Extensive operating room procedures unrelated to principal diagnosis with major complications in Virginia
What 21 hospitals in Virginia charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.
Average charge
$171,951
Hospital list price billed
Average payment
$42,032
Medicare + patient + other payers
Medicare paid
$34,116
Average per stay
State rank
#20 of 42
1 = lowest average payment
Hospitals in Virginia billed an average of $171,951 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 4.1 times the average total payment of $42,032. That payment is 11% below the U.S. average of $47,051.
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 $42,032Billed $171,951
About 24¢ 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: extensive operating room procedures unrelated to principal diagnosis 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 | 46 | $128,780 | $52,058 | $33,754 |
| Sentara Norfolk General HospitalNorfolk | 36 | $166,723 | $41,725 | $33,449 |
| Mary Washington Hospital, INCFredericksburg | 34 | $110,582 | $35,051 | $31,087 |
| University of Virginia Medical CenterCharlottesville | 30 | $198,200 | $65,768 | $46,287 |
| Medical College of Virginia HospitalsRichmond | 28 | $230,499 | $63,207 | $44,302 |
| Winchester Medical Center INCWinchester | 27 | $109,298 | $44,566 | $39,760 |
| Sentara Virginia Beach General HospitalVirginia Beach | 25 | $134,961 | $31,477 | $28,268 |
| Carilion Medical CenterRoanoke | 21 | $165,576 | $33,120 | $30,229 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 21 | $169,453 | $33,946 | $31,311 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 20 | $175,974 | $34,743 | $27,905 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 20 | $198,107 | $34,212 | $32,641 |
| Sentara Rmh Medical CenterHarrisonburg | 16 | $77,996 | $39,647 | $38,086 |
| Inova Mount Vernon HospitalAlexandria | 16 | $87,338 | $32,126 | $30,433 |
| Sentara Leigh HospitalNorfolk | 15 | $153,163 | $34,895 | $29,952 |
| Virginia Hospital Center - ArlingtonArlington | 15 | $107,156 | $35,555 | $33,668 |
| Cjw Medical CenterRichmond | 14 | $612,597 | $35,410 | $33,414 |
| Henrico Doctors' HospitalRichmond | 13 | $486,227 | $31,805 | $29,815 |
| Riverside Regional Medical CenterNewport News | 12 | $99,304 | $32,940 | $29,508 |
| Inova Alexandria HospitalAlexandria | 11 | $149,182 | $48,500 | $35,563 |
| Inova Fair Oaks HospitalFairfax | 11 | $62,506 | $34,089 | $28,285 |
| Sentara Northern Virginia Medical CenterWoodbridge | 11 | $191,522 | $50,094 | $35,513 |
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 Virginia Beach General HospitalVirginia Beach, VA | $31,477 |
|---|---|
| Henrico Doctors' HospitalRichmond, VA | $31,805 |
| Inova Mount Vernon HospitalAlexandria, VA | $32,126 |
| Riverside Regional Medical CenterNewport News, VA | $32,940 |
| Carilion Medical CenterRoanoke, VA | $33,120 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $65,768 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $63,207 |
| Inova Fairfax HospitalFalls Church, VA | $52,058 |
| Sentara Northern Virginia Medical CenterWoodbridge, VA | $50,094 |
| Inova Alexandria HospitalAlexandria, VA | $48,500 |
Extensive operating room procedures unrelated to principal diagnosis with major complications in other states
Questions
How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 21 hospitals in Virginia was billed at $171,951 on average, while the average total payment was $42,032, of which Medicare paid $34,116. 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 4.1 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.