Comprehensive Observation Services in Virginia
What 70 hospitals in Virginia charged and were paid for comprehensive observation services (APC 8011), from 2024 Medicare claims.
Average charge
$19,506
Hospital list price billed
Average allowed
$2,459
Medicare's payment + patient's share
Medicare paid
$1,951
Average per service
State rank
#22 of 49
1 = lowest average payment
Hospitals in Virginia billed an average of $19,506 for comprehensive observation services, about 7.9 times the average medicare-allowed amount of $2,459. That payment is 7% below the U.S. average of $2,634.
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 $2,459Billed $19,506
About 13¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: comprehensive observation services
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Inova Fairfax HospitalFalls Church | 2,015 | $18,494 | $2,520 | $1,997 |
| Mary Washington Hospital, INCFredericksburg | 1,253 | $12,647 | $2,504 | $1,981 |
| Carilion Medical CenterRoanoke | 1,164 | $14,957 | $2,341 | $1,863 |
| Sentara Rmh Medical CenterHarrisonburg | 1,118 | $12,855 | $2,661 | $2,114 |
| Winchester Medical Center INCWinchester | 1,116 | $12,085 | $2,610 | $2,063 |
| Inova Loudoun HospitalLeesburg | 1,074 | $20,717 | $2,535 | $2,012 |
| Inova Alexandria HospitalAlexandria | 1,065 | $19,564 | $2,529 | $2,005 |
| Sentara Leigh HospitalNorfolk | 983 | $22,958 | $2,335 | $1,851 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 805 | $21,082 | $2,508 | $1,996 |
| Riverside Regional Medical CenterNewport News | 779 | $17,209 | $2,323 | $1,841 |
| Inova Fair Oaks HospitalFairfax | 757 | $17,837 | $2,540 | $2,017 |
| Augusta HealthFishersville | 698 | $13,154 | $2,628 | $2,091 |
| Martha Jefferson HospitalCharlottesville | 680 | $13,053 | $2,332 | $1,851 |
| University of Virginia Medical CenterCharlottesville | 658 | $29,815 | $2,472 | $1,962 |
| Inova Mount Vernon HospitalAlexandria | 648 | $20,349 | $2,545 | $2,023 |
| Virginia Hospital Center - ArlingtonArlington | 644 | $12,061 | $2,554 | $2,032 |
| Medical College of Virginia HospitalsRichmond | 557 | $27,796 | $2,314 | $1,831 |
| Sentara Bayside HospitalVirginia Beach | 527 | $23,464 | $2,311 | $1,829 |
| Sentara Obici HospitalSuffolk | 489 | $22,275 | $2,314 | $1,835 |
| Chesapeake General HospitalChesapeake | 460 | $10,958 | $2,336 | $1,850 |
| Sentara Virginia Beach General HospitalVirginia Beach | 444 | $23,450 | $2,351 | $1,868 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 433 | $24,311 | $2,290 | $1,813 |
| Carilion New River Vly Med CtrChristiansburg | 382 | $16,776 | $2,322 | $1,842 |
| Prince William HospitalManassas | 355 | $17,275 | $2,548 | $2,022 |
| Henrico Doctors' HospitalRichmond | 347 | $35,117 | $2,363 | $1,878 |
| Cjw Medical CenterRichmond | 332 | $35,593 | $2,340 | $1,858 |
| Sentara Northern Virginia Medical CenterWoodbridge | 329 | $22,909 | $2,478 | $1,958 |
| Culpeper Regional HospitalCulpeper | 304 | $14,917 | $2,534 | $2,012 |
| Danville Regional Medical CenterDanville | 297 | $33,190 | $2,413 | $1,917 |
| UVA Health Haymarket Medical CenterHaymarket | 295 | $17,179 | $2,571 | $2,045 |
| Lewisgale Medical CenterSalem | 289 | $24,384 | $2,329 | $1,849 |
| Halifax Regional HospitalSouth Boston | 279 | $16,949 | $2,583 | $2,053 |
| Riverside Walter Reed HospitalGloucester | 235 | $14,452 | $2,313 | $1,835 |
| Warren Memorial HospitalFront Royal | 231 | $10,823 | $2,524 | $2,004 |
| Community Memorial Healthcenter, INCSouth Hill | 226 | $17,746 | $2,524 | $2,002 |
| Southside Regional Medical CenterPetersburg | 222 | $53,946 | $2,365 | $1,880 |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg | 221 | $15,053 | $2,331 | $1,849 |
