Heart failure and shock with major complications in Virginia
What 69 hospitals in Virginia charged and were paid for a Medicare hospital stay for heart failure and shock with major complications (DRG 291), from 2024 Medicare claims.
Average charge
$40,772
Hospital list price billed
Average payment
$11,030
Medicare + patient + other payers
Medicare paid
$8,745
Average per stay
State rank
#22 of 50
1 = lowest average payment
Hospitals in Virginia billed an average of $40,772 for heart failure and shock with major complications, about 3.7 times the average total payment of $11,030. That payment is 8% below the U.S. average of $12,050.
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 $11,030Billed $40,772
About 27¢ 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: heart failure and shock 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 | 492 | $36,724 | $13,397 | $9,714 |
| Winchester Medical Center INCWinchester | 461 | $21,078 | $10,478 | $9,143 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 374 | $40,755 | $10,531 | $8,319 |
| Mary Washington Hospital, INCFredericksburg | 356 | $21,250 | $9,837 | $8,476 |
| Carilion Medical CenterRoanoke | 334 | $40,585 | $11,612 | $8,825 |
| Sentara Virginia Beach General HospitalVirginia Beach | 334 | $40,769 | $9,256 | $7,749 |
| Riverside Regional Medical CenterNewport News | 294 | $28,232 | $10,527 | $8,096 |
| Inova Loudoun HospitalLeesburg | 292 | $39,189 | $10,068 | $8,454 |
| Cjw Medical CenterRichmond | 287 | $97,218 | $9,191 | $7,654 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 284 | $38,511 | $10,314 | $7,900 |
| Sentara Leigh HospitalNorfolk | 280 | $36,650 | $9,875 | $8,022 |
| Sentara Obici HospitalSuffolk | 272 | $37,497 | $9,230 | $7,952 |
| University of Virginia Medical CenterCharlottesville | 269 | $66,105 | $21,418 | $13,660 |
| Sentara Rmh Medical CenterHarrisonburg | 256 | $24,016 | $11,412 | $9,817 |
| Chesapeake General HospitalChesapeake | 254 | $23,644 | $9,094 | $7,922 |
| Sentara Norfolk General HospitalNorfolk | 251 | $50,754 | $14,058 | $9,626 |
| Sentara Bayside HospitalVirginia Beach | 243 | $36,727 | $9,455 | $7,540 |
| Medical College of Virginia HospitalsRichmond | 230 | $76,701 | $22,298 | $11,682 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 224 | $45,326 | $9,952 | $8,299 |
| Virginia Hospital Center - ArlingtonArlington | 222 | $29,923 | $10,331 | $8,630 |
| Inova Alexandria HospitalAlexandria | 213 | $38,095 | $10,582 | $9,164 |
| Augusta HealthFishersville | 210 | $23,867 | $10,349 | $8,765 |
| Henrico Doctors' HospitalRichmond | 209 | $79,950 | $9,932 | $7,717 |
| Inova Fair Oaks HospitalFairfax | 178 | $34,704 | $10,072 | $8,570 |
| Sentara Northern Virginia Medical CenterWoodbridge | 175 | $38,925 | $11,344 | $8,870 |
| Southside Regional Medical CenterPetersburg | 167 | $102,347 | $9,754 | $7,914 |
| Bon Secours - St Francis Medical CenterMidlothian | 162 | $35,552 | $9,942 | $8,052 |
| Martha Jefferson HospitalCharlottesville | 153 | $25,647 | $8,761 | $7,100 |
| Carilion New River Vly Med CtrChristiansburg | 151 | $42,686 | $11,001 | $8,558 |
| Prince William HospitalManassas | 137 | $30,577 | $10,867 | $9,207 |
| Lewisgale Medical CenterSalem | 137 | $58,167 | $11,589 | $8,653 |
| Danville Regional Medical CenterDanville | 124 | $49,462 | $10,856 | $8,392 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 119 | $38,054 | $8,592 | $7,536 |
| Bon Secours - Maryview Medical CenterPortsmouth | 118 | $29,676 | $11,123 | $8,882 |
| Sentara Careplex HospitalHampton | 106 | $39,073 | $10,628 | $8,760 |
| Culpeper Regional HospitalCulpeper | 100 | $26,403 | $10,536 | $9,238 |
| Community Memorial Healthcenter, INCSouth Hill | 97 | $35,841 | $9,737 | $8,669 |
