Complications of treatment with major complications in Virginia
What 14 hospitals in Virginia charged and were paid for a Medicare hospital stay for complications of treatment with major complications (DRG 919), from 2024 Medicare claims.
Average charge
$68,128
Hospital list price billed
Average payment
$19,449
Medicare + patient + other payers
Medicare paid
$14,416
Average per stay
State rank
#16 of 34
1 = lowest average payment
Hospitals in Virginia billed an average of $68,128 for complications of treatment with major complications, about 3.5 times the average total payment of $19,449. That payment is 8% below the U.S. average of $21,165.
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 $19,449Billed $68,128
About 29¢ 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: complications of treatment 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 | 36 | $49,870 | $17,885 | $13,873 |
| Sentara Norfolk General HospitalNorfolk | 23 | $57,966 | $18,694 | $12,848 |
| University of Virginia Medical CenterCharlottesville | 22 | $118,643 | $36,587 | $22,953 |
| Medical College of Virginia HospitalsRichmond | 18 | $112,901 | $32,728 | $23,332 |
| Chesapeake General HospitalChesapeake | 18 | $39,756 | $12,397 | $11,400 |
| Carilion Medical CenterRoanoke | 17 | $51,185 | $19,214 | $11,557 |
| Sentara Leigh HospitalNorfolk | 14 | $45,534 | $14,438 | $11,425 |
| Virginia Hospital Center - ArlingtonArlington | 14 | $85,199 | $24,366 | $20,328 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 13 | $72,146 | $13,996 | $12,377 |
| Martha Jefferson HospitalCharlottesville | 13 | $24,345 | $11,368 | $10,250 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 11 | $66,910 | $13,640 | $12,111 |
| Inova Fair Oaks HospitalFairfax | 11 | $31,332 | $13,273 | $11,572 |
| Cjw Medical CenterRichmond | 11 | $153,223 | $16,266 | $9,757 |
| Sentara Bayside HospitalVirginia Beach | 11 | $54,383 | $13,319 | $10,589 |
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
| Martha Jefferson HospitalCharlottesville, VA | $11,368 |
|---|---|
| Chesapeake General HospitalChesapeake, VA | $12,397 |
| Inova Fair Oaks HospitalFairfax, VA | $13,273 |
| Sentara Bayside HospitalVirginia Beach, VA | $13,319 |
| Bon Secours - St Marys Hospital of RichmondRichmond, VA | $13,640 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $36,587 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $32,728 |
| Virginia Hospital Center - ArlingtonArlington, VA | $24,366 |
| Carilion Medical CenterRoanoke, VA | $19,214 |
| Sentara Norfolk General HospitalNorfolk, VA | $18,694 |
Complications of treatment with major complications in other states
Questions
How much does complications of treatment with major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for complications of treatment with major complications (DRG 919) at 14 hospitals in Virginia was billed at $68,128 on average, while the average total payment was $19,449, of which Medicare paid $14,416. 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 3.5 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.