| Riverside Shore Memorial HospitalNassawadox | 216 | $14,984 | $2,463 | $1,953 |
| Stafford Hospital CenterStafford | 212 | $12,906 | $2,528 | $2,006 |
| Sentara Careplex HospitalHampton | 210 | $22,940 | $2,314 | $1,834 |
| Bon Secours - St Francis Medical CenterMidlothian | 204 | $25,648 | $2,331 | $1,848 |
| Montgomery Regional HospitalBlacksburg | 195 | $20,733 | $2,342 | $1,862 |
| Alleghany Regional HospitalJackson River | 192 | $19,284 | $2,513 | $1,999 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 188 | $21,879 | $2,460 | $1,949 |
| Sentara Norfolk General HospitalNorfolk | 185 | $20,146 | $2,300 | $1,816 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 183 | $23,173 | $2,448 | $1,936 |
| Reston Hospital CenterReston | 172 | $28,246 | $2,557 | $2,030 |
| Buchanan General HospitalGrundy | 171 | $18,867 | $2,442 | $1,921 |
| Southampton Memorial HospitalFranklin | 163 | $19,384 | $2,500 | $1,986 |
| Twin County Regional HospitalGalax | 158 | $31,867 | $2,498 | $1,983 |
| Southside Community Hospital, INCFarmville | 150 | $19,985 | $2,537 | $2,019 |
| Johnston Memorial HospitalAbingdon | 148 | $16,685 | $2,344 | $1,865 |
| Wythe County Community HospitalWytheville | 144 | $35,164 | $2,510 | $1,997 |
| The Fauquier Hospital, INCWarrenton | 136 | $24,741 | $2,537 | $2,014 |
| Riverside Tappahannock HospitalTappahannock | 128 | $15,039 | $2,535 | $2,015 |
| Clinch Valley Medical CenterRichlands | 124 | $35,819 | $2,322 | $1,846 |
| Bedford Memorial HospitalBedford | 123 | $18,094 | $2,341 | $1,862 |
| Carilion Franklin Memorial HospitalRocky Mount | 107 | $15,539 | $2,347 | $1,867 |
| Wellmont Lonesome Pine HospitalBig Stone Gap | 106 | $15,504 | $2,493 | $1,976 |
| Spotsylvania Regional Medical CenterFredericksburg | 88 | $22,525 | $2,474 | $1,951 |
| Stonesprings Hospital CenterDulles | 83 | $24,997 | $2,518 | $1,996 |
| John Randolph Medical CenterHopewell | 64 | $36,621 | $2,382 | $1,898 |
| Smyth County Community HospitalMarion | 60 | $15,297 | $2,356 | $1,874 |
| Bon Secours Southern Virginia Medical CenterEmporia | 54 | $62,582 | $2,322 | $1,843 |
| Bon Secours - Maryview Medical CenterPortsmouth | 51 | $21,387 | $2,283 | $1,804 |
| Carilion Tazewell Community HospitalTazewell | 48 | $15,415 | $2,356 | $1,877 |
| Pulaski Community HospitalPulaski | 44 | $25,226 | $2,314 | $1,835 |
| Russell County Medical CenterLebanon | 42 | $11,776 | $2,312 | $1,828 |
| Mary Immaculate HospitalNewport News | 29 | $22,652 | $2,357 | $1,878 |
| Children's HospitalNorfolk | – | – | – | – |
Lowest and highest allowed amounts in Virginia
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Bon Secours - Maryview Medical CenterPortsmouth, VA | $2,283 |
|---|---|
| Sentara Williamsburg Regional Medical CenterWilliamsburg, VA | $2,290 |
| Sentara Norfolk General HospitalNorfolk, VA | $2,300 |
| Sentara Bayside HospitalVirginia Beach, VA | $2,311 |
| Russell County Medical CenterLebanon, VA | $2,312 |
Highest
| Sentara Rmh Medical CenterHarrisonburg, VA | $2,661 |
|---|---|
| Augusta HealthFishersville, VA | $2,628 |
| Winchester Medical Center INCWinchester, VA | $2,610 |
| Halifax Regional HospitalSouth Boston, VA | $2,583 |
| UVA Health Haymarket Medical CenterHaymarket, VA | $2,571 |
Comprehensive Observation Services in other states
Questions
How much does comprehensive observation services cost in Virginia?
In 2024 Medicare data, comprehensive observation services (APC 8011) at 70 hospitals in Virginia was billed at $19,506 on average, while the average medicare-allowed amount was $2,459, of which Medicare paid $1,951. 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 service in Virginia, average charges were 7.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.