facebook tracking Carotid artery stent procedures with complications cost in Virginia: 10 hospitals compared (DRG 035)

Carotid artery stent procedures with complications in Virginia

What 10 hospitals in Virginia charged and were paid for a Medicare hospital stay for carotid artery stent procedures with complications (DRG 035), from 2024 Medicare claims.

DRG 035 Inpatient 2024 Medicare data
Average charge $103,346 Hospital list price billed
Average payment $20,044 Medicare + patient + other payers
Medicare paid $16,458 Average per stay
State rank #17 of 23 1 = lowest average payment

Hospitals in Virginia billed an average of $103,346 for carotid artery stent procedures with complications, about 5.2 times the average total payment of $20,044. That payment is 2% above the U.S. average of $19,727.

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 $20,044Billed $103,346

About 19¢ was paid for every $1 hospitals in Virginia billed for this stay.

Virginia hospitals: carotid artery stent procedures 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
Riverside Regional Medical CenterNewport News 22 $64,532 $22,488 $11,334
Carilion New River Vly Med CtrChristiansburg 19 $98,156 $17,715 $16,887
University of Virginia Medical CenterCharlottesville 13 $117,923 $27,496 $22,934
Bon Secours - Memorial Regional MedicalMechanicsville 13 $116,136 $18,885 $13,538
Chesapeake General HospitalChesapeake 13 $66,047 $15,928 $14,798
Sentara Rmh Medical CenterHarrisonburg 12 $51,793 $19,147 $18,106
Centra Health - Lynchburg Gen HospitalLynchburg 12 $118,177 $20,182 $18,800
Carilion Medical CenterRoanoke 12 $89,920 $17,832 $17,091
Lewisgale Medical CenterSalem 12 $246,771 $18,782 $17,284
Medical College of Virginia HospitalsRichmond 11 $99,914 $21,227 $17,782
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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

Chesapeake General HospitalChesapeake, VA$15,928
Carilion New River Vly Med CtrChristiansburg, VA$17,715
Carilion Medical CenterRoanoke, VA$17,832
Lewisgale Medical CenterSalem, VA$18,782
Bon Secours - Memorial Regional MedicalMechanicsville, VA$18,885

Highest

Carotid artery stent procedures with complications in other states

Questions

How much does carotid artery stent procedures with complications cost in Virginia?

In 2024 Medicare data, a hospital stay for carotid artery stent procedures with complications (DRG 035) at 10 hospitals in Virginia was billed at $103,346 on average, while the average total payment was $20,044, of which Medicare paid $16,458. 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 5.2 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.