Medical back problems without major complications in Virginia
What 31 hospitals in Virginia charged and were paid for a Medicare hospital stay for medical back problems without major complications (DRG 552), from 2024 Medicare claims.
Average charge
$40,299
Hospital list price billed
Average payment
$8,487
Medicare + patient + other payers
Medicare paid
$6,077
Average per stay
State rank
#16 of 47
1 = lowest average payment
Hospitals in Virginia billed an average of $40,299 for medical back problems without major complications, about 4.7 times the average total payment of $8,487. That payment is 9% below the U.S. average of $9,373.
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 $8,487Billed $40,299
About 21¢ 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: medical back problems without major 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 |
|---|---|---|---|---|
| Cjw Medical CenterRichmond | 143 | $76,643 | $7,205 | $5,396 |
| Winchester Medical Center INCWinchester | 79 | $20,284 | $7,760 | $6,212 |
| Inova Fairfax HospitalFalls Church | 70 | $26,548 | $10,152 | $6,750 |
| Henrico Doctors' HospitalRichmond | 66 | $60,960 | $7,331 | $5,221 |
| Reston Hospital CenterReston | 61 | $55,538 | $7,472 | $5,654 |
| Lewisgale Medical CenterSalem | 58 | $46,254 | $8,673 | $6,135 |
| Virginia Hospital Center - ArlingtonArlington | 51 | $30,421 | $8,060 | $6,227 |
| University of Virginia Medical CenterCharlottesville | 47 | $51,128 | $16,161 | $8,962 |
| Mary Washington Hospital, INCFredericksburg | 45 | $19,563 | $8,007 | $5,586 |
| Carilion Medical CenterRoanoke | 45 | $33,430 | $9,217 | $6,131 |
| Inova Loudoun HospitalLeesburg | 43 | $30,241 | $7,941 | $5,788 |
| Inova Alexandria HospitalAlexandria | 41 | $24,963 | $8,321 | $6,506 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 38 | $34,491 | $7,471 | $5,600 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 35 | $24,942 | $7,328 | $6,009 |
| Medical College of Virginia HospitalsRichmond | 34 | $53,586 | $14,665 | $7,956 |
| Chesapeake General HospitalChesapeake | 30 | $20,937 | $7,024 | $5,287 |
| Sentara Norfolk General HospitalNorfolk | 28 | $43,163 | $11,204 | $6,821 |
| Riverside Regional Medical CenterNewport News | 28 | $29,299 | $8,412 | $5,834 |
| Sentara Virginia Beach General HospitalVirginia Beach | 28 | $38,535 | $7,099 | $5,616 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 27 | $25,452 | $7,568 | $5,584 |
| Sentara Northern Virginia Medical CenterWoodbridge | 27 | $32,886 | $8,395 | $7,126 |
| Bon Secours - St Francis Medical CenterMidlothian | 24 | $31,527 | $6,986 | $5,584 |
| Augusta HealthFishersville | 23 | $22,773 | $7,590 | $6,155 |
| Sentara Obici HospitalSuffolk | 20 | $33,909 | $7,104 | $5,863 |
| Sentara Bayside HospitalVirginia Beach | 19 | $30,582 | $6,798 | $5,583 |
| Spotsylvania Regional Medical CenterFredericksburg | 18 | $39,794 | $7,620 | $6,170 |
| Sentara Leigh HospitalNorfolk | 16 | $36,693 | $7,212 | $5,835 |
| Inova Fair Oaks HospitalFairfax | 14 | $26,071 | $8,516 | $6,110 |
| Danville Regional Medical CenterDanville | 13 | $52,563 | $8,366 | $6,154 |
| Inova Mount Vernon HospitalAlexandria | 12 | $31,885 | $7,636 | $6,228 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 11 | $31,708 | $8,527 | $3,949 |
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 Bayside HospitalVirginia Beach, VA | $6,798 |
|---|---|
| Bon Secours - St Francis Medical CenterMidlothian, VA | $6,986 |
| Chesapeake General HospitalChesapeake, VA | $7,024 |
| Sentara Virginia Beach General HospitalVirginia Beach, VA | $7,099 |
| Sentara Obici HospitalSuffolk, VA | $7,104 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $16,161 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $14,665 |
| Sentara Norfolk General HospitalNorfolk, VA | $11,204 |
| Inova Fairfax HospitalFalls Church, VA | $10,152 |
| Carilion Medical CenterRoanoke, VA | $9,217 |
Medical back problems without major complications in other states
Questions
How much does medical back problems without major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for medical back problems without major complications (DRG 552) at 31 hospitals in Virginia was billed at $40,299 on average, while the average total payment was $8,487, of which Medicare paid $6,077. 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 4.7 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.