facebook tracking Endocrine disorders with major complications cost in Virginia: 20 hospitals compared (DRG 643)

Endocrine disorders with major complications in Virginia

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.

DRG 643 Inpatient 2024 Medicare data
Average charge $57,392 Hospital list price billed
Average payment $14,233 Medicare + patient + other payers
Medicare paid $11,055 Average per stay
State rank #9 of 29 1 = lowest average payment

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.

Paid $14,233Billed $57,392

About 25¢ was paid for every $1 hospitals in Virginia billed for this stay.

Virginia hospitals: endocrine disorders 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 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
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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

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

Highest

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

Endocrine disorders with major complications in other states

Questions

How much does endocrine disorders with major complications cost in Virginia?

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.

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 4.0 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.