Other circulatory system operating room procedures in Virginia
What 4 hospitals in Virginia charged and were paid for a Medicare hospital stay for other circulatory system operating room procedures (DRG 264), from 2024 Medicare claims.
Average charge
$132,839
Hospital list price billed
Average payment
$27,327
Medicare + patient + other payers
Medicare paid
$22,583
Average per stay
State rank
#3 of 21
1 = lowest average payment
Hospitals in Virginia billed an average of $132,839 for other circulatory system operating room procedures, about 4.9 times the average total payment of $27,327. That payment is 23% below the U.S. average of $35,518.
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 $27,327Billed $132,839
About 21¢ was paid for every $1 hospitals in Virginia billed for this stay.
Virginia hospitals: other circulatory system operating room procedures
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 | 12 | $61,342 | $27,008 | $25,316 |
| Inova Fairfax HospitalFalls Church | 12 | $85,968 | $36,342 | $26,792 |
| Riverside Regional Medical CenterNewport News | 11 | $51,336 | $22,653 | $16,564 |
| Cjw Medical CenterRichmond | 11 | $343,472 | $22,513 | $21,028 |
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 | $22,513 |
|---|---|
| Riverside Regional Medical CenterNewport News, VA | $22,653 |
| Winchester Medical Center INCWinchester, VA | $27,008 |
| Inova Fairfax HospitalFalls Church, VA | $36,342 |
Highest
| Inova Fairfax HospitalFalls Church, VA | $36,342 |
|---|---|
| Winchester Medical Center INCWinchester, VA | $27,008 |
| Riverside Regional Medical CenterNewport News, VA | $22,653 |
| Cjw Medical CenterRichmond, VA | $22,513 |
Other circulatory system operating room procedures in other states
Questions
How much does other circulatory system operating room procedures cost in Virginia?
In 2024 Medicare data, a hospital stay for other circulatory system operating room procedures (DRG 264) at 4 hospitals in Virginia was billed at $132,839 on average, while the average total payment was $27,327, of which Medicare paid $22,583. 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 4.9 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.