facebook tracking Level 4 Endovascular Procedures cost in Virginia: 41 hospitals compared (APC 5194)

Level 4 Endovascular Procedures in Virginia

What 41 hospitals in Virginia charged and were paid for level 4 endovascular procedures (APC 5194), from 2024 Medicare claims.

APC 5194 Outpatient 2024 Medicare data
Average charge $127,107 Hospital list price billed
Average allowed $15,165 Medicare's payment + patient's share
Medicare paid $13,580 Average per service
State rank #15 of 48 1 = lowest average payment

Hospitals in Virginia billed an average of $127,107 for level 4 endovascular procedures, about 8.4 times the average medicare-allowed amount of $15,165. That payment is 6% below the U.S. average of $16,197.

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 $15,165Billed $127,107

About 12¢ was paid for every $1 hospitals in Virginia billed for this service.

Virginia hospitals: level 4 endovascular 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
Inova Fairfax HospitalFalls Church 93 $83,030 $16,091 $14,456
University of Virginia Medical CenterCharlottesville 85 $104,588 $15,690 $14,096
Mary Washington Hospital, INCFredericksburg 82 $79,647 $15,886 $14,254
Sentara Norfolk General HospitalNorfolk 70 $72,035 $13,122 $11,654
Cjw Medical CenterRichmond 59 $353,935 $14,839 $13,207
Spotsylvania Regional Medical CenterFredericksburg 51 $145,940 $15,832 $14,200
Henrico Doctors' HospitalRichmond 48 $395,879 $14,633 $12,996
Bon Secours - St Marys Hospital of RichmondRichmond 47 $139,086 $15,761 $14,127
Virginia Hospital Center - ArlingtonArlington 45 $110,759 $16,080 $14,447
Carilion Medical CenterRoanoke 42 $114,362 $15,067 $13,435
Winchester Medical Center INCWinchester 40 $88,568 $17,206 $15,568
Medical College of Virginia HospitalsRichmond 35 $80,557 $12,077 $10,768
Bon Secours - Memorial Regional MedicalMechanicsville 32 $129,024 $15,566 $13,985
Riverside Regional Medical CenterNewport News 31 $57,171 $15,069 $13,432
Sentara Virginia Beach General HospitalVirginia Beach 28 $61,755 $13,596 $12,139
Centra Health - Lynchburg Gen HospitalLynchburg 27 $93,568 $16,134 $14,502
Martha Jefferson HospitalCharlottesville 23 $47,792 $11,908 $10,631
Sentara Careplex HospitalHampton 22 $79,655 $15,228 $13,596
Sentara Rmh Medical CenterHarrisonburg 20 $60,232 $15,486 $14,017
Bon Secours - Maryview Medical CenterPortsmouth 20 $128,199 $14,315 $12,757
Chesapeake General HospitalChesapeake 19 $60,008 $14,426 $12,880
Inova Loudoun HospitalLeesburg 18 $81,322 $16,409 $14,777
Lewisgale Medical CenterSalem 16 $225,940 $15,067 $13,435
Augusta HealthFishersville 14 $112,671 $15,821 $14,189
Sentara Bayside HospitalVirginia Beach 14 $68,842 $15,228 $13,586
Southside Regional Medical CenterPetersburg 13 $200,598 $15,228 $13,596
The Fauquier Hospital, INCWarrenton – – – –
Inova Alexandria HospitalAlexandria – – – –
Carilion New River Vly Med CtrChristiansburg – – – –
Sentara Obici HospitalSuffolk – – – –
Prince William HospitalManassas – – – –
Sentara Leigh HospitalNorfolk – – – –
Clinch Valley Medical CenterRichlands – – – –
Sentara Williamsburg Regional Medical CenterWilliamsburg – – – –
Danville Regional Medical CenterDanville – – – –
Inova Fair Oaks HospitalFairfax – – – –
Reston Hospital CenterReston – – – –
Sentara Northern Virginia Medical CenterWoodbridge – – – –
Bon Secours - St Francis Medical CenterMidlothian – – – –
Stafford Hospital CenterStafford – – – –
UVA Health Haymarket Medical CenterHaymarket – – – –
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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

Highest

Winchester Medical Center INCWinchester, VA$17,206
Inova Loudoun HospitalLeesburg, VA$16,409
Centra Health - Lynchburg Gen HospitalLynchburg, VA$16,134
Inova Fairfax HospitalFalls Church, VA$16,091
Virginia Hospital Center - ArlingtonArlington, VA$16,080

Level 4 Endovascular Procedures in other states

Questions

How much does level 4 endovascular procedures cost in Virginia?

In 2024 Medicare data, level 4 endovascular procedures (APC 5194) at 41 hospitals in Virginia was billed at $127,107 on average, while the average medicare-allowed amount was $15,165, of which Medicare paid $13,580. 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 8.4 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.