facebook tracking Infectious and parasitic diseases with operating room procedures with complications cost in Virginia: 32 hospitals compared (DRG 854)

Infectious and parasitic diseases with operating room procedures with complications in Virginia

What 32 hospitals in Virginia charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854), from 2024 Medicare claims.

DRG 854 Inpatient 2024 Medicare data
Average charge $87,343 Hospital list price billed
Average payment $16,929 Medicare + patient + other payers
Medicare paid $12,982 Average per stay
State rank #19 of 44 1 = lowest average payment

Hospitals in Virginia billed an average of $87,343 for infectious and parasitic diseases with operating room procedures with complications, about 5.2 times the average total payment of $16,929. That payment is 11% below the U.S. average of $19,011.

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 $16,929Billed $87,343

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: infectious and parasitic diseases with operating room procedures with 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
Centra Health - Lynchburg Gen HospitalLynchburg 56 $68,311 $16,995 $12,902
Sentara Leigh HospitalNorfolk 42 $61,312 $15,535 $11,814
Carilion Medical CenterRoanoke 33 $73,658 $16,053 $13,753
Cjw Medical CenterRichmond 33 $277,300 $16,334 $11,764
Inova Fairfax HospitalFalls Church 32 $57,425 $20,078 $14,666
Mary Washington Hospital, INCFredericksburg 28 $53,362 $15,535 $13,702
Lewisgale Medical CenterSalem 28 $122,904 $17,753 $12,198
Sentara Bayside HospitalVirginia Beach 28 $56,831 $14,173 $11,880
Sentara Virginia Beach General HospitalVirginia Beach 27 $69,536 $14,698 $12,146
Henrico Doctors' HospitalRichmond 24 $197,531 $15,757 $12,410
Bon Secours - Memorial Regional MedicalMechanicsville 21 $74,865 $17,461 $11,126
Virginia Hospital Center - ArlingtonArlington 20 $61,355 $14,742 $11,765
Bon Secours - St Marys Hospital of RichmondRichmond 20 $87,564 $17,448 $13,552
Chesapeake General HospitalChesapeake 19 $72,648 $14,205 $12,833
Sentara Rmh Medical CenterHarrisonburg 18 $44,569 $17,190 $15,411
University of Virginia Medical CenterCharlottesville 18 $130,325 $30,200 $18,625
Riverside Regional Medical CenterNewport News 18 $48,362 $16,485 $12,244
Medical College of Virginia HospitalsRichmond 17 $112,495 $28,434 $12,582
Carilion New River Vly Med CtrChristiansburg 17 $76,054 $16,066 $14,732
Southside Regional Medical CenterPetersburg 17 $174,863 $14,732 $12,753
Martha Jefferson HospitalCharlottesville 16 $43,126 $13,965 $10,297
Sentara Careplex HospitalHampton 16 $47,549 $14,844 $13,518
Bon Secours - St Francis Medical CenterMidlothian 16 $58,099 $16,537 $12,679
Sentara Norfolk General HospitalNorfolk 15 $59,927 $19,842 $12,690
Inova Alexandria HospitalAlexandria 15 $47,477 $14,620 $13,288
Augusta HealthFishersville 14 $47,887 $15,700 $14,257
Sentara Obici HospitalSuffolk 14 $69,384 $14,384 $13,187
Montgomery Regional HospitalBlacksburg 14 $87,253 $18,731 $13,691
Danville Regional Medical CenterDanville 11 $83,051 $15,774 $13,639
Inova Fair Oaks HospitalFairfax 11 $45,332 $17,026 $11,970
Reston Hospital CenterReston 11 $120,397 $15,157 $12,663
Sentara Northern Virginia Medical CenterWoodbridge 11 $64,546 $18,367 $13,260
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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

Martha Jefferson HospitalCharlottesville, VA$13,965
Sentara Bayside HospitalVirginia Beach, VA$14,173
Chesapeake General HospitalChesapeake, VA$14,205
Sentara Obici HospitalSuffolk, VA$14,384
Inova Alexandria HospitalAlexandria, VA$14,620

Highest

University of Virginia Medical CenterCharlottesville, VA$30,200
Medical College of Virginia HospitalsRichmond, VA$28,434
Inova Fairfax HospitalFalls Church, VA$20,078
Sentara Norfolk General HospitalNorfolk, VA$19,842
Montgomery Regional HospitalBlacksburg, VA$18,731

Infectious and parasitic diseases with operating room procedures with complications in other states

Questions

How much does infectious and parasitic diseases with operating room procedures with complications cost in Virginia?

In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854) at 32 hospitals in Virginia was billed at $87,343 on average, while the average total payment was $16,929, of which Medicare paid $12,982. 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.