Chronic obstructive pulmonary disease with complications in Virginia
What 15 hospitals in Virginia charged and were paid for a Medicare hospital stay for chronic obstructive pulmonary disease with complications (DRG 191), from 2024 Medicare claims.
Average charge
$28,537
Hospital list price billed
Average payment
$7,530
Medicare + patient + other payers
Medicare paid
$5,488
Average per stay
State rank
#16 of 33
1 = lowest average payment
Hospitals in Virginia billed an average of $28,537 for chronic obstructive pulmonary disease with complications, about 3.8 times the average total payment of $7,530. That payment is 9% below the U.S. average of $8,280.
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 $7,530Billed $28,537
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: chronic obstructive pulmonary disease 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 |
|---|---|---|---|---|
| Mary Washington Hospital, INCFredericksburg | 27 | $16,840 | $6,638 | $5,364 |
| Winchester Medical Center INCWinchester | 25 | $17,034 | $6,896 | $5,644 |
| Halifax Regional HospitalSouth Boston | 24 | $22,930 | $6,936 | $5,848 |
| Augusta HealthFishersville | 21 | $18,225 | $6,674 | $5,216 |
| University of Virginia Medical CenterCharlottesville | 19 | $43,264 | $13,734 | $8,291 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 19 | $29,191 | $6,596 | $5,190 |
| Cjw Medical CenterRichmond | 19 | $72,528 | $6,703 | $4,253 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 17 | $24,333 | $6,413 | $5,058 |
| Carilion Medical CenterRoanoke | 15 | $29,080 | $8,299 | $5,245 |
| Chesapeake General HospitalChesapeake | 15 | $19,073 | $6,680 | $4,449 |
| Spotsylvania Regional Medical CenterFredericksburg | 13 | $28,909 | $7,124 | $5,391 |
| Sentara Obici HospitalSuffolk | 12 | $27,601 | $6,328 | $5,090 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 12 | $35,828 | $7,046 | $4,776 |
| Bon Secours - Maryview Medical CenterPortsmouth | 11 | $18,442 | $7,600 | $5,883 |
| Inova Fairfax HospitalFalls Church | 11 | $34,143 | $10,496 | $6,322 |
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
| Sentara Obici HospitalSuffolk, VA | $6,328 |
|---|---|
| Bon Secours - St Marys Hospital of RichmondRichmond, VA | $6,413 |
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $6,596 |
| Mary Washington Hospital, INCFredericksburg, VA | $6,638 |
| Augusta HealthFishersville, VA | $6,674 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $13,734 |
|---|---|
| Inova Fairfax HospitalFalls Church, VA | $10,496 |
| Carilion Medical CenterRoanoke, VA | $8,299 |
| Bon Secours - Maryview Medical CenterPortsmouth, VA | $7,600 |
| Spotsylvania Regional Medical CenterFredericksburg, VA | $7,124 |
Chronic obstructive pulmonary disease with complications in other states
Questions
How much does chronic obstructive pulmonary disease with complications cost in Virginia?
In 2024 Medicare data, a hospital stay for chronic obstructive pulmonary disease with complications (DRG 191) at 15 hospitals in Virginia was billed at $28,537 on average, while the average total payment was $7,530, of which Medicare paid $5,488. 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.