facebook tracking Major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in Virginia: 6 hospitals compared (DRG 809)

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in Virginia

What 6 hospitals in Virginia charged and were paid for a Medicare hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 809), from 2024 Medicare claims.

DRG 809 Inpatient 2024 Medicare data
Average charge $67,290 Hospital list price billed
Average payment $15,836 Medicare + patient + other payers
Medicare paid $11,443 Average per stay
State rank #16 of 25 1 = lowest average payment

Hospitals in Virginia billed an average of $67,290 for major hematological and immunological diagnoses except sickle cell crisis and coagulatio, about 4.2 times the average total payment of $15,836. That payment is 4% above the U.S. average of $15,246.

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 $15,836Billed $67,290

About 24¢ was paid for every $1 hospitals in Virginia billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Virginia:

Virginia hospitals: major hematological and immunological diagnoses except sickle cell crisis and coagulatio

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 22 $27,220 $10,146 $8,151
Medical College of Virginia HospitalsRichmond 16 $146,269 $34,098 $25,196
Virginia Hospital Center - ArlingtonArlington 16 $40,306 $10,246 $8,110
University of Virginia Medical CenterCharlottesville 15 $73,058 $18,355 $10,753
Inova Fairfax HospitalFalls Church 15 $35,292 $12,350 $9,637
Henrico Doctors' HospitalRichmond 12 $104,217 $10,578 $6,703
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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

Winchester Medical Center INCWinchester, VA$10,146
Virginia Hospital Center - ArlingtonArlington, VA$10,246
Henrico Doctors' HospitalRichmond, VA$10,578
Inova Fairfax HospitalFalls Church, VA$12,350
University of Virginia Medical CenterCharlottesville, VA$18,355

Highest

Medical College of Virginia HospitalsRichmond, VA$34,098
University of Virginia Medical CenterCharlottesville, VA$18,355
Inova Fairfax HospitalFalls Church, VA$12,350
Henrico Doctors' HospitalRichmond, VA$10,578
Virginia Hospital Center - ArlingtonArlington, VA$10,246

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in other states

Questions

How much does major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in Virginia?

In 2024 Medicare data, a hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 809) at 6 hospitals in Virginia was billed at $67,290 on average, while the average total payment was $15,836, of which Medicare paid $11,443. 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 stay in Virginia, average charges were 4.2 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.