Other digestive system diagnoses with major complications in Virginia
What 27 hospitals in Virginia charged and were paid for a Medicare hospital stay for other digestive system diagnoses with major complications (DRG 393), from 2024 Medicare claims.
Average charge
$64,888
Hospital list price billed
Average payment
$15,185
Medicare + patient + other payers
Medicare paid
$11,685
Average per stay
State rank
#20 of 44
1 = lowest average payment
Hospitals in Virginia billed an average of $64,888 for other digestive system diagnoses with major complications, about 4.3 times the average total payment of $15,185. That payment is 11% below the U.S. average of $17,117.
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 $15,185Billed $64,888
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 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 | 49 | $35,928 | $17,852 | $11,633 |
| Cjw Medical CenterRichmond | 44 | $142,052 | $11,250 | $10,372 |
| University of Virginia Medical CenterCharlottesville | 32 | $77,590 | $27,133 | $18,610 |
| Lewisgale Medical CenterSalem | 32 | $92,870 | $14,992 | $10,535 |
| Winchester Medical Center INCWinchester | 31 | $27,473 | $13,201 | $12,113 |
| Medical College of Virginia HospitalsRichmond | 25 | $109,582 | $29,725 | $17,935 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 21 | $55,999 | $12,896 | $11,527 |
| Sentara Leigh HospitalNorfolk | 21 | $41,011 | $12,747 | $10,089 |
| Henrico Doctors' HospitalRichmond | 19 | $128,338 | $12,060 | $8,945 |
| Carilion Medical CenterRoanoke | 18 | $56,716 | $14,984 | $11,408 |
| Inova Alexandria HospitalAlexandria | 18 | $40,230 | $13,338 | $12,386 |
| Sentara Rmh Medical CenterHarrisonburg | 17 | $30,250 | $13,362 | $11,612 |
| Inova Loudoun HospitalLeesburg | 17 | $43,291 | $12,848 | $10,509 |
| Southside Regional Medical CenterPetersburg | 17 | $110,345 | $11,883 | $10,256 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 17 | $40,866 | $13,334 | $9,725 |
| Bon Secours - St Francis Medical CenterMidlothian | 17 | $53,688 | $13,729 | $10,571 |
| Mary Washington Hospital, INCFredericksburg | 16 | $37,656 | $16,514 | $8,670 |
| Riverside Regional Medical CenterNewport News | 16 | $37,757 | $13,250 | $10,561 |
| Sentara Virginia Beach General HospitalVirginia Beach | 16 | $67,253 | $11,282 | $10,373 |
| Inova Fair Oaks HospitalFairfax | 15 | $45,335 | $12,372 | $11,284 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 14 | $64,524 | $12,191 | $10,635 |
| Virginia Hospital Center - ArlingtonArlington | 13 | $32,078 | $12,937 | $11,763 |
| Sentara Bayside HospitalVirginia Beach | 13 | $45,933 | $11,414 | $10,517 |
| Augusta HealthFishersville | 12 | $63,374 | $16,423 | $15,186 |
| Sentara Norfolk General HospitalNorfolk | 11 | $69,340 | $17,806 | $10,828 |
| Bon Secours - Maryview Medical CenterPortsmouth | 11 | $31,125 | $13,386 | $11,824 |
| Sentara Obici HospitalSuffolk | 11 | $43,421 | $10,953 | $9,217 |
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 Obici HospitalSuffolk, VA | $10,953 |
|---|---|
| Cjw Medical CenterRichmond, VA | $11,250 |
| Sentara Virginia Beach General HospitalVirginia Beach, VA | $11,282 |
| Sentara Bayside HospitalVirginia Beach, VA | $11,414 |
| Southside Regional Medical CenterPetersburg, VA | $11,883 |
Highest
| Medical College of Virginia HospitalsRichmond, VA | $29,725 |
|---|---|
| University of Virginia Medical CenterCharlottesville, VA | $27,133 |
| Inova Fairfax HospitalFalls Church, VA | $17,852 |
| Sentara Norfolk General HospitalNorfolk, VA | $17,806 |
| Mary Washington Hospital, INCFredericksburg, VA | $16,514 |
Other digestive system diagnoses with major complications in other states
Questions
How much does other digestive system diagnoses with major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses with major complications (DRG 393) at 27 hospitals in Virginia was billed at $64,888 on average, while the average total payment was $15,185, of which Medicare paid $11,685. 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.