Level 2 ICD and Similar Procedures in Virginia
What 39 hospitals in Virginia charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
Average charge
$180,974
Hospital list price billed
Average allowed
$29,286
Medicare's payment + patient's share
Medicare paid
$27,650
Average per service
State rank
#20 of 47
1 = lowest average payment
Hospitals in Virginia billed an average of $180,974 for level 2 icd and similar procedures, about 6.2 times the average medicare-allowed amount of $29,286. That payment is 6% below the U.S. average of $31,009.
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 $29,286Billed $180,974
About 16¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 2 icd and similar 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 |
|---|---|---|---|---|
| Medical College of Virginia HospitalsRichmond | 69 | $141,419 | $28,296 | $26,652 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 67 | $229,986 | $30,242 | $28,608 |
| Sentara Norfolk General HospitalNorfolk | 66 | $90,250 | $27,325 | $25,689 |
| University of Virginia Medical CenterCharlottesville | 63 | $147,043 | $28,803 | $27,170 |
| Inova Fairfax HospitalFalls Church | 57 | $112,799 | $30,198 | $28,562 |
| Carilion Medical CenterRoanoke | 54 | $133,590 | $27,747 | $26,115 |
| Mary Washington Hospital, INCFredericksburg | 42 | $149,773 | $30,757 | $29,125 |
| Riverside Regional Medical CenterNewport News | 40 | $148,257 | $28,243 | $26,597 |
| Winchester Medical Center INCWinchester | 39 | $167,573 | $32,254 | $30,622 |
| Lewisgale Medical CenterSalem | 32 | $274,182 | $28,240 | $26,594 |
| Cjw Medical CenterRichmond | 32 | $512,798 | $28,240 | $26,608 |
| Sentara Virginia Beach General HospitalVirginia Beach | 31 | $80,712 | $28,542 | $26,902 |
| Augusta HealthFishersville | 28 | $200,980 | $30,629 | $28,991 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 24 | $323,225 | $30,118 | $28,486 |
| Martha Jefferson HospitalCharlottesville | 23 | $88,587 | $28,520 | $26,888 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 22 | $325,346 | $28,936 | $27,304 |
| Bon Secours - St Francis Medical CenterMidlothian | 22 | $285,860 | $28,542 | $26,900 |
| Sentara Rmh Medical CenterHarrisonburg | 21 | $87,121 | $32,254 | $30,622 |
| Inova Loudoun HospitalLeesburg | 21 | $106,244 | $30,757 | $29,125 |
| Virginia Hospital Center - ArlingtonArlington | 21 | $180,217 | $30,757 | $29,114 |
| Chesapeake General HospitalChesapeake | 21 | $101,286 | $28,542 | $26,910 |
| Sentara Careplex HospitalHampton | 17 | $97,464 | $28,542 | $26,910 |
| Henrico Doctors' HospitalRichmond | 16 | $497,138 | $28,485 | $26,853 |
| Prince William HospitalManassas | 14 | $164,460 | $31,015 | $29,383 |
| Inova Alexandria HospitalAlexandria | 13 | $110,980 | $30,758 | $29,100 |
| Spotsylvania Regional Medical CenterFredericksburg | 13 | $316,164 | $30,757 | $29,125 |
| Bon Secours - Maryview Medical CenterPortsmouth | 11 | $208,789 | $28,242 | $26,610 |
| Halifax Regional HospitalSouth Boston | – | – | – | – |
| The Fauquier Hospital, INCWarrenton | – | – | – | – |
| Mary Immaculate HospitalNewport News | – | – | – | – |
| Carilion New River Vly Med CtrChristiansburg | – | – | – | – |
| Sentara Obici HospitalSuffolk | – | – | – | – |
| Sentara Leigh HospitalNorfolk | – | – | – | – |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | – | – | – | – |
| Southside Regional Medical CenterPetersburg | – | – | – | – |
| Danville Regional Medical CenterDanville | – | – | – | – |
| Reston Hospital CenterReston | – | – | – | – |
| Sentara Northern Virginia Medical CenterWoodbridge | – | – | – | – |
| Sentara Bayside HospitalVirginia Beach | – | – | – | – |
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
| Sentara Norfolk General HospitalNorfolk, VA | $27,325 |
|---|---|
| Carilion Medical CenterRoanoke, VA | $27,747 |
| Cjw Medical CenterRichmond, VA | $28,240 |
| Lewisgale Medical CenterSalem, VA | $28,240 |
| Bon Secours - Maryview Medical CenterPortsmouth, VA | $28,242 |
Highest
| Sentara Rmh Medical CenterHarrisonburg, VA | $32,254 |
|---|---|
| Winchester Medical Center INCWinchester, VA | $32,254 |
| Prince William HospitalManassas, VA | $31,015 |
| Inova Alexandria HospitalAlexandria, VA | $30,758 |
| Virginia Hospital Center - ArlingtonArlington, VA | $30,757 |
Level 2 ICD and Similar Procedures in other states
Questions
How much does level 2 icd and similar procedures cost in Virginia?
In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 39 hospitals in Virginia was billed at $180,974 on average, while the average medicare-allowed amount was $29,286, of which Medicare paid $27,650. 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 6.2 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.