facebook tracking Hypertension without major complications cost in Virginia: 22 hospitals compared (DRG 305)

Hypertension without major complications in Virginia

What 22 hospitals in Virginia charged and were paid for a Medicare hospital stay for hypertension without major complications (DRG 305), from 2024 Medicare claims.

DRG 305 Inpatient 2024 Medicare data
Average charge $33,176 Hospital list price billed
Average payment $6,332 Medicare + patient + other payers
Medicare paid $4,387 Average per stay
State rank #8 of 38 1 = lowest average payment

Hospitals in Virginia billed an average of $33,176 for hypertension without major complications, about 5.2 times the average total payment of $6,332. That payment is 12% below the U.S. average of $7,204.

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 $6,332Billed $33,176

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: hypertension 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
Cjw Medical CenterRichmond 39 $53,202 $5,458 $4,150
Bon Secours - St Marys Hospital of RichmondRichmond 31 $27,522 $6,930 $4,037
Mary Washington Hospital, INCFredericksburg 29 $17,563 $6,500 $4,403
Chesapeake General HospitalChesapeake 29 $18,152 $5,594 $4,187
Lewisgale Medical CenterSalem 26 $34,255 $6,768 $4,684
Riverside Regional Medical CenterNewport News 23 $21,583 $6,781 $3,798
Winchester Medical Center INCWinchester 22 $17,258 $6,947 $4,148
Reston Hospital CenterReston 22 $50,758 $6,012 $4,600
Henrico Doctors' HospitalRichmond 21 $56,269 $5,836 $4,123
Bon Secours - St Francis Medical CenterMidlothian 19 $24,303 $6,157 $4,638
Centra Health - Lynchburg Gen HospitalLynchburg 18 $27,342 $6,294 $4,081
Southside Regional Medical CenterPetersburg 18 $71,713 $6,404 $3,794
Bon Secours - Memorial Regional MedicalMechanicsville 17 $29,365 $6,009 $4,132
John Randolph Medical CenterHopewell 16 $43,285 $5,827 $4,399
Carilion Medical CenterRoanoke 15 $24,637 $6,743 $5,089
Spotsylvania Regional Medical CenterFredericksburg 15 $36,606 $6,106 $4,692
Inova Alexandria HospitalAlexandria 14 $29,478 $7,283 $4,760
Sentara Virginia Beach General HospitalVirginia Beach 14 $23,076 $5,689 $4,390
Inova Fairfax HospitalFalls Church 14 $23,922 $7,894 $5,734
Sentara Obici HospitalSuffolk 13 $27,154 $5,725 $4,333
Inova Loudoun HospitalLeesburg 12 $31,980 $6,099 $4,599
Montgomery Regional HospitalBlacksburg 11 $30,900 $7,451 $5,480
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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

Cjw Medical CenterRichmond, VA$5,458
Chesapeake General HospitalChesapeake, VA$5,594
Sentara Virginia Beach General HospitalVirginia Beach, VA$5,689
Sentara Obici HospitalSuffolk, VA$5,725
John Randolph Medical CenterHopewell, VA$5,827

Highest

Inova Fairfax HospitalFalls Church, VA$7,894
Montgomery Regional HospitalBlacksburg, VA$7,451
Inova Alexandria HospitalAlexandria, VA$7,283
Winchester Medical Center INCWinchester, VA$6,947
Bon Secours - St Marys Hospital of RichmondRichmond, VA$6,930

Hypertension without major complications in other states

Questions

How much does hypertension without major complications cost in Virginia?

In 2024 Medicare data, a hospital stay for hypertension without major complications (DRG 305) at 22 hospitals in Virginia was billed at $33,176 on average, while the average total payment was $6,332, of which Medicare paid $4,387. 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.