facebook tracking Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with major complications cost in Virginia: 11 hospitals compared (DRG 441)

Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with major complications in Virginia

What 11 hospitals in Virginia charged and were paid for a Medicare hospital stay for disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with major complications (DRG 441), from 2024 Medicare claims.

DRG 441 Inpatient 2024 Medicare data
Average charge $85,034 Hospital list price billed
Average payment $21,608 Medicare + patient + other payers
Medicare paid $14,235 Average per stay
State rank #24 of 33 1 = lowest average payment

Hospitals in Virginia billed an average of $85,034 for disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with major complications, about 3.9 times the average total payment of $21,608. That payment is 2% above the U.S. average of $21,252.

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 $21,608Billed $85,034

About 25¢ 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: disorders of liver except malignancy, cirrhosis or alcoholic hepatitis 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
Medical College of Virginia HospitalsRichmond 51 $135,479 $33,409 $18,383
Carilion Medical CenterRoanoke 26 $50,302 $15,112 $13,148
University of Virginia Medical CenterCharlottesville 25 $131,166 $39,073 $15,842
Winchester Medical Center INCWinchester 22 $29,497 $15,883 $13,417
Inova Fairfax HospitalFalls Church 21 $49,287 $18,167 $14,456
Augusta HealthFishersville 20 $41,107 $14,230 $13,422
Lewisgale Medical CenterSalem 18 $96,460 $17,936 $11,944
Henrico Doctors' HospitalRichmond 17 $102,161 $14,336 $10,251
Cjw Medical CenterRichmond 15 $113,514 $12,750 $12,170
Sentara Leigh HospitalNorfolk 12 $54,525 $13,118 $12,255
Mary Washington Hospital, INCFredericksburg 11 $36,858 $12,585 $11,490
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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

Mary Washington Hospital, INCFredericksburg, VA$12,585
Cjw Medical CenterRichmond, VA$12,750
Sentara Leigh HospitalNorfolk, VA$13,118
Augusta HealthFishersville, VA$14,230
Henrico Doctors' HospitalRichmond, VA$14,336

Highest

University of Virginia Medical CenterCharlottesville, VA$39,073
Medical College of Virginia HospitalsRichmond, VA$33,409
Inova Fairfax HospitalFalls Church, VA$18,167
Lewisgale Medical CenterSalem, VA$17,936
Winchester Medical Center INCWinchester, VA$15,883

Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with major complications in other states

Questions

How much does disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with major complications cost in Virginia?

In 2024 Medicare data, a hospital stay for disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with major complications (DRG 441) at 11 hospitals in Virginia was billed at $85,034 on average, while the average total payment was $21,608, of which Medicare paid $14,235. 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 3.9 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.