Diabetes with major complications in Virginia
What 32 hospitals in Virginia charged and were paid for a Medicare hospital stay for diabetes with major complications (DRG 637), from 2024 Medicare claims.
Average charge
$56,220
Hospital list price billed
Average payment
$13,061
Medicare + patient + other payers
Medicare paid
$9,930
Average per stay
State rank
#25 of 43
1 = lowest average payment
Hospitals in Virginia billed an average of $56,220 for diabetes with major complications, about 4.3 times the average total payment of $13,061. That payment is 7% below the U.S. average of $14,037.
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 $13,061Billed $56,220
About 23¢ 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 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 |
|---|---|---|---|---|
| Cjw Medical CenterRichmond | 50 | $99,218 | $10,496 | $8,723 |
| Inova Fairfax HospitalFalls Church | 44 | $44,418 | $15,949 | $11,813 |
| Winchester Medical Center INCWinchester | 35 | $31,660 | $11,761 | $10,880 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 31 | $50,905 | $12,426 | $8,525 |
| Mary Washington Hospital, INCFredericksburg | 28 | $22,404 | $10,722 | $9,574 |
| Sentara Leigh HospitalNorfolk | 26 | $39,504 | $11,377 | $9,090 |
| Southside Regional Medical CenterPetersburg | 25 | $122,153 | $10,667 | $9,225 |
| University of Virginia Medical CenterCharlottesville | 22 | $94,588 | $37,388 | $12,838 |
| Inova Alexandria HospitalAlexandria | 22 | $33,142 | $12,110 | $9,948 |
| Henrico Doctors' HospitalRichmond | 22 | $91,254 | $10,542 | $9,007 |
| Sentara Bayside HospitalVirginia Beach | 21 | $36,647 | $10,008 | $9,290 |
| Carilion Medical CenterRoanoke | 20 | $54,843 | $13,285 | $9,724 |
| Chesapeake General HospitalChesapeake | 20 | $35,634 | $10,915 | $9,936 |
| Sentara Rmh Medical CenterHarrisonburg | 19 | $27,723 | $12,461 | $10,656 |
| Sentara Virginia Beach General HospitalVirginia Beach | 19 | $44,504 | $11,180 | $8,797 |
| John Randolph Medical CenterHopewell | 18 | $75,034 | $10,051 | $9,101 |
| Medical College of Virginia HospitalsRichmond | 18 | $86,580 | $22,448 | $9,573 |
| Lewisgale Medical CenterSalem | 18 | $70,640 | $13,093 | $10,506 |
| Danville Regional Medical CenterDanville | 17 | $72,239 | $12,268 | $9,902 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 16 | $40,683 | $11,094 | $9,479 |
| Sentara Obici HospitalSuffolk | 15 | $44,625 | $9,181 | $8,291 |
| Sentara Norfolk General HospitalNorfolk | 14 | $46,643 | $15,223 | $10,187 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 14 | $44,476 | $10,617 | $9,264 |
| Montgomery Regional HospitalBlacksburg | 14 | $50,775 | $14,640 | $10,324 |
| Sentara Northern Virginia Medical CenterWoodbridge | 14 | $38,614 | $11,393 | $10,460 |
| Inova Loudoun HospitalLeesburg | 13 | $39,194 | $11,512 | $9,581 |
| Virginia Hospital Center - ArlingtonArlington | 13 | $56,387 | $15,315 | $13,610 |
| Riverside Regional Medical CenterNewport News | 12 | $28,390 | $11,985 | $10,078 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 12 | $51,612 | $10,082 | $8,722 |
| Inova Mount Vernon HospitalAlexandria | 12 | $49,186 | $13,467 | $12,229 |
| Sentara Careplex HospitalHampton | 11 | $40,077 | $10,985 | $9,801 |
| Reston Hospital CenterReston | 11 | $68,124 | $10,932 | $9,743 |
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
| Sentara Obici HospitalSuffolk, VA | $9,181 |
|---|---|
| Sentara Bayside HospitalVirginia Beach, VA | $10,008 |
| John Randolph Medical CenterHopewell, VA | $10,051 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg, VA | $10,082 |
| Cjw Medical CenterRichmond, VA | $10,496 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $37,388 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $22,448 |
| Inova Fairfax HospitalFalls Church, VA | $15,949 |
| Virginia Hospital Center - ArlingtonArlington, VA | $15,315 |
| Sentara Norfolk General HospitalNorfolk, VA | $15,223 |
Diabetes with major complications in other states
Questions
How much does diabetes with major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for diabetes with major complications (DRG 637) at 32 hospitals in Virginia was billed at $56,220 on average, while the average total payment was $13,061, of which Medicare paid $9,930. 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 4.3 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.