Cellulitis with major complications in Virginia
What 20 hospitals in Virginia charged and were paid for a Medicare hospital stay for cellulitis with major complications (DRG 602), from 2024 Medicare claims.
Average charge
$38,443
Hospital list price billed
Average payment
$12,536
Medicare + patient + other payers
Medicare paid
$9,842
Average per stay
State rank
#17 of 40
1 = lowest average payment
Hospitals in Virginia billed an average of $38,443 for cellulitis with major complications, about 3.1 times the average total payment of $12,536. That payment is 10% below the U.S. average of $13,872.
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 $12,536Billed $38,443
About 33¢ 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: cellulitis with major 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 | 41 | $23,648 | $12,368 | $10,654 |
| Mary Washington Hospital, INCFredericksburg | 28 | $22,440 | $11,304 | $9,582 |
| Sentara Rmh Medical CenterHarrisonburg | 26 | $24,840 | $12,676 | $11,238 |
| Cjw Medical CenterRichmond | 24 | $82,296 | $10,204 | $8,753 |
| Carilion Medical CenterRoanoke | 18 | $37,905 | $14,882 | $8,917 |
| Inova Fair Oaks HospitalFairfax | 18 | $28,164 | $11,653 | $9,083 |
| Inova Loudoun HospitalLeesburg | 17 | $37,140 | $10,692 | $9,916 |
| Inova Fairfax HospitalFalls Church | 17 | $38,395 | $14,553 | $10,840 |
| Henrico Doctors' HospitalRichmond | 17 | $62,440 | $10,288 | $8,480 |
| Chesapeake General HospitalChesapeake | 17 | $26,707 | $10,315 | $9,165 |
| Sentara Norfolk General HospitalNorfolk | 16 | $50,710 | $18,320 | $9,644 |
| University of Virginia Medical CenterCharlottesville | 16 | $54,707 | $22,183 | $12,812 |
| Sentara Leigh HospitalNorfolk | 15 | $31,503 | $11,298 | $8,390 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 14 | $63,603 | $15,808 | $11,926 |
| Inova Mount Vernon HospitalAlexandria | 13 | $33,597 | $11,977 | $10,752 |
| Augusta HealthFishersville | 12 | $25,397 | $11,352 | $10,250 |
| Sentara Virginia Beach General HospitalVirginia Beach | 12 | $39,430 | $10,200 | $9,070 |
| Sentara Obici HospitalSuffolk | 11 | $36,372 | $10,604 | $8,618 |
| Martha Jefferson HospitalCharlottesville | 11 | $26,095 | $9,350 | $7,545 |
| Sentara Bayside HospitalVirginia Beach | 11 | $40,886 | $10,013 | $8,950 |
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
| Martha Jefferson HospitalCharlottesville, VA | $9,350 |
|---|---|
| Sentara Bayside HospitalVirginia Beach, VA | $10,013 |
| Sentara Virginia Beach General HospitalVirginia Beach, VA | $10,200 |
| Cjw Medical CenterRichmond, VA | $10,204 |
| Henrico Doctors' HospitalRichmond, VA | $10,288 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $22,183 |
|---|---|
| Sentara Norfolk General HospitalNorfolk, VA | $18,320 |
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $15,808 |
| Carilion Medical CenterRoanoke, VA | $14,882 |
| Inova Fairfax HospitalFalls Church, VA | $14,553 |
Cellulitis with major complications in other states
Questions
How much does cellulitis with major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for cellulitis with major complications (DRG 602) at 20 hospitals in Virginia was billed at $38,443 on average, while the average total payment was $12,536, of which Medicare paid $9,842. 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 3.1 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.