Disorders of pancreas except malignancy with complications in Virginia
What 13 hospitals in Virginia charged and were paid for a Medicare hospital stay for disorders of pancreas except malignancy with complications (DRG 439), from 2024 Medicare claims.
Average charge
$43,087
Hospital list price billed
Average payment
$8,290
Medicare + patient + other payers
Medicare paid
$5,246
Average per stay
State rank
#16 of 37
1 = lowest average payment
Hospitals in Virginia billed an average of $43,087 for disorders of pancreas except malignancy with complications, about 5.2 times the average total payment of $8,290. That payment is 8% below the U.S. average of $9,024.
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 $8,290Billed $43,087
About 19¢ 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: disorders of pancreas except malignancy 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 |
|---|---|---|---|---|
| Cjw Medical CenterRichmond | 27 | $115,310 | $6,603 | $4,551 |
| Mary Washington Hospital, INCFredericksburg | 24 | $15,269 | $6,929 | $5,713 |
| University of Virginia Medical CenterCharlottesville | 20 | $52,486 | $15,198 | $7,158 |
| Inova Fairfax HospitalFalls Church | 20 | $30,961 | $10,869 | $5,672 |
| Winchester Medical Center INCWinchester | 18 | $17,853 | $6,962 | $5,505 |
| Henrico Doctors' HospitalRichmond | 17 | $78,006 | $7,027 | $4,601 |
| Carilion Medical CenterRoanoke | 16 | $33,955 | $9,688 | $4,788 |
| Bon Secours - St Francis Medical CenterMidlothian | 16 | $33,993 | $6,812 | $5,090 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 13 | $27,001 | $7,521 | $4,433 |
| Sentara Leigh HospitalNorfolk | 13 | $31,748 | $8,286 | $4,349 |
| Inova Fair Oaks HospitalFairfax | 13 | $17,324 | $6,816 | $6,063 |
| Inova Loudoun HospitalLeesburg | 12 | $27,576 | $6,809 | $5,580 |
| Chesapeake General HospitalChesapeake | 12 | $26,584 | $6,803 | $3,955 |
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 | $6,603 |
|---|---|
| Chesapeake General HospitalChesapeake, VA | $6,803 |
| Inova Loudoun HospitalLeesburg, VA | $6,809 |
| Bon Secours - St Francis Medical CenterMidlothian, VA | $6,812 |
| Inova Fair Oaks HospitalFairfax, VA | $6,816 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $15,198 |
|---|---|
| Inova Fairfax HospitalFalls Church, VA | $10,869 |
| Carilion Medical CenterRoanoke, VA | $9,688 |
| Sentara Leigh HospitalNorfolk, VA | $8,286 |
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $7,521 |
Disorders of pancreas except malignancy with complications in other states
Questions
How much does disorders of pancreas except malignancy with complications cost in Virginia?
In 2024 Medicare data, a hospital stay for disorders of pancreas except malignancy with complications (DRG 439) at 13 hospitals in Virginia was billed at $43,087 on average, while the average total payment was $8,290, of which Medicare paid $5,246. 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 5.2 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.