facebook tracking Other circulatory system diagnoses with major complications cost in Virginia: 29 hospitals compared (DRG 314)

Other circulatory system diagnoses with major complications in Virginia

What 29 hospitals in Virginia charged and were paid for a Medicare hospital stay for other circulatory system diagnoses with major complications (DRG 314), from 2024 Medicare claims.

DRG 314 Inpatient 2024 Medicare data
Average charge $70,755 Hospital list price billed
Average payment $19,420 Medicare + patient + other payers
Medicare paid $14,843 Average per stay
State rank #24 of 47 1 = lowest average payment

Hospitals in Virginia billed an average of $70,755 for other circulatory system diagnoses with major complications, about 3.6 times the average total payment of $19,420. That payment is 9% below the U.S. average of $21,323.

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 $19,420Billed $70,755

About 27¢ was paid for every $1 hospitals in Virginia billed for this stay.

Virginia hospitals: other circulatory system diagnoses with 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
Inova Fairfax HospitalFalls Church 62 $58,159 $22,080 $16,967
University of Virginia Medical CenterCharlottesville 55 $95,984 $32,981 $21,417
Medical College of Virginia HospitalsRichmond 48 $110,793 $30,641 $19,486
Sentara Norfolk General HospitalNorfolk 47 $73,058 $20,849 $15,717
Centra Health - Lynchburg Gen HospitalLynchburg 39 $64,254 $16,046 $14,525
Mary Washington Hospital, INCFredericksburg 39 $29,778 $15,167 $13,885
Carilion Medical CenterRoanoke 32 $71,209 $18,582 $16,047
Bon Secours - St Marys Hospital of RichmondRichmond 32 $86,146 $19,244 $15,211
Sentara Leigh HospitalNorfolk 30 $53,560 $14,242 $13,338
Cjw Medical CenterRichmond 30 $160,152 $13,311 $12,164
Inova Loudoun HospitalLeesburg 27 $42,867 $16,218 $12,766
Sentara Virginia Beach General HospitalVirginia Beach 25 $58,490 $13,695 $12,607
Riverside Regional Medical CenterNewport News 24 $47,546 $16,714 $13,154
Winchester Medical Center INCWinchester 23 $39,033 $17,531 $15,314
Inova Alexandria HospitalAlexandria 23 $42,568 $18,053 $13,394
Virginia Hospital Center - ArlingtonArlington 21 $54,402 $15,803 $11,828
Henrico Doctors' HospitalRichmond 19 $121,943 $17,187 $9,767
Bon Secours - Memorial Regional MedicalMechanicsville 17 $71,063 $19,439 $11,163
Sentara Rmh Medical CenterHarrisonburg 16 $33,986 $18,971 $14,954
Augusta HealthFishersville 16 $41,226 $17,615 $14,222
Sentara Bayside HospitalVirginia Beach 16 $68,672 $15,458 $12,695
Bon Secours - St Francis Medical CenterMidlothian 16 $65,927 $14,286 $12,377
Lewisgale Medical CenterSalem 14 $102,535 $18,963 $12,039
Sentara Obici HospitalSuffolk 12 $67,846 $17,742 $13,318
Sentara Williamsburg Regional Medical CenterWilliamsburg 12 $56,767 $13,474 $12,522
Danville Regional Medical CenterDanville 12 $119,454 $22,760 $12,902
Bon Secours - Maryview Medical CenterPortsmouth 11 $67,305 $16,566 $14,215
Sentara Careplex HospitalHampton 11 $41,621 $16,478 $12,799
Chesapeake General HospitalChesapeake 11 $34,842 $14,207 $13,465
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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

Cjw Medical CenterRichmond, VA$13,311
Sentara Williamsburg Regional Medical CenterWilliamsburg, VA$13,474
Sentara Virginia Beach General HospitalVirginia Beach, VA$13,695
Chesapeake General HospitalChesapeake, VA$14,207
Sentara Leigh HospitalNorfolk, VA$14,242

Highest

University of Virginia Medical CenterCharlottesville, VA$32,981
Medical College of Virginia HospitalsRichmond, VA$30,641
Danville Regional Medical CenterDanville, VA$22,760
Inova Fairfax HospitalFalls Church, VA$22,080
Sentara Norfolk General HospitalNorfolk, VA$20,849

Other circulatory system diagnoses with major complications in other states

Questions

How much does other circulatory system diagnoses with major complications cost in Virginia?

In 2024 Medicare data, a hospital stay for other circulatory system diagnoses with major complications (DRG 314) at 29 hospitals in Virginia was billed at $70,755 on average, while the average total payment was $19,420, of which Medicare paid $14,843. 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.