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.
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.
About 22¢ 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:
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 |
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.
| 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 |
| 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 |
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.
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.