facebook tracking Chimeric antigen receptor (car) t-cell and other immunotherapies cost in Virginia: 2 hospitals compared (DRG 018)

Chimeric antigen receptor (car) t-cell and other immunotherapies in Virginia

What 2 hospitals in Virginia charged and were paid for a Medicare hospital stay for chimeric antigen receptor (car) t-cell and other immunotherapies (DRG 018), from 2024 Medicare claims.

DRG 018 Inpatient 2024 Medicare data
Average charge $1,962,966 Hospital list price billed
Average payment $467,676 Medicare + patient + other payers
Medicare paid $428,548 Average per stay
Volume 26 Medicare hospital stays

Hospitals in Virginia billed an average of $1,962,966 for chimeric antigen receptor (car) t-cell and other immunotherapies, about 4.2 times the average total payment of $467,676. That payment is 2% above the U.S. average of $460,146.

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 $467,676Billed $1,962,966

About 24¢ was paid for every $1 hospitals in Virginia billed for this stay.

Virginia hospitals: chimeric antigen receptor (car) t-cell and other immunotherapies

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
University of Virginia Medical CenterCharlottesville 15 $1,960,937 $513,843 $458,673
Medical College of Virginia HospitalsRichmond 11 $1,965,733 $404,720 $387,467
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Chimeric antigen receptor (car) t-cell and other immunotherapies in other states

Questions

How much does chimeric antigen receptor (car) t-cell and other immunotherapies cost in Virginia?

In 2024 Medicare data, a hospital stay for chimeric antigen receptor (car) t-cell and other immunotherapies (DRG 018) at 2 hospitals in Virginia was billed at $1,962,966 on average, while the average total payment was $467,676, of which Medicare paid $428,548. 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 4.2 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.