Major small and large bowel procedures without complications in Virginia
What 16 hospitals in Virginia charged and were paid for a Medicare hospital stay for major small and large bowel procedures without complications (DRG 331), from 2024 Medicare claims.
Average charge
$110,484
Hospital list price billed
Average payment
$15,325
Medicare + patient + other payers
Medicare paid
$10,904
Average per stay
State rank
#22 of 42
1 = lowest average payment
Hospitals in Virginia billed an average of $110,484 for major small and large bowel procedures without complications, about 7.2 times the average total payment of $15,325. That payment is 4% below the U.S. average of $16,035.
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 $15,325Billed $110,484
About 14¢ was paid for every $1 hospitals in Virginia billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Virginia:
Virginia hospitals: major small and large bowel procedures without 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 |
|---|---|---|---|---|
| University of Virginia Medical CenterCharlottesville | 45 | $51,918 | $22,628 | $14,188 |
| Henrico Doctors' HospitalRichmond | 43 | $312,456 | $13,268 | $9,315 |
| Inova Fairfax HospitalFalls Church | 38 | $66,664 | $16,591 | $12,129 |
| Cjw Medical CenterRichmond | 36 | $232,268 | $12,939 | $9,230 |
| Virginia Hospital Center - ArlingtonArlington | 26 | $66,213 | $13,313 | $10,797 |
| Medical College of Virginia HospitalsRichmond | 25 | $129,387 | $21,205 | $13,653 |
| Inova Fair Oaks HospitalFairfax | 25 | $54,550 | $13,876 | $10,782 |
| Chesapeake General HospitalChesapeake | 24 | $50,897 | $11,593 | $10,097 |
| Winchester Medical Center INCWinchester | 20 | $47,674 | $15,112 | $10,788 |
| Carilion Medical CenterRoanoke | 20 | $91,898 | $15,562 | $10,755 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 19 | $57,392 | $12,221 | $10,209 |
| Riverside Regional Medical CenterNewport News | 17 | $34,676 | $14,626 | $9,575 |
| Martha Jefferson HospitalCharlottesville | 15 | $62,688 | $10,814 | $9,191 |
| Mary Washington Hospital, INCFredericksburg | 14 | $32,650 | $12,665 | $10,030 |
| Lewisgale Medical CenterSalem | 12 | $192,389 | $15,582 | $10,620 |
| Sentara Leigh HospitalNorfolk | 11 | $63,893 | $15,416 | $8,464 |
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
| Martha Jefferson HospitalCharlottesville, VA | $10,814 |
|---|---|
| Chesapeake General HospitalChesapeake, VA | $11,593 |
| Bon Secours - Memorial Regional MedicalMechanicsville, VA | $12,221 |
| Mary Washington Hospital, INCFredericksburg, VA | $12,665 |
| Cjw Medical CenterRichmond, VA | $12,939 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $22,628 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $21,205 |
| Inova Fairfax HospitalFalls Church, VA | $16,591 |
| Lewisgale Medical CenterSalem, VA | $15,582 |
| Carilion Medical CenterRoanoke, VA | $15,562 |
Major small and large bowel procedures without complications in other states
Questions
How much does major small and large bowel procedures without complications cost in Virginia?
In 2024 Medicare data, a hospital stay for major small and large bowel procedures without complications (DRG 331) at 16 hospitals in Virginia was billed at $110,484 on average, while the average total payment was $15,325, of which Medicare paid $10,904. 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 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 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.