Implantation of Drug Infusion Device in Virginia
What 16 hospitals in Virginia charged and were paid for implantation of drug infusion device (APC 5471), from 2024 Medicare claims.
Average charge
$62,139
Hospital list price billed
Average allowed
$15,237
Medicare's payment + patient's share
Medicare paid
$13,602
Average per service
State rank
#10 of 32
1 = lowest average payment
Hospitals in Virginia billed an average of $62,139 for implantation of drug infusion device, about 4.1 times the average medicare-allowed amount of $15,237. That payment is 7% below the U.S. average of $16,462.
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 $15,237Billed $62,139
About 25¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: implantation of drug infusion device
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Sentara Norfolk General HospitalNorfolk | 18 | $53,448 | $13,948 | $12,309 |
| Virginia Hospital Center - ArlingtonArlington | 16 | $71,916 | $16,688 | $15,056 |
| Winchester Medical Center INCWinchester | – | – | – | – |
| University of Virginia Medical CenterCharlottesville | – | – | – | – |
| Augusta HealthFishersville | – | – | – | – |
| Carilion Medical CenterRoanoke | – | – | – | – |
| Medical College of Virginia HospitalsRichmond | – | – | – | – |
| Mary Immaculate HospitalNewport News | – | – | – | – |
| Prince William HospitalManassas | – | – | – | – |
| Lewisgale Medical CenterSalem | – | – | – | – |
| Riverside Regional Medical CenterNewport News | – | – | – | – |
| Sentara Virginia Beach General HospitalVirginia Beach | – | – | – | – |
| Inova Fairfax HospitalFalls Church | – | – | – | – |
| Cjw Medical CenterRichmond | – | – | – | – |
| Sentara Northern Virginia Medical CenterWoodbridge | – | – | – | – |
| Henrico Doctors' HospitalRichmond | – | – | – | – |
Implantation of Drug Infusion Device in other states
Questions
How much does implantation of drug infusion device cost in Virginia?
In 2024 Medicare data, implantation of drug infusion device (APC 5471) at 16 hospitals in Virginia was billed at $62,139 on average, while the average medicare-allowed amount was $15,237, of which Medicare paid $13,602. 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 service in Virginia, average charges were 4.1 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.