Other disorders of nervous system with major complications in Virginia
What 17 hospitals in Virginia charged and were paid for a Medicare hospital stay for other disorders of nervous system with major complications (DRG 091), from 2024 Medicare claims.
Average charge
$56,704
Hospital list price billed
Average payment
$16,632
Medicare + patient + other payers
Medicare paid
$12,825
Average per stay
State rank
#21 of 39
1 = lowest average payment
Hospitals in Virginia billed an average of $56,704 for other disorders of nervous system with major complications, about 3.4 times the average total payment of $16,632. That payment is 10% below the U.S. average of $18,533.
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 $16,632Billed $56,704
About 29¢ 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 disorders of nervous system 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 | 36 | $46,634 | $18,241 | $13,712 |
| Carilion Medical CenterRoanoke | 23 | $49,743 | $15,150 | $11,629 |
| University of Virginia Medical CenterCharlottesville | 20 | $90,402 | $32,230 | $19,095 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 19 | $62,557 | $16,240 | $14,457 |
| Sentara Rmh Medical CenterHarrisonburg | 15 | $43,239 | $15,894 | $14,096 |
| Cjw Medical CenterRichmond | 15 | $101,582 | $12,360 | $11,475 |
| Inova Alexandria HospitalAlexandria | 14 | $44,542 | $13,326 | $12,240 |
| Virginia Hospital Center - ArlingtonArlington | 14 | $44,196 | $13,836 | $11,658 |
| Riverside Regional Medical CenterNewport News | 13 | $59,439 | $19,152 | $11,255 |
| Martha Jefferson HospitalCharlottesville | 13 | $28,231 | $10,467 | $9,096 |
| Henrico Doctors' HospitalRichmond | 13 | $104,068 | $13,990 | $10,480 |
| Mary Washington Hospital, INCFredericksburg | 12 | $19,191 | $12,506 | $10,983 |
| Sentara Norfolk General HospitalNorfolk | 11 | $52,162 | $17,861 | $13,819 |
| Medical College of Virginia HospitalsRichmond | 11 | $80,716 | $25,449 | $15,651 |
| Sentara Obici HospitalSuffolk | 11 | $31,490 | $11,497 | $10,443 |
| Sentara Leigh HospitalNorfolk | 11 | $42,569 | $12,776 | $11,632 |
| Sentara Bayside HospitalVirginia Beach | 11 | $56,637 | $12,250 | $11,338 |
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
| Martha Jefferson HospitalCharlottesville, VA | $10,467 |
|---|---|
| Sentara Obici HospitalSuffolk, VA | $11,497 |
| Sentara Bayside HospitalVirginia Beach, VA | $12,250 |
| Cjw Medical CenterRichmond, VA | $12,360 |
| Mary Washington Hospital, INCFredericksburg, VA | $12,506 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $32,230 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $25,449 |
| Riverside Regional Medical CenterNewport News, VA | $19,152 |
| Inova Fairfax HospitalFalls Church, VA | $18,241 |
| Sentara Norfolk General HospitalNorfolk, VA | $17,861 |
Other disorders of nervous system with major complications in other states
Questions
How much does other disorders of nervous system with major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for other disorders of nervous system with major complications (DRG 091) at 17 hospitals in Virginia was billed at $56,704 on average, while the average total payment was $16,632, of which Medicare paid $12,825. 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 3.4 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.