What 60 hospitals in Virginia charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.
Hospitals in Virginia billed an average of $12,129 for level 1 nerve procedures, about 7.2 times the average medicare-allowed amount of $1,694. That payment is 5% below the U.S. average of $1,774.
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.
About 14¢ was paid for every $1 hospitals in Virginia billed for this service.
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 | 373 | $8,061 | $1,756 | $1,395 |
| Augusta HealthFishersville | 355 | $6,669 | $1,850 | $1,468 |
| Carilion Medical CenterRoanoke | 332 | $6,576 | $1,662 | $1,324 |
| Riverside Regional Medical CenterNewport News | 178 | $9,304 | $1,648 | $1,307 |
| Sentara Rmh Medical CenterHarrisonburg | 173 | $12,838 | $1,890 | $1,504 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 167 | $12,165 | $1,747 | $1,386 |
| Medical College of Virginia HospitalsRichmond | 163 | $9,095 | $1,666 | $1,323 |
| Wellmont Lonesome Pine HospitalBig Stone Gap | 123 | $7,836 | $1,746 | $1,382 |
| Sentara Leigh HospitalNorfolk | 115 | $13,929 | $1,668 | $1,326 |
| Johnston Memorial HospitalAbingdon | 112 | $9,502 | $1,639 | $1,301 |
| Sentara Careplex HospitalHampton | 109 | $13,654 | $1,655 | $1,314 |
| Mary Washington Hospital, INCFredericksburg | 93 | $6,337 | $724 | $577 |
| Sentara Virginia Beach General HospitalVirginia Beach | 87 | $11,568 | $1,680 | $1,335 |
| Sentara Bayside HospitalVirginia Beach | 74 | $10,701 | $1,644 | $1,302 |
| Bon Secours - Maryview Medical CenterPortsmouth | 71 | $18,014 | $1,644 | $1,301 |
| Inova Fairfax HospitalFalls Church | 62 | $12,290 | $1,776 | $1,409 |
| Bon Secours - St Francis Medical CenterMidlothian | 57 | $17,102 | $1,678 | $1,336 |
| Montgomery Regional HospitalBlacksburg | 50 | $26,977 | $1,614 | $1,269 |
| Henrico Doctors' HospitalRichmond | 47 | $43,310 | $1,676 | $1,335 |
| The Fauquier Hospital, INCWarrenton | 35 | $16,320 | $1,811 | $1,442 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 32 | $12,270 | $1,780 | $1,415 |
| Cjw Medical CenterRichmond | 32 | $49,216 | $1,621 | $1,283 |
| John Randolph Medical CenterHopewell | 31 | $65,413 | $1,557 | $1,203 |
| Reston Hospital CenterReston | 31 | $20,117 | $1,670 | $1,322 |
| Sentara Norfolk General HospitalNorfolk | 28 | $19,113 | $1,500 | $1,195 |
| Mary Immaculate HospitalNewport News | 26 | $22,703 | $1,662 | $1,324 |
| Southside Community Hospital, INCFarmville | 25 | $10,377 | $1,799 | $1,434 |
| Danville Regional Medical CenterDanville | 24 | $23,744 | $1,659 | $1,310 |
| Martha Jefferson HospitalCharlottesville | 24 | $11,284 | $1,623 | $1,282 |
| Inova Alexandria HospitalAlexandria | 23 | $8,661 | $1,811 | $1,430 |
| Culpeper Regional HospitalCulpeper | 22 | $8,346 | $1,811 | $1,443 |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg | 21 | $11,260 | $1,599 | $1,261 |
| Smyth County Community HospitalMarion | 19 | $13,346 | $1,662 | $1,324 |
| Riverside Tappahannock HospitalTappahannock | 19 | $11,119 | $1,799 | $1,428 |
| Halifax Regional HospitalSouth Boston | 18 | $17,722 | $1,837 | $1,463 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 18 | $12,969 | $1,694 | $1,334 |
| Wythe County Community HospitalWytheville | 18 | $15,155 | $1,780 | $1,418 |
| Community Memorial Healthcenter, INCSouth Hill | 16 | $10,615 | $1,743 | $1,389 |
| Alleghany Regional HospitalJackson River | 15 | $22,863 | $1,780 | $1,418 |
| Twin County Regional HospitalGalax | 14 | $16,389 | $1,780 | $1,418 |
| Inova Mount Vernon HospitalAlexandria | 12 | $9,290 | $1,811 | $1,443 |
| Warren Memorial HospitalFront Royal | 11 | $3,802 | $1,811 | $1,443 |
| Lewisgale Medical CenterSalem | 11 | $48,867 | $1,662 | $1,324 |
| Winchester Medical Center INCWinchester | – | – | – | – |
| Riverside Shore Memorial HospitalNassawadox | – | – | – | – |
| Carilion New River Vly Med CtrChristiansburg | – | – | – | – |
| Inova Loudoun HospitalLeesburg | – | – | – | – |
| Sentara Obici HospitalSuffolk | – | – | – | – |
| Virginia Hospital Center - ArlingtonArlington | – | – | – | – |
| Clinch Valley Medical CenterRichlands | – | – | – | – |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | – | – | – | – |
| Southside Regional Medical CenterPetersburg | – | – | – | – |
| Carilion Franklin Memorial HospitalRocky Mount | – | – | – | – |
| Southampton Memorial HospitalFranklin | – | – | – | – |
| Inova Fair Oaks HospitalFairfax | – | – | – | – |
| Sentara Northern Virginia Medical CenterWoodbridge | – | – | – | – |
| Pulaski Community HospitalPulaski | – | – | – | – |
| Chesapeake General HospitalChesapeake | – | – | – | – |
| Riverside Walter Reed HospitalGloucester | – | – | – | – |
| Spotsylvania Regional Medical CenterFredericksburg | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Mary Washington Hospital, INCFredericksburg, VA | $724 |
|---|---|
| Sentara Norfolk General HospitalNorfolk, VA | $1,500 |
| John Randolph Medical CenterHopewell, VA | $1,557 |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg, VA | $1,599 |
| Montgomery Regional HospitalBlacksburg, VA | $1,614 |
| Sentara Rmh Medical CenterHarrisonburg, VA | $1,890 |
|---|---|
| Augusta HealthFishersville, VA | $1,850 |
| Halifax Regional HospitalSouth Boston, VA | $1,837 |
| Inova Alexandria HospitalAlexandria, VA | $1,811 |
| Culpeper Regional HospitalCulpeper, VA | $1,811 |
In 2024 Medicare data, level 1 nerve procedures (APC 5431) at 60 hospitals in Virginia was billed at $12,129 on average, while the average medicare-allowed amount was $1,694, of which Medicare paid $1,345. Your own cost depends on your insurance, deductible and the hospital.
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 7.2 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.