Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in Virginia
What 67 hospitals in Virginia charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.
Average charge
$27,725
Hospital list price billed
Average allowed
$3,080
Medicare's payment + patient's share
Medicare paid
$2,443
Average per service
State rank
#21 of 49
1 = lowest average payment
Hospitals in Virginia billed an average of $27,725 for level 1 abdominal/peritoneal/biliary and related procedures, about 9.0 times the average medicare-allowed amount of $3,080. That payment is 7% below the U.S. average of $3,323.
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 $3,080Billed $27,725
About 11¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 1 abdominal/peritoneal/biliary and related procedures
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 |
|---|---|---|---|---|
| University of Virginia Medical CenterCharlottesville | 166 | $18,050 | $3,066 | $2,427 |
| Inova Fair Oaks HospitalFairfax | 149 | $12,558 | $3,187 | $2,527 |
| Cjw Medical CenterRichmond | 107 | $104,765 | $2,971 | $2,360 |
| Martha Jefferson HospitalCharlottesville | 104 | $18,262 | $2,993 | $2,384 |
| Medical College of Virginia HospitalsRichmond | 91 | $26,164 | $2,895 | $2,289 |
| Inova Fairfax HospitalFalls Church | 88 | $14,750 | $3,119 | $2,464 |
| Winchester Medical Center INCWinchester | 87 | $11,395 | $3,371 | $2,677 |
| Sentara Bayside HospitalVirginia Beach | 77 | $20,639 | $3,010 | $2,394 |
| Carilion Medical CenterRoanoke | 75 | $22,905 | $2,947 | $2,335 |
| Sentara Leigh HospitalNorfolk | 70 | $24,353 | $3,010 | $2,398 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 68 | $24,825 | $3,177 | $2,526 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 67 | $29,210 | $3,190 | $2,541 |
| Sentara Rmh Medical CenterHarrisonburg | 66 | $17,943 | $3,280 | $2,585 |
| Sentara Virginia Beach General HospitalVirginia Beach | 60 | $22,384 | $2,973 | $2,358 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 59 | $21,084 | $2,979 | $2,373 |
| Henrico Doctors' HospitalRichmond | 57 | $103,289 | $2,931 | $2,320 |
| Inova Alexandria HospitalAlexandria | 54 | $23,084 | $3,244 | $2,574 |
| Inova Loudoun HospitalLeesburg | 54 | $11,228 | $3,244 | $2,584 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 54 | $24,879 | $3,177 | $2,526 |
| Augusta HealthFishersville | 50 | $36,261 | $3,344 | $2,663 |
| Sentara Norfolk General HospitalNorfolk | 46 | $22,558 | $3,010 | $2,394 |
| Riverside Walter Reed HospitalGloucester | 45 | $14,690 | $2,979 | $2,368 |
| UVA Health Haymarket Medical CenterHaymarket | 44 | $16,072 | $2,900 | $2,310 |
| Virginia Hospital Center - ArlingtonArlington | 40 | $22,154 | $3,188 | $2,527 |
| Riverside Regional Medical CenterNewport News | 40 | $18,677 | $2,919 | $2,309 |
| Chesapeake General HospitalChesapeake | 40 | $24,061 | $2,950 | $2,338 |
| Sentara Careplex HospitalHampton | 39 | $19,875 | $3,010 | $2,395 |
| Mary Washington Hospital, INCFredericksburg | 38 | $16,237 | $3,108 | $2,448 |
| Inova Mount Vernon HospitalAlexandria | 35 | $14,880 | $3,170 | $2,506 |
| Reston Hospital CenterReston | 34 | $30,690 | $3,277 | $2,611 |
| Sentara Obici HospitalSuffolk | 31 | $23,354 | $2,921 | $2,323 |
| Danville Regional Medical CenterDanville | 29 | $39,455 | $2,990 | $2,365 |
| John Randolph Medical CenterHopewell | 27 | $94,124 | $3,010 | $2,393 |
| Sentara Northern Virginia Medical CenterWoodbridge | 26 | $25,319 | $3,046 | $2,379 |
