paid for every $1 hospitals in Virginia billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Virginia:
Virginia hospitals: back and neck procedures except spinal fusion 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 | 17 | $41,259 | $16,448 | $13,390 |
| Medical College of Virginia HospitalsRichmond | 15 | $117,118 | $22,702 | $16,760 |
| University of Virginia Medical CenterCharlottesville | 13 | $84,458 | $25,265 | $19,191 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 11 | $86,362 | $14,960 | $12,698 |
| Inova Fairfax HospitalFalls Church | 11 | $63,717 | $22,052 | $15,210 |
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
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $14,960 |
|---|---|
| Winchester Medical Center INCWinchester, VA | $16,448 |
| Inova Fairfax HospitalFalls Church, VA | $22,052 |
| Medical College of Virginia HospitalsRichmond, VA | $22,702 |
| University of Virginia Medical CenterCharlottesville, VA | $25,265 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $25,265 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $22,702 |
| Inova Fairfax HospitalFalls Church, VA | $22,052 |
| Winchester Medical Center INCWinchester, VA | $16,448 |
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $14,960 |
Back and neck procedures except spinal fusion with complications in other states
Questions
How much does back and neck procedures except spinal fusion with complications cost in Virginia?
In 2024 Medicare data, a hospital stay for back and neck procedures except spinal fusion with complications (DRG 519) at 5 hospitals in Virginia was billed at $77,716 on average, while the average total payment was $20,235, of which Medicare paid $15,455. 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.