facebook tracking Major gastrointestinal disorders and peritoneal infections with complications cost in Virginia: 18 hospitals compared (DRG 372)

Major gastrointestinal disorders and peritoneal infections with complications in Virginia

What 18 hospitals in Virginia charged and were paid for a Medicare hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372), from 2024 Medicare claims.

DRG 372 Inpatient 2024 Medicare data
Average charge $34,695 Hospital list price billed
Average payment $9,564 Medicare + patient + other payers
Medicare paid $6,900 Average per stay
State rank #14 of 34 1 = lowest average payment

Hospitals in Virginia billed an average of $34,695 for major gastrointestinal disorders and peritoneal infections with complications, about 3.6 times the average total payment of $9,564. That payment is 5% below the U.S. average of $10,109.

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 $9,564Billed $34,695

About 28¢ was paid for every $1 hospitals in Virginia billed for this stay.

Virginia hospitals: major gastrointestinal disorders and peritoneal infections with 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
Winchester Medical Center INCWinchester 31 $21,877 $8,805 $6,979
Bon Secours - St Marys Hospital of RichmondRichmond 22 $35,317 $7,956 $6,551
Inova Fairfax HospitalFalls Church 22 $36,401 $12,654 $7,305
Bon Secours - Memorial Regional MedicalMechanicsville 22 $29,217 $8,126 $6,308
Mary Washington Hospital, INCFredericksburg 18 $20,224 $8,254 $6,896
Virginia Hospital Center - ArlingtonArlington 17 $30,478 $8,524 $6,311
Chesapeake General HospitalChesapeake 16 $23,189 $7,410 $6,492
University of Virginia Medical CenterCharlottesville 15 $39,187 $16,389 $9,304
Medical College of Virginia HospitalsRichmond 15 $49,185 $17,059 $8,896
Cjw Medical CenterRichmond 15 $111,239 $7,340 $6,607
Carilion Medical CenterRoanoke 14 $42,834 $10,343 $6,404
Sentara Rmh Medical CenterHarrisonburg 13 $20,333 $9,635 $6,973
Augusta HealthFishersville 12 $22,221 $9,326 $6,264
Sentara Virginia Beach General HospitalVirginia Beach 12 $33,724 $7,325 $6,470
Bon Secours - St Francis Medical CenterMidlothian 12 $34,024 $8,261 $6,646
Sentara Leigh HospitalNorfolk 11 $28,362 $8,962 $6,729
Riverside Regional Medical CenterNewport News 11 $26,386 $7,853 $6,108
Sentara Bayside HospitalVirginia Beach 11 $30,450 $7,374 $6,616
Advertisement

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 Virginia Beach General HospitalVirginia Beach, VA$7,325
Cjw Medical CenterRichmond, VA$7,340
Sentara Bayside HospitalVirginia Beach, VA$7,374
Chesapeake General HospitalChesapeake, VA$7,410
Riverside Regional Medical CenterNewport News, VA$7,853

Highest

Medical College of Virginia HospitalsRichmond, VA$17,059
University of Virginia Medical CenterCharlottesville, VA$16,389
Inova Fairfax HospitalFalls Church, VA$12,654
Carilion Medical CenterRoanoke, VA$10,343
Sentara Rmh Medical CenterHarrisonburg, VA$9,635

Major gastrointestinal disorders and peritoneal infections with complications in other states

Questions

How much does major gastrointestinal disorders and peritoneal infections with complications cost in Virginia?

In 2024 Medicare data, a hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372) at 18 hospitals in Virginia was billed at $34,695 on average, while the average total payment was $9,564, of which Medicare paid $6,900. 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 3.6 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.