Circulatory disorders except AMI, with cardiac catheterization with major complications in Virginia
What 31 hospitals in Virginia charged and were paid for a Medicare hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286), from 2024 Medicare claims.
Average charge
$93,810
Hospital list price billed
Average payment
$21,708
Medicare + patient + other payers
Medicare paid
$16,043
Average per stay
State rank
#35 of 47
1 = lowest average payment
Hospitals in Virginia billed an average of $93,810 for circulatory disorders except ami, with cardiac catheterization with major complications, about 4.3 times the average total payment of $21,708. That payment is 1% below the U.S. average of $21,968.
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 $21,708Billed $93,810
About 23¢ 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: circulatory disorders except ami, with cardiac catheterization 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 |
|---|---|---|---|---|
| Inova Fairfax HospitalFalls Church | 119 | $76,746 | $25,070 | $18,660 |
| Medical College of Virginia HospitalsRichmond | 95 | $164,636 | $42,438 | $21,575 |
| Sentara Norfolk General HospitalNorfolk | 92 | $112,084 | $24,373 | $17,146 |
| Winchester Medical Center INCWinchester | 76 | $47,410 | $18,309 | $15,363 |
| Sentara Rmh Medical CenterHarrisonburg | 64 | $51,412 | $19,334 | $16,364 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 55 | $75,777 | $17,126 | $13,861 |
| University of Virginia Medical CenterCharlottesville | 54 | $139,373 | $41,817 | $25,889 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 45 | $88,335 | $15,728 | $13,895 |
| Cjw Medical CenterRichmond | 43 | $228,480 | $16,044 | $12,188 |
| Inova Alexandria HospitalAlexandria | 37 | $88,857 | $20,304 | $17,930 |
| Inova Loudoun HospitalLeesburg | 37 | $61,885 | $16,600 | $14,253 |
| Mary Washington Hospital, INCFredericksburg | 35 | $47,291 | $16,000 | $14,393 |
| Sentara Obici HospitalSuffolk | 35 | $91,404 | $15,850 | $13,250 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 34 | $68,747 | $17,436 | $12,974 |
| Sentara Virginia Beach General HospitalVirginia Beach | 33 | $80,544 | $16,009 | $13,387 |
| Sentara Leigh HospitalNorfolk | 30 | $77,348 | $15,468 | $13,201 |
| Martha Jefferson HospitalCharlottesville | 26 | $43,877 | $14,580 | $11,873 |
| Carilion Medical CenterRoanoke | 25 | $74,852 | $19,130 | $14,957 |
| Virginia Hospital Center - ArlingtonArlington | 24 | $46,872 | $16,809 | $15,204 |
| Southside Regional Medical CenterPetersburg | 24 | $168,938 | $17,928 | $12,607 |
| Augusta HealthFishersville | 23 | $53,913 | $19,991 | $14,059 |
| Prince William HospitalManassas | 23 | $75,978 | $20,249 | $16,546 |
| Sentara Careplex HospitalHampton | 23 | $58,743 | $14,124 | $12,847 |
| Henrico Doctors' HospitalRichmond | 21 | $186,580 | $15,248 | $13,190 |
| Lewisgale Medical CenterSalem | 20 | $141,271 | $18,874 | $16,304 |
| Sentara Bayside HospitalVirginia Beach | 18 | $69,707 | $16,096 | $12,471 |
| Carilion New River Vly Med CtrChristiansburg | 17 | $110,117 | $18,351 | $13,361 |
| Riverside Regional Medical CenterNewport News | 17 | $45,537 | $17,189 | $14,273 |
| Bon Secours - St Francis Medical CenterMidlothian | 17 | $65,848 | $15,642 | $13,142 |
| Sentara Northern Virginia Medical CenterWoodbridge | 16 | $93,458 | $17,574 | $16,350 |
| Mary Immaculate HospitalNewport News | 11 | $48,324 | $16,529 | $12,168 |
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 Careplex HospitalHampton, VA | $14,124 |
|---|---|
| Martha Jefferson HospitalCharlottesville, VA | $14,580 |
| Henrico Doctors' HospitalRichmond, VA | $15,248 |
| Sentara Leigh HospitalNorfolk, VA | $15,468 |
| Bon Secours - St Francis Medical CenterMidlothian, VA | $15,642 |
Highest
| Medical College of Virginia HospitalsRichmond, VA | $42,438 |
|---|---|
| University of Virginia Medical CenterCharlottesville, VA | $41,817 |
| Inova Fairfax HospitalFalls Church, VA | $25,070 |
| Sentara Norfolk General HospitalNorfolk, VA | $24,373 |
| Inova Alexandria HospitalAlexandria, VA | $20,304 |
Circulatory disorders except AMI, with cardiac catheterization with major complications in other states
Questions
How much does circulatory disorders except ami, with cardiac catheterization with major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286) at 31 hospitals in Virginia was billed at $93,810 on average, while the average total payment was $21,708, of which Medicare paid $16,043. 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 4.3 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.