Digestive malignancy with major complications in Virginia
What 11 hospitals in Virginia charged and were paid for a Medicare hospital stay for digestive malignancy with major complications (DRG 374), from 2024 Medicare claims.
Average charge
$61,808
Hospital list price billed
Average payment
$18,835
Medicare + patient + other payers
Medicare paid
$14,584
Average per stay
State rank
#9 of 28
1 = lowest average payment
Hospitals in Virginia billed an average of $61,808 for digestive malignancy with major complications, about 3.3 times the average total payment of $18,835. That payment is 19% below the U.S. average of $23,203.
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 $18,835Billed $61,808
About 30¢ was paid for every $1 hospitals in Virginia billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Virginia:
Virginia hospitals: digestive malignancy 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 | 49 | $50,396 | $20,542 | $16,373 |
| Carilion Medical CenterRoanoke | 25 | $76,442 | $20,120 | $13,388 |
| Winchester Medical Center INCWinchester | 15 | $33,651 | $18,381 | $14,453 |
| Inova Alexandria HospitalAlexandria | 14 | $48,127 | $14,296 | $13,201 |
| Mary Washington Hospital, INCFredericksburg | 12 | $45,712 | $16,364 | $12,822 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 12 | $63,343 | $15,612 | $11,699 |
| Cjw Medical CenterRichmond | 12 | $152,128 | $14,904 | $11,462 |
| University of Virginia Medical CenterCharlottesville | 11 | $51,275 | $26,580 | $20,735 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 11 | $65,128 | $16,146 | $14,470 |
| Medical College of Virginia HospitalsRichmond | 11 | $78,825 | $25,613 | $16,330 |
| Bon Secours - St Francis Medical CenterMidlothian | 11 | $42,750 | $13,372 | $11,966 |
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
| Bon Secours - St Francis Medical CenterMidlothian, VA | $13,372 |
|---|---|
| Inova Alexandria HospitalAlexandria, VA | $14,296 |
| Cjw Medical CenterRichmond, VA | $14,904 |
| Bon Secours - St Marys Hospital of RichmondRichmond, VA | $15,612 |
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $16,146 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $26,580 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $25,613 |
| Inova Fairfax HospitalFalls Church, VA | $20,542 |
| Carilion Medical CenterRoanoke, VA | $20,120 |
| Winchester Medical Center INCWinchester, VA | $18,381 |
Digestive malignancy with major complications in other states
Questions
How much does digestive malignancy with major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for digestive malignancy with major complications (DRG 374) at 11 hospitals in Virginia was billed at $61,808 on average, while the average total payment was $18,835, of which Medicare paid $14,584. 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 3.3 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.