Disorders of the biliary tract with complications in Virginia
What 14 hospitals in Virginia charged and were paid for a Medicare hospital stay for disorders of the biliary tract with complications (DRG 445), from 2024 Medicare claims.
Average charge
$50,800
Hospital list price billed
Average payment
$10,469
Medicare + patient + other payers
Medicare paid
$7,357
Average per stay
State rank
#26 of 40
1 = lowest average payment
Hospitals in Virginia billed an average of $50,800 for disorders of the biliary tract with complications, about 4.9 times the average total payment of $10,469. That payment is 5% below the U.S. average of $10,996.
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 $10,469Billed $50,800
About 21¢ 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 the biliary tract 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 |
|---|---|---|---|---|
| Inova Fairfax HospitalFalls Church | 34 | $29,003 | $11,063 | $8,651 |
| University of Virginia Medical CenterCharlottesville | 28 | $52,797 | $17,076 | $9,722 |
| Cjw Medical CenterRichmond | 26 | $131,456 | $9,414 | $5,728 |
| Winchester Medical Center INCWinchester | 24 | $27,819 | $8,423 | $7,430 |
| Mary Washington Hospital, INCFredericksburg | 18 | $26,701 | $8,385 | $6,979 |
| Carilion Medical CenterRoanoke | 18 | $44,081 | $10,142 | $7,024 |
| Inova Alexandria HospitalAlexandria | 17 | $30,052 | $9,173 | $7,805 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 13 | $56,426 | $9,185 | $6,365 |
| Reston Hospital CenterReston | 13 | $95,939 | $10,192 | $5,941 |
| Medical College of Virginia HospitalsRichmond | 12 | $56,323 | $12,939 | $8,073 |
| Riverside Regional Medical CenterNewport News | 12 | $28,959 | $10,939 | $5,756 |
| Sentara Virginia Beach General HospitalVirginia Beach | 12 | $44,840 | $7,873 | $6,487 |
| Virginia Hospital Center - ArlingtonArlington | 11 | $31,839 | $8,897 | $7,210 |
| Sentara Bayside HospitalVirginia Beach | 11 | $38,360 | $7,761 | $6,411 |
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 Bayside HospitalVirginia Beach, VA | $7,761 |
|---|---|
| Sentara Virginia Beach General HospitalVirginia Beach, VA | $7,873 |
| Mary Washington Hospital, INCFredericksburg, VA | $8,385 |
| Winchester Medical Center INCWinchester, VA | $8,423 |
| Virginia Hospital Center - ArlingtonArlington, VA | $8,897 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $17,076 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $12,939 |
| Inova Fairfax HospitalFalls Church, VA | $11,063 |
| Riverside Regional Medical CenterNewport News, VA | $10,939 |
| Reston Hospital CenterReston, VA | $10,192 |
Disorders of the biliary tract with complications in other states
Questions
How much does disorders of the biliary tract with complications cost in Virginia?
In 2024 Medicare data, a hospital stay for disorders of the biliary tract with complications (DRG 445) at 14 hospitals in Virginia was billed at $50,800 on average, while the average total payment was $10,469, of which Medicare paid $7,357. 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 4.9 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.