What 20 hospitals in Virginia charged and were paid for a Medicare hospital stay for endocrine disorders with major complications (DRG 643), from 2024 Medicare claims.
Hospitals in Virginia billed an average of $57,392 for endocrine disorders with major complications, about 4.0 times the average total payment of $14,233. That payment is 13% below the U.S. average of $16,313.
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.
About 25¢ 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:
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 | 45 | $40,646 | $16,707 | $11,966 |
| Mary Washington Hospital, INCFredericksburg | 34 | $22,739 | $12,854 | $10,543 |
| Cjw Medical CenterRichmond | 33 | $144,899 | $12,172 | $9,450 |
| Sentara Leigh HospitalNorfolk | 23 | $41,591 | $13,069 | $9,848 |
| Virginia Hospital Center - ArlingtonArlington | 22 | $44,768 | $12,905 | $11,273 |
| Carilion Medical CenterRoanoke | 20 | $56,532 | $13,944 | $11,349 |
| Sentara Bayside HospitalVirginia Beach | 20 | $50,104 | $12,254 | $9,016 |
| Henrico Doctors' HospitalRichmond | 19 | $116,780 | $11,890 | $10,185 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 18 | $55,546 | $12,344 | $11,040 |
| Winchester Medical Center INCWinchester | 17 | $26,079 | $13,531 | $11,535 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 17 | $57,536 | $12,824 | $11,157 |
| University of Virginia Medical CenterCharlottesville | 14 | $80,240 | $27,972 | $17,474 |
| Sentara Rmh Medical CenterHarrisonburg | 12 | $23,832 | $13,987 | $12,578 |
| Inova Alexandria HospitalAlexandria | 12 | $38,267 | $12,851 | $11,306 |
| Inova Loudoun HospitalLeesburg | 12 | $32,406 | $12,413 | $11,048 |
| Martha Jefferson HospitalCharlottesville | 12 | $36,279 | $10,599 | $9,069 |
| Chesapeake General HospitalChesapeake | 12 | $35,390 | $11,614 | $10,628 |
| Medical College of Virginia HospitalsRichmond | 11 | $81,241 | $26,342 | $13,310 |
| Lewisgale Medical CenterSalem | 11 | $81,440 | $14,589 | $9,868 |
| Inova Mount Vernon HospitalAlexandria | 11 | $46,970 | $14,792 | $11,096 |
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.
| Martha Jefferson HospitalCharlottesville, VA | $10,599 |
|---|---|
| Chesapeake General HospitalChesapeake, VA | $11,614 |
| Henrico Doctors' HospitalRichmond, VA | $11,890 |
| Cjw Medical CenterRichmond, VA | $12,172 |
| Sentara Bayside HospitalVirginia Beach, VA | $12,254 |
| University of Virginia Medical CenterCharlottesville, VA | $27,972 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $26,342 |
| Inova Fairfax HospitalFalls Church, VA | $16,707 |
| Inova Mount Vernon HospitalAlexandria, VA | $14,792 |
| Lewisgale Medical CenterSalem, VA | $14,589 |
In 2024 Medicare data, a hospital stay for endocrine disorders with major complications (DRG 643) at 20 hospitals in Virginia was billed at $57,392 on average, while the average total payment was $14,233, of which Medicare paid $11,055. Your own cost depends on your insurance, deductible and the hospital.
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 4.0 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.