Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in Virginia
What 11 hospitals in Virginia charged and were paid for a Medicare hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023), from 2024 Medicare claims.
Average charge
$206,210
Hospital list price billed
Average payment
$54,090
Medicare + patient + other payers
Medicare paid
$43,389
Average per stay
State rank
#24 of 38
1 = lowest average payment
Hospitals in Virginia billed an average of $206,210 for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o, about 3.8 times the average total payment of $54,090. That payment is 4% below the U.S. average of $56,603.
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 $54,090Billed $206,210
About 26¢ was paid for every $1 hospitals in Virginia billed for this stay.
Virginia hospitals: craniotomy with major device implant or acute complex cns principal diagnosis with major complications o
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 | 86 | $156,577 | $60,400 | $47,490 |
| Carilion Medical CenterRoanoke | 44 | $178,453 | $44,233 | $37,523 |
| University of Virginia Medical CenterCharlottesville | 40 | $208,670 | $70,571 | $53,303 |
| Sentara Norfolk General HospitalNorfolk | 36 | $198,338 | $50,583 | $42,060 |
| Medical College of Virginia HospitalsRichmond | 35 | $289,499 | $76,745 | $53,702 |
| Riverside Regional Medical CenterNewport News | 34 | $154,816 | $44,220 | $35,267 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 30 | $221,719 | $41,214 | $39,402 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 26 | $177,120 | $40,732 | $38,562 |
| Cjw Medical CenterRichmond | 18 | $553,214 | $47,867 | $28,706 |
| Winchester Medical Center INCWinchester | 14 | $149,403 | $46,260 | $44,483 |
| Chesapeake General HospitalChesapeake | 14 | $159,588 | $43,801 | $40,964 |
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
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $40,732 |
|---|---|
| Bon Secours - St Marys Hospital of RichmondRichmond, VA | $41,214 |
| Chesapeake General HospitalChesapeake, VA | $43,801 |
| Riverside Regional Medical CenterNewport News, VA | $44,220 |
| Carilion Medical CenterRoanoke, VA | $44,233 |
Highest
| Medical College of Virginia HospitalsRichmond, VA | $76,745 |
|---|---|
| University of Virginia Medical CenterCharlottesville, VA | $70,571 |
| Inova Fairfax HospitalFalls Church, VA | $60,400 |
| Sentara Norfolk General HospitalNorfolk, VA | $50,583 |
| Cjw Medical CenterRichmond, VA | $47,867 |
Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in other states
Questions
How much does craniotomy with major device implant or acute complex cns principal diagnosis with major complications o cost in Virginia?
In 2024 Medicare data, a hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023) at 11 hospitals in Virginia was billed at $206,210 on average, while the average total payment was $54,090, of which Medicare paid $43,389. 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 3.8 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.