facebook tracking Infectious and parasitic diseases with operating room procedures with major complications cost in Virginia: 43 hospitals compared (DRG 853)

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

What 43 hospitals in Virginia charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853), from 2024 Medicare claims.

DRG 853 Inpatient 2024 Medicare data
Average charge $179,039 Hospital list price billed
Average payment $42,494 Medicare + patient + other payers
Medicare paid $35,012 Average per stay
State rank #23 of 49 1 = lowest average payment

Hospitals in Virginia billed an average of $179,039 for infectious and parasitic diseases with operating room procedures with major complications, about 4.2 times the average total payment of $42,494. That payment is 9% below the U.S. average of $46,667.

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 $42,494Billed $179,039

About 24¢ 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 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
Carilion Medical CenterRoanoke 162 $189,701 $42,406 $35,983
Inova Fairfax HospitalFalls Church 158 $140,589 $53,671 $41,205
Centra Health - Lynchburg Gen HospitalLynchburg 136 $142,025 $41,024 $36,492
Sentara Leigh HospitalNorfolk 121 $135,916 $35,648 $29,117
Mary Washington Hospital, INCFredericksburg 107 $116,885 $38,606 $32,662
Cjw Medical CenterRichmond 98 $566,752 $51,137 $28,766
Virginia Hospital Center - ArlingtonArlington 90 $116,841 $37,884 $34,423
Sentara Bayside HospitalVirginia Beach 78 $124,175 $32,539 $29,605
Sentara Norfolk General HospitalNorfolk 75 $211,503 $51,105 $40,907
Lewisgale Medical CenterSalem 74 $280,031 $36,576 $32,210
Bon Secours - Memorial Regional MedicalMechanicsville 72 $165,171 $37,479 $31,388
Riverside Regional Medical CenterNewport News 71 $101,301 $37,282 $31,114
Medical College of Virginia HospitalsRichmond 66 $379,092 $99,222 $70,130
Sentara Virginia Beach General HospitalVirginia Beach 66 $142,205 $34,020 $31,429
Winchester Medical Center INCWinchester 65 $106,870 $49,628 $38,091
Sentara Obici HospitalSuffolk 62 $127,759 $30,574 $27,152
Inova Loudoun HospitalLeesburg 59 $110,322 $39,496 $33,428
Inova Alexandria HospitalAlexandria 55 $100,699 $39,387 $33,013
Sentara Rmh Medical CenterHarrisonburg 54 $81,273 $42,533 $40,774
University of Virginia Medical CenterCharlottesville 54 $262,852 $83,203 $58,690
Southside Regional Medical CenterPetersburg 50 $335,395 $37,993 $31,371
Henrico Doctors' HospitalRichmond 50 $460,263 $35,010 $29,207
Chesapeake General HospitalChesapeake 50 $102,826 $33,625 $32,304
Danville Regional Medical CenterDanville 49 $173,599 $34,174 $31,232
Sentara Careplex HospitalHampton 47 $122,331 $35,715 $31,599
Sentara Northern Virginia Medical CenterWoodbridge 45 $137,237 $37,335 $32,416
Bon Secours - St Marys Hospital of RichmondRichmond 43 $206,233 $44,102 $32,644
Sentara Williamsburg Regional Medical CenterWilliamsburg 43 $105,954 $29,919 $28,744
Inova Fair Oaks HospitalFairfax 37 $88,707 $37,301 $33,586
Bon Secours - St Francis Medical CenterMidlothian 36 $148,320 $37,228 $32,746
Martha Jefferson HospitalCharlottesville 34 $92,848 $31,545 $30,036
Reston Hospital CenterReston 32 $212,406 $32,643 $31,566
Bon Secours - Maryview Medical CenterPortsmouth 25 $105,458 $35,415 $30,985
Inova Mount Vernon HospitalAlexandria 25 $99,357 $35,921 $32,021
Carilion New River Vly Med CtrChristiansburg 21 $163,605 $45,678 $30,801
Montgomery Regional HospitalBlacksburg 21 $213,810 $44,521 $31,930
Augusta HealthFishersville 18 $112,622 $40,810 $39,503
Mary Immaculate HospitalNewport News 16 $107,720 $31,966 $30,334
Prince William HospitalManassas 15 $129,475 $40,174 $38,703
Johnston Memorial HospitalAbingdon 15 $150,975 $41,471 $36,430
Stafford Hospital CenterStafford 13 $75,311 $33,891 $32,887
Wellmont Lonesome Pine HospitalBig Stone Gap 11 $86,598 $44,868 $34,229
Spotsylvania Regional Medical CenterFredericksburg 11 $204,196 $34,058 $32,759
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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

Sentara Williamsburg Regional Medical CenterWilliamsburg, VA$29,919
Sentara Obici HospitalSuffolk, VA$30,574
Martha Jefferson HospitalCharlottesville, VA$31,545
Mary Immaculate HospitalNewport News, VA$31,966
Sentara Bayside HospitalVirginia Beach, VA$32,539

Highest

Medical College of Virginia HospitalsRichmond, VA$99,222
University of Virginia Medical CenterCharlottesville, VA$83,203
Inova Fairfax HospitalFalls Church, VA$53,671
Cjw Medical CenterRichmond, VA$51,137
Sentara Norfolk General HospitalNorfolk, VA$51,105

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

Questions

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

In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853) at 43 hospitals in Virginia was billed at $179,039 on average, while the average total payment was $42,494, of which Medicare paid $35,012. 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 4.2 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.