Other digestive system diagnoses with complications in Virginia
What 31 hospitals in Virginia charged and were paid for a Medicare hospital stay for other digestive system diagnoses with complications (DRG 394), from 2024 Medicare claims.
Average charge
$37,520
Hospital list price billed
Average payment
$8,640
Medicare + patient + other payers
Medicare paid
$6,061
Average per stay
State rank
#19 of 46
1 = lowest average payment
Hospitals in Virginia billed an average of $37,520 for other digestive system diagnoses with complications, about 4.3 times the average total payment of $8,640. That payment is 10% below the U.S. average of $9,547.
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 $8,640Billed $37,520
About 23¢ 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: other digestive system diagnoses with 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 | 58 | $78,996 | $6,987 | $5,285 |
| University of Virginia Medical CenterCharlottesville | 45 | $42,637 | $15,891 | $9,512 |
| Inova Fairfax HospitalFalls Church | 41 | $27,719 | $10,673 | $6,974 |
| Henrico Doctors' HospitalRichmond | 41 | $77,226 | $7,097 | $5,501 |
| Mary Washington Hospital, INCFredericksburg | 38 | $21,211 | $7,686 | $5,587 |
| Winchester Medical Center INCWinchester | 35 | $16,449 | $8,224 | $6,237 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 28 | $39,881 | $8,121 | $5,123 |
| Inova Loudoun HospitalLeesburg | 27 | $31,121 | $7,300 | $6,148 |
| Lewisgale Medical CenterSalem | 27 | $47,767 | $8,077 | $6,227 |
| Sentara Virginia Beach General HospitalVirginia Beach | 27 | $25,726 | $6,911 | $5,805 |
| Chesapeake General HospitalChesapeake | 26 | $27,313 | $7,067 | $5,353 |
| Riverside Regional Medical CenterNewport News | 25 | $26,371 | $8,551 | $5,131 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 25 | $28,821 | $7,611 | $5,696 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 24 | $37,916 | $7,750 | $5,430 |
| Sentara Bayside HospitalVirginia Beach | 23 | $27,603 | $6,790 | $5,713 |
| Medical College of Virginia HospitalsRichmond | 19 | $43,481 | $15,345 | $7,746 |
| Carilion Medical CenterRoanoke | 18 | $28,921 | $9,063 | $6,216 |
| Sentara Rmh Medical CenterHarrisonburg | 17 | $20,519 | $9,728 | $5,476 |
| Bon Secours - St Francis Medical CenterMidlothian | 17 | $26,940 | $8,145 | $5,413 |
| Sentara Norfolk General HospitalNorfolk | 16 | $35,420 | $10,264 | $6,346 |
| Sentara Leigh HospitalNorfolk | 16 | $24,542 | $8,043 | $4,869 |
| Southside Regional Medical CenterPetersburg | 16 | $72,935 | $7,428 | $5,595 |
| Bon Secours - Maryview Medical CenterPortsmouth | 15 | $25,449 | $8,598 | $6,884 |
| Augusta HealthFishersville | 14 | $33,553 | $7,323 | $6,105 |
| Sentara Obici HospitalSuffolk | 14 | $35,535 | $6,792 | $5,279 |
| Virginia Hospital Center - ArlingtonArlington | 14 | $25,312 | $7,689 | $6,248 |
| Inova Fair Oaks HospitalFairfax | 14 | $26,244 | $7,558 | $6,393 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 13 | $30,837 | $6,662 | $5,156 |
| Inova Alexandria HospitalAlexandria | 12 | $23,617 | $9,343 | $6,095 |
| Carilion New River Vly Med CtrChristiansburg | 12 | $30,284 | $9,122 | $5,673 |
| Stafford Hospital CenterStafford | 11 | $14,112 | $7,616 | $6,280 |
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 Williamsburg Regional Medical CenterWilliamsburg, VA | $6,662 |
|---|---|
| Sentara Bayside HospitalVirginia Beach, VA | $6,790 |
| Sentara Obici HospitalSuffolk, VA | $6,792 |
| Sentara Virginia Beach General HospitalVirginia Beach, VA | $6,911 |
| Cjw Medical CenterRichmond, VA | $6,987 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $15,891 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $15,345 |
| Inova Fairfax HospitalFalls Church, VA | $10,673 |
| Sentara Norfolk General HospitalNorfolk, VA | $10,264 |
| Sentara Rmh Medical CenterHarrisonburg, VA | $9,728 |
Other digestive system diagnoses with complications in other states
Questions
How much does other digestive system diagnoses with complications cost in Virginia?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses with complications (DRG 394) at 31 hospitals in Virginia was billed at $37,520 on average, while the average total payment was $8,640, of which Medicare paid $6,061. 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 4.3 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.