Carotid artery stent procedures without complications in Virginia
What 12 hospitals in Virginia charged and were paid for a Medicare hospital stay for carotid artery stent procedures without complications (DRG 036), from 2024 Medicare claims.
Average charge
$93,255
Hospital list price billed
Average payment
$15,412
Medicare + patient + other payers
Medicare paid
$11,504
Average per stay
State rank
#20 of 33
1 = lowest average payment
Hospitals in Virginia billed an average of $93,255 for carotid artery stent procedures without complications, about 6.1 times the average total payment of $15,412. That payment is 2% below the U.S. average of $15,778.
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 $15,412Billed $93,255
About 17¢ 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: carotid artery stent procedures without 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 |
|---|---|---|---|---|
| Carilion New River Vly Med CtrChristiansburg | 31 | $95,108 | $13,407 | $12,296 |
| Carilion Medical CenterRoanoke | 24 | $85,718 | $14,157 | $13,184 |
| Spotsylvania Regional Medical CenterFredericksburg | 19 | $93,104 | $18,058 | $9,020 |
| Mary Washington Hospital, INCFredericksburg | 18 | $56,424 | $14,195 | $11,879 |
| Lewisgale Medical CenterSalem | 18 | $233,173 | $15,590 | $12,446 |
| Riverside Regional Medical CenterNewport News | 18 | $56,273 | $17,613 | $9,377 |
| Inova Fairfax HospitalFalls Church | 16 | $55,610 | $15,850 | $13,861 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 15 | $94,419 | $15,964 | $11,308 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 14 | $112,910 | $17,443 | $8,916 |
| Sentara Virginia Beach General HospitalVirginia Beach | 13 | $52,205 | $14,365 | $10,626 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 13 | $119,841 | $15,584 | $10,925 |
| Winchester Medical Center INCWinchester | 12 | $46,097 | $14,483 | $12,938 |
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
| Carilion New River Vly Med CtrChristiansburg, VA | $13,407 |
|---|---|
| Carilion Medical CenterRoanoke, VA | $14,157 |
| Mary Washington Hospital, INCFredericksburg, VA | $14,195 |
| Sentara Virginia Beach General HospitalVirginia Beach, VA | $14,365 |
| Winchester Medical Center INCWinchester, VA | $14,483 |
Highest
| Spotsylvania Regional Medical CenterFredericksburg, VA | $18,058 |
|---|---|
| Riverside Regional Medical CenterNewport News, VA | $17,613 |
| Bon Secours - Memorial Regional MedicalMechanicsville, VA | $17,443 |
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $15,964 |
| Inova Fairfax HospitalFalls Church, VA | $15,850 |
Carotid artery stent procedures without complications in other states
Questions
How much does carotid artery stent procedures without complications cost in Virginia?
In 2024 Medicare data, a hospital stay for carotid artery stent procedures without complications (DRG 036) at 12 hospitals in Virginia was billed at $93,255 on average, while the average total payment was $15,412, of which Medicare paid $11,504. 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 6.1 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.