| Stafford Hospital CenterStafford | 25 | $14,987 | $3,037 | $2,378 |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg | 25 | $13,524 | $2,979 | $2,368 |
| Johnston Memorial HospitalAbingdon | 24 | $33,705 | $2,896 | $2,283 |
| Carilion New River Vly Med CtrChristiansburg | 23 | $25,840 | $2,978 | $2,373 |
| Community Memorial Healthcenter, INCSouth Hill | 23 | $19,116 | $3,112 | $2,448 |
| Warren Memorial HospitalFront Royal | 22 | $10,784 | $3,244 | $2,585 |
| Riverside Shore Memorial HospitalNassawadox | 22 | $15,439 | $3,190 | $2,524 |
| Mary Immaculate HospitalNewport News | 21 | $30,678 | $2,979 | $2,373 |
| Spotsylvania Regional Medical CenterFredericksburg | 20 | $40,405 | $3,244 | $2,585 |
| Culpeper Regional HospitalCulpeper | 19 | $23,615 | $3,244 | $2,585 |
| Bon Secours - St Francis Medical CenterMidlothian | 19 | $32,655 | $3,006 | $2,388 |
| Lewisgale Medical CenterSalem | 18 | $84,653 | $2,725 | $2,109 |
| Southside Regional Medical CenterPetersburg | 18 | $36,812 | $3,010 | $2,398 |
| Bon Secours - Maryview Medical CenterPortsmouth | 17 | $25,297 | $2,979 | $2,370 |
| Prince William HospitalManassas | 16 | $19,854 | $3,271 | $2,607 |
| Riverside Tappahannock HospitalTappahannock | 16 | $11,733 | $3,224 | $2,545 |
| Wellmont Lonesome Pine HospitalBig Stone Gap | 14 | $22,831 | $3,190 | $2,535 |
| Bedford Memorial HospitalBedford | 13 | $33,360 | $2,978 | $2,373 |
| Twin County Regional HospitalGalax | 12 | $28,605 | $3,190 | $2,541 |
| Halifax Regional HospitalSouth Boston | – | – | – | – |
| The Fauquier Hospital, INCWarrenton | – | – | – | – |
| Smyth County Community HospitalMarion | – | – | – | – |
| Clinch Valley Medical CenterRichlands | – | – | – | – |
| Carilion Franklin Memorial HospitalRocky Mount | – | – | – | – |
| Southside Community Hospital, INCFarmville | – | – | – | – |
| Bon Secours - Richmond Community HospitalRichmond | – | – | – | – |
| Bon Secours Southern Virginia Medical CenterEmporia | – | – | – | – |
| Montgomery Regional HospitalBlacksburg | – | – | – | – |
| Wythe County Community HospitalWytheville | – | – | – | – |
| Pulaski Community HospitalPulaski | – | – | – | – |
| Alleghany Regional HospitalJackson River | – | – | – | – |
| Buchanan General HospitalGrundy | – | – | – | – |
| Stonesprings Hospital CenterDulles | – | – | – | – |
Lowest and highest allowed amounts in Virginia
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Lewisgale Medical CenterSalem, VA | $2,725 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $2,895 |
| Johnston Memorial HospitalAbingdon, VA | $2,896 |
| UVA Health Haymarket Medical CenterHaymarket, VA | $2,900 |
| Riverside Regional Medical CenterNewport News, VA | $2,919 |
Highest
| Winchester Medical Center INCWinchester, VA | $3,371 |
|---|---|
| Augusta HealthFishersville, VA | $3,344 |
| Sentara Rmh Medical CenterHarrisonburg, VA | $3,280 |
| Reston Hospital CenterReston, VA | $3,277 |
| Prince William HospitalManassas, VA | $3,271 |
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states
Questions
How much does level 1 abdominal/peritoneal/biliary and related procedures cost in Virginia?
In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 67 hospitals in Virginia was billed at $27,725 on average, while the average medicare-allowed amount was $3,080, of which Medicare paid $2,443. 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 9.0 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.