Other kidney and urinary tract diagnoses with major complications in Virginia
What 49 hospitals in Virginia charged and were paid for a Medicare hospital stay for other kidney and urinary tract diagnoses with major complications (DRG 698), from 2024 Medicare claims.
Average charge
$53,067
Hospital list price billed
Average payment
$14,224
Medicare + patient + other payers
Medicare paid
$11,401
Average per stay
State rank
#23 of 49
1 = lowest average payment
Hospitals in Virginia billed an average of $53,067 for other kidney and urinary tract diagnoses with major complications, about 3.7 times the average total payment of $14,224. That payment is 8% below the U.S. average of $15,452.
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 $14,224Billed $53,067
About 27¢ 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 kidney and urinary tract 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 | 137 | $41,909 | $17,958 | $12,177 |
| Medical College of Virginia HospitalsRichmond | 119 | $80,852 | $25,765 | $14,392 |
| Sentara Leigh HospitalNorfolk | 115 | $52,043 | $11,896 | $10,228 |
| Sentara Bayside HospitalVirginia Beach | 93 | $41,490 | $11,085 | $10,465 |
| Sentara Virginia Beach General HospitalVirginia Beach | 90 | $58,637 | $12,441 | $10,827 |
| Mary Washington Hospital, INCFredericksburg | 88 | $26,343 | $12,158 | $10,888 |
| Sentara Norfolk General HospitalNorfolk | 73 | $82,263 | $19,755 | $14,338 |
| Henrico Doctors' HospitalRichmond | 73 | $110,879 | $11,769 | $9,771 |
| Cjw Medical CenterRichmond | 72 | $125,127 | $11,533 | $10,197 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 70 | $47,526 | $12,736 | $11,272 |
| Carilion Medical CenterRoanoke | 69 | $53,823 | $13,776 | $11,134 |
| Virginia Hospital Center - ArlingtonArlington | 67 | $40,159 | $13,308 | $11,094 |
| Winchester Medical Center INCWinchester | 66 | $28,666 | $14,385 | $12,195 |
| University of Virginia Medical CenterCharlottesville | 66 | $70,556 | $25,650 | $15,963 |
| Inova Loudoun HospitalLeesburg | 66 | $33,193 | $12,061 | $10,832 |
| Inova Alexandria HospitalAlexandria | 63 | $34,849 | $12,974 | $11,019 |
| Sentara Northern Virginia Medical CenterWoodbridge | 59 | $45,081 | $13,029 | $11,355 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 54 | $45,189 | $12,403 | $10,233 |
| Sentara Rmh Medical CenterHarrisonburg | 53 | $26,356 | $14,257 | $12,805 |
| Inova Fair Oaks HospitalFairfax | 53 | $31,957 | $12,742 | $12,042 |
| Bon Secours - St Francis Medical CenterMidlothian | 49 | $59,099 | $13,529 | $11,856 |
| Southside Regional Medical CenterPetersburg | 48 | $106,653 | $12,444 | $10,432 |
| Sentara Obici HospitalSuffolk | 47 | $41,055 | $11,475 | $9,761 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 47 | $59,465 | $13,257 | $10,285 |
| Chesapeake General HospitalChesapeake | 47 | $33,703 | $11,390 | $10,461 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 45 | $40,872 | $10,795 | $9,924 |
| Riverside Regional Medical CenterNewport News | 42 | $40,609 | $15,478 | $9,986 |
| Sentara Careplex HospitalHampton | 37 | $41,222 | $12,528 | $10,704 |
| Danville Regional Medical CenterDanville | 35 | $71,551 | $13,434 | $10,000 |
| Lewisgale Medical CenterSalem | 33 | $98,561 | $13,871 | $11,061 |
| Martha Jefferson HospitalCharlottesville | 33 | $18,255 | $9,861 | $8,707 |
| Bon Secours - Maryview Medical CenterPortsmouth | 30 | $31,103 | $12,835 | $10,147 |
| Inova Mount Vernon HospitalAlexandria | 29 | $37,741 | $14,303 | $11,789 |
| UVA Health Haymarket Medical CenterHaymarket | 29 | $37,929 | $10,635 | $9,903 |
| Prince William HospitalManassas | 27 | $40,297 | $13,384 | $12,509 |
| Halifax Regional HospitalSouth Boston | 24 | $27,222 | $12,148 | $11,196 |
| Augusta HealthFishersville | 22 | $24,303 | $12,743 | $11,950 |
| Johnston Memorial HospitalAbingdon | 21 | $58,298 | $15,063 | $11,997 |
| Montgomery Regional HospitalBlacksburg | 18 | $45,269 | $15,185 | $11,975 |
| Stafford Hospital CenterStafford | 18 | $17,503 | $12,310 | $11,222 |
| Wellmont Lonesome Pine HospitalBig Stone Gap | 14 | $34,093 | $18,106 | $13,864 |
| Carilion New River Vly Med CtrChristiansburg | 13 | $54,129 | $11,594 | $10,666 |
| Reston Hospital CenterReston | 13 | $61,712 | $11,461 | $10,830 |
| The Fauquier Hospital, INCWarrenton | 12 | $52,808 | $11,024 | $10,616 |
| Bedford Memorial HospitalBedford | 12 | $30,003 | $12,524 | $11,436 |
| Culpeper Regional HospitalCulpeper | 11 | $49,857 | $18,657 | $17,915 |
| John Randolph Medical CenterHopewell | 11 | $62,161 | $10,199 | $9,161 |
| Twin County Regional HospitalGalax | 11 | $58,827 | $13,622 | $12,880 |
| Spotsylvania Regional Medical CenterFredericksburg | 11 | $70,654 | $12,774 | $11,629 |
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 | $9,861 |
|---|---|
| John Randolph Medical CenterHopewell, VA | $10,199 |
| UVA Health Haymarket Medical CenterHaymarket, VA | $10,635 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg, VA | $10,795 |
| The Fauquier Hospital, INCWarrenton, VA | $11,024 |
Highest
| Medical College of Virginia HospitalsRichