facebook tracking Complications of treatment with complications cost in Virginia: 9 hospitals compared (DRG 920)

Complications of treatment with complications in Virginia

What 9 hospitals in Virginia charged and were paid for a Medicare hospital stay for complications of treatment with complications (DRG 920), from 2024 Medicare claims.

DRG 920 Inpatient 2024 Medicare data
Average charge $45,362 Hospital list price billed
Average payment $10,092 Medicare + patient + other payers
Medicare paid $7,517 Average per stay
State rank #8 of 29 1 = lowest average payment

Hospitals in Virginia billed an average of $45,362 for complications of treatment with complications, about 4.5 times the average total payment of $10,092. That payment is 12% below the U.S. average of $11,515.

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 $10,092Billed $45,362

About 22¢ was paid for every $1 hospitals in Virginia billed for this stay.

Virginia hospitals: complications of treatment 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
Medical College of Virginia HospitalsRichmond 16 $70,379 $16,180 $9,065
Mary Washington Hospital, INCFredericksburg 14 $22,484 $8,232 $6,812
Inova Fairfax HospitalFalls Church 14 $28,985 $11,516 $7,850
Sentara Norfolk General HospitalNorfolk 13 $45,407 $11,676 $8,312
Carilion Medical CenterRoanoke 13 $32,050 $9,217 $7,416
Riverside Regional Medical CenterNewport News 13 $22,694 $8,503 $7,249
Bon Secours - St Marys Hospital of RichmondRichmond 13 $32,395 $7,912 $7,102
Winchester Medical Center INCWinchester 12 $22,115 $8,319 $7,416
Cjw Medical CenterRichmond 11 $142,086 $7,343 $5,837
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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

Cjw Medical CenterRichmond, VA$7,343
Bon Secours - St Marys Hospital of RichmondRichmond, VA$7,912
Mary Washington Hospital, INCFredericksburg, VA$8,232
Winchester Medical Center INCWinchester, VA$8,319
Riverside Regional Medical CenterNewport News, VA$8,503

Highest

Medical College of Virginia HospitalsRichmond, VA$16,180
Sentara Norfolk General HospitalNorfolk, VA$11,676
Inova Fairfax HospitalFalls Church, VA$11,516
Carilion Medical CenterRoanoke, VA$9,217
Riverside Regional Medical CenterNewport News, VA$8,503

Complications of treatment with complications in other states

Questions

How much does complications of treatment with complications cost in Virginia?

In 2024 Medicare data, a hospital stay for complications of treatment with complications (DRG 920) at 9 hospitals in Virginia was billed at $45,362 on average, while the average total payment was $10,092, of which Medicare paid $7,517. 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 4.5 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.