facebook tracking Gastrointestinal obstruction with major complications cost in Virginia: 13 hospitals compared (DRG 388)

Gastrointestinal obstruction with major complications in Virginia

What 13 hospitals in Virginia charged and were paid for a Medicare hospital stay for gastrointestinal obstruction with major complications (DRG 388), from 2024 Medicare claims.

DRG 388 Inpatient 2024 Medicare data
Average charge $53,092 Hospital list price billed
Average payment $13,117 Medicare + patient + other payers
Medicare paid $9,869 Average per stay
State rank #16 of 35 1 = lowest average payment

Hospitals in Virginia billed an average of $53,092 for gastrointestinal obstruction with major complications, about 4.0 times the average total payment of $13,117. That payment is 9% below the U.S. average of $14,417.

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 $13,117Billed $53,092

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

Virginia hospitals: gastrointestinal obstruction 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 $40,590 $15,523 $11,304
Winchester Medical Center INCWinchester 20 $26,823 $11,776 $10,698
Cjw Medical CenterRichmond 20 $137,022 $10,097 $9,003
Carilion Medical CenterRoanoke 17 $51,537 $13,945 $9,661
Chesapeake General HospitalChesapeake 16 $26,121 $9,942 $8,361
Inova Fair Oaks HospitalFairfax 15 $37,831 $16,084 $7,945
Medical College of Virginia HospitalsRichmond 14 $66,824 $21,333 $11,505
Sentara Bayside HospitalVirginia Beach 14 $42,280 $10,318 $9,361
Mary Washington Hospital, INCFredericksburg 13 $21,873 $11,090 $9,850
Sentara Leigh HospitalNorfolk 13 $41,998 $10,263 $9,260
Inova Alexandria HospitalAlexandria 12 $31,736 $13,327 $9,011
Inova Loudoun HospitalLeesburg 12 $46,685 $11,999 $10,631
Henrico Doctors' HospitalRichmond 11 $139,565 $10,143 $8,482
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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

Chesapeake General HospitalChesapeake, VA$9,942
Cjw Medical CenterRichmond, VA$10,097
Henrico Doctors' HospitalRichmond, VA$10,143
Sentara Leigh HospitalNorfolk, VA$10,263
Sentara Bayside HospitalVirginia Beach, VA$10,318

Highest

Medical College of Virginia HospitalsRichmond, VA$21,333
Inova Fair Oaks HospitalFairfax, VA$16,084
Inova Fairfax HospitalFalls Church, VA$15,523
Carilion Medical CenterRoanoke, VA$13,945
Inova Alexandria HospitalAlexandria, VA$13,327

Gastrointestinal obstruction with major complications in other states

Questions

How much does gastrointestinal obstruction with major complications cost in Virginia?

In 2024 Medicare data, a hospital stay for gastrointestinal obstruction with major complications (DRG 388) at 13 hospitals in Virginia was billed at $53,092 on average, while the average total payment was $13,117, of which Medicare paid $9,869. 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.