Diabetes with complications in Virginia
What 30 hospitals in Virginia charged and were paid for a Medicare hospital stay for diabetes with complications (DRG 638), from 2024 Medicare claims.
Average charge
$33,064
Hospital list price billed
Average payment
$8,076
Medicare + patient + other payers
Medicare paid
$5,796
Average per stay
State rank
#16 of 47
1 = lowest average payment
Hospitals in Virginia billed an average of $33,064 for diabetes with complications, about 4.1 times the average total payment of $8,076. That payment is 12% below the U.S. average of $9,215.
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 $8,076Billed $33,064
About 24¢ 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: diabetes 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 |
|---|---|---|---|---|
| Winchester Medical Center INCWinchester | 70 | $19,439 | $7,807 | $6,020 |
| Mary Washington Hospital, INCFredericksburg | 44 | $16,194 | $7,413 | $5,602 |
| Cjw Medical CenterRichmond | 41 | $81,960 | $6,485 | $5,074 |
| University of Virginia Medical CenterCharlottesville | 35 | $44,843 | $13,547 | $8,368 |
| Sentara Leigh HospitalNorfolk | 33 | $23,985 | $6,853 | $5,510 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 33 | $32,658 | $7,041 | $5,394 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 31 | $26,488 | $7,810 | $4,990 |
| Augusta HealthFishersville | 30 | $22,701 | $7,583 | $5,385 |
| Henrico Doctors' HospitalRichmond | 29 | $58,174 | $7,342 | $5,005 |
| Sentara Norfolk General HospitalNorfolk | 28 | $37,879 | $9,606 | $6,855 |
| Chesapeake General HospitalChesapeake | 27 | $15,116 | $6,494 | $5,164 |
| Southside Regional Medical CenterPetersburg | 24 | $63,152 | $7,052 | $4,987 |
| Bon Secours - St Francis Medical CenterMidlothian | 24 | $27,367 | $7,182 | $5,646 |
| Carilion Medical CenterRoanoke | 23 | $31,102 | $8,102 | $5,332 |
| Sentara Virginia Beach General HospitalVirginia Beach | 23 | $30,147 | $7,608 | $5,073 |
| Inova Fairfax HospitalFalls Church | 22 | $24,930 | $9,193 | $6,975 |
| Sentara Northern Virginia Medical CenterWoodbridge | 21 | $34,316 | $7,999 | $6,448 |
| Bon Secours - Maryview Medical CenterPortsmouth | 20 | $20,173 | $8,229 | $6,027 |
| John Randolph Medical CenterHopewell | 20 | $49,451 | $7,459 | $5,184 |
| Medical College of Virginia HospitalsRichmond | 20 | $44,630 | $14,651 | $7,276 |
| Sentara Bayside HospitalVirginia Beach | 20 | $22,239 | $7,040 | $5,500 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 19 | $24,218 | $6,892 | $5,623 |
| Riverside Regional Medical CenterNewport News | 18 | $22,128 | $8,423 | $5,134 |
| Warren Memorial HospitalFront Royal | 17 | $15,708 | $8,555 | $7,309 |
| Inova Loudoun HospitalLeesburg | 17 | $26,107 | $7,755 | $5,578 |
| Sentara Obici HospitalSuffolk | 16 | $26,421 | $8,233 | $4,554 |
| Danville Regional Medical CenterDanville | 16 | $38,389 | $7,412 | $5,523 |
| Carilion New River Vly Med CtrChristiansburg | 15 | $25,738 | $7,270 | $6,138 |
| Lewisgale Medical CenterSalem | 14 | $59,417 | $8,654 | $5,924 |
| Sentara Rmh Medical CenterHarrisonburg | 12 | $21,659 | $7,884 | $6,434 |
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 | $6,485 |
|---|---|
| Chesapeake General HospitalChesapeake, VA | $6,494 |
| Sentara Leigh HospitalNorfolk, VA | $6,853 |
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $6,892 |
| Sentara Bayside HospitalVirginia Beach, VA | $7,040 |
Highest
| Medical College of Virginia HospitalsRichmond, VA | $14,651 |
|---|---|
| University of Virginia Medical CenterCharlottesville, VA | $13,547 |
| Sentara Norfolk General HospitalNorfolk, VA | $9,606 |
| Inova Fairfax HospitalFalls Church, VA | $9,193 |
| Lewisgale Medical CenterSalem, VA | $8,654 |
Diabetes with complications in other states
Questions
How much does diabetes with complications cost in Virginia?
In 2024 Medicare data, a hospital stay for diabetes with complications (DRG 638) at 30 hospitals in Virginia was billed at $33,064 on average, while the average total payment was $8,076, of which Medicare paid $5,796. 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 4.1 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.