| Halifax Regional HospitalSouth Boston | 96 | $25,899 | $10,153 | $8,292 |
| Southside Community Hospital, INCFarmville | 95 | $36,126 | $9,634 | $8,551 |
| Spotsylvania Regional Medical CenterFredericksburg | 94 | $48,231 | $9,917 | $8,712 |
| Reston Hospital CenterReston | 89 | $59,655 | $10,961 | $8,288 |
| Inova Mount Vernon HospitalAlexandria | 82 | $41,553 | $10,875 | $9,047 |
| UVA Health Haymarket Medical CenterHaymarket | 79 | $26,860 | $8,559 | $7,485 |
| Johnston Memorial HospitalAbingdon | 73 | $35,260 | $11,593 | $8,974 |
| Stafford Hospital CenterStafford | 69 | $18,484 | $9,905 | $8,467 |
| John Randolph Medical CenterHopewell | 67 | $68,478 | $9,235 | $8,194 |
| Mary Immaculate HospitalNewport News | 65 | $39,161 | $9,508 | $8,092 |
| Riverside Walter Reed HospitalGloucester | 65 | $26,616 | $8,729 | $7,574 |
| Warren Memorial HospitalFront Royal | 61 | $19,373 | $11,714 | $9,579 |
| Carilion Franklin Memorial HospitalRocky Mount | 57 | $29,263 | $10,948 | $9,753 |
| Alleghany Regional HospitalJackson River | 57 | $40,475 | $10,959 | $9,264 |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg | 53 | $20,701 | $8,076 | $7,076 |
| The Fauquier Hospital, INCWarrenton | 51 | $50,808 | $8,934 | $7,910 |
| Clinch Valley Medical CenterRichlands | 50 | $49,632 | $9,512 | $8,663 |
| Riverside Tappahannock HospitalTappahannock | 49 | $23,063 | $11,392 | $10,418 |
| Montgomery Regional HospitalBlacksburg | 48 | $43,053 | $12,503 | $9,547 |
| Bedford Memorial HospitalBedford | 38 | $33,764 | $10,295 | $9,178 |
| Wellmont Lonesome Pine HospitalBig Stone Gap | 36 | $29,036 | $13,991 | $10,454 |
| Riverside Shore Memorial HospitalNassawadox | 34 | $20,361 | $9,563 | $8,190 |
| Twin County Regional HospitalGalax | 28 | $50,644 | $10,639 | $9,473 |
| Stonesprings Hospital CenterDulles | 27 | $41,693 | $10,001 | $8,276 |
| Wythe County Community HospitalWytheville | 24 | $45,354 | $11,419 | $9,815 |
| Russell County Medical CenterLebanon | 22 | $36,520 | $10,386 | $9,341 |
| Pulaski Community HospitalPulaski | 21 | $45,846 | $11,447 | $9,423 |
| Carilion Tazewell Community HospitalTazewell | 21 | $37,282 | $11,669 | $8,838 |
| Southampton Memorial HospitalFranklin | 19 | $27,980 | $11,779 | $10,662 |
| Smyth County Community HospitalMarion | 18 | $29,727 | $10,952 | $9,683 |
| Bon Secours - Richmond Community HospitalRichmond | 11 | $22,259 | $12,664 | $12,219 |
| Buchanan General HospitalGrundy | 11 | $31,612 | $11,524 | $11,079 |
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
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg, VA | $8,076 |
|---|---|
| UVA Health Haymarket Medical CenterHaymarket, VA | $8,559 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg, VA | $8,592 |
| Riverside Walter Reed HospitalGloucester, VA | $8,729 |
| Martha Jefferson HospitalCharlottesville, VA | $8,761 |
Highest
| Medical College of Virginia HospitalsRichmond, VA | $22,298 |
|---|---|
| University of Virginia Medical CenterCharlottesville, VA | $21,418 |
| Sentara Norfolk General HospitalNorfolk, VA | $14,058 |
| Wellmont Lonesome Pine HospitalBig Stone Gap, VA | $13,991 |
| Inova Fairfax HospitalFalls Church, VA | $13,397 |
Heart failure and shock with major complications in other states
Questions
How much does heart failure and shock with major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for heart failure and shock with major complications (DRG 291) at 69 hospitals in Virginia was billed at $40,772 on average, while the average total payment was $11,030, of which Medicare paid $8,745. 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 3.7 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.