Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in Virginia
What 21 hospitals in Virginia charged and were paid for a Medicare hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563), from 2024 Medicare claims.
Average charge
$38,453
Hospital list price billed
Average payment
$7,444
Medicare + patient + other payers
Medicare paid
$5,416
Average per stay
State rank
#15 of 39
1 = lowest average payment
Hospitals in Virginia billed an average of $38,453 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications, about 5.2 times the average total payment of $7,444. That payment is 15% below the U.S. average of $8,749.
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 $7,444Billed $38,453
About 19¢ was paid for every $1 hospitals in Virginia billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Virginia:
Virginia hospitals: fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without 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 |
|---|---|---|---|---|
| Lewisgale Medical CenterSalem | 45 | $49,199 | $8,589 | $5,455 |
| Cjw Medical CenterRichmond | 40 | $89,411 | $6,293 | $4,891 |
| Henrico Doctors' HospitalRichmond | 35 | $60,939 | $7,040 | $4,716 |
| Augusta HealthFishersville | 27 | $18,250 | $7,016 | $5,438 |
| Carilion Medical CenterRoanoke | 26 | $24,066 | $7,840 | $5,884 |
| Mary Washington Hospital, INCFredericksburg | 23 | $17,518 | $6,839 | $5,105 |
| Riverside Regional Medical CenterNewport News | 20 | $26,848 | $7,364 | $5,609 |
| Winchester Medical Center INCWinchester | 19 | $17,325 | $7,224 | $5,594 |
| Sentara Northern Virginia Medical CenterWoodbridge | 19 | $25,296 | $7,708 | $6,076 |
| Inova Alexandria HospitalAlexandria | 17 | $30,552 | $7,436 | $6,445 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 16 | $27,282 | $6,936 | $5,135 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 16 | $25,459 | $7,214 | $5,108 |
| Martha Jefferson HospitalCharlottesville | 15 | $18,501 | $5,661 | $4,269 |
| Medical College of Virginia HospitalsRichmond | 14 | $55,668 | $12,693 | $7,870 |
| Inova Loudoun HospitalLeesburg | 14 | $36,133 | $8,074 | $4,927 |
| Sentara Virginia Beach General HospitalVirginia Beach | 14 | $31,655 | $6,633 | $5,090 |
| Inova Fairfax HospitalFalls Church | 14 | $29,138 | $9,264 | $6,444 |
| Danville Regional Medical CenterDanville | 14 | $41,616 | $7,312 | $5,221 |
| Reston Hospital CenterReston | 14 | $49,470 | $6,467 | $4,952 |
| Virginia Hospital Center - ArlingtonArlington | 13 | $22,597 | $7,062 | $5,585 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 12 | $23,487 | $6,401 | $5,177 |
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 | $5,661 |
|---|---|
| Cjw Medical CenterRichmond, VA | $6,293 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg, VA | $6,401 |
| Reston Hospital CenterReston, VA | $6,467 |
| Sentara Virginia Beach General HospitalVirginia Beach, VA | $6,633 |
Highest
| Medical College of Virginia HospitalsRichmond, VA | $12,693 |
|---|---|
| Inova Fairfax HospitalFalls Church, VA | $9,264 |
| Lewisgale Medical CenterSalem, VA | $8,589 |
| Inova Loudoun HospitalLeesburg, VA | $8,074 |
| Carilion Medical CenterRoanoke, VA | $7,840 |
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in other states
Questions
How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563) at 21 hospitals in Virginia was billed at $38,453 on average, while the average total payment was $7,444, of which Medicare paid $5,416. 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.