facebook tracking Hypertension with major complications cost in Virginia: 10 hospitals compared (DRG 304)

Hypertension with major complications in Virginia

What 10 hospitals in Virginia charged and were paid for a Medicare hospital stay for hypertension with major complications (DRG 304), from 2024 Medicare claims.

DRG 304 Inpatient 2024 Medicare data
Average charge $48,068 Hospital list price billed
Average payment $9,518 Medicare + patient + other payers
Medicare paid $7,744 Average per stay
State rank #3 of 30 1 = lowest average payment

Hospitals in Virginia billed an average of $48,068 for hypertension with major complications, about 5.0 times the average total payment of $9,518. That payment is 18% below the U.S. average of $11,589.

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 $9,518Billed $48,068

About 20¢ 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: hypertension 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
Henrico Doctors' HospitalRichmond 18 $63,370 $9,122 $6,699
Bon Secours - St Marys Hospital of RichmondRichmond 16 $36,407 $8,834 $7,482
Riverside Regional Medical CenterNewport News 15 $31,684 $9,601 $7,447
Inova Fairfax HospitalFalls Church 15 $35,948 $11,776 $9,294
Cjw Medical CenterRichmond 14 $115,632 $8,347 $7,513
Chesapeake General HospitalChesapeake 13 $26,232 $8,214 $7,212
Winchester Medical Center INCWinchester 12 $19,566 $9,597 $7,343
Sentara Norfolk General HospitalNorfolk 12 $59,978 $10,982 $8,571
Centra Health - Lynchburg Gen HospitalLynchburg 11 $48,464 $9,009 $7,269
Inova Alexandria HospitalAlexandria 11 $36,374 $9,830 $9,054
Advertisement

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

Highest

Inova Fairfax HospitalFalls Church, VA$11,776
Sentara Norfolk General HospitalNorfolk, VA$10,982
Inova Alexandria HospitalAlexandria, VA$9,830
Riverside Regional Medical CenterNewport News, VA$9,601
Winchester Medical Center INCWinchester, VA$9,597

Hypertension with major complications in other states

Questions

How much does hypertension with major complications cost in Virginia?

In 2024 Medicare data, a hospital stay for hypertension with major complications (DRG 304) at 10 hospitals in Virginia was billed at $48,068 on average, while the average total payment was $9,518, of which Medicare paid $7,744. 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 5.0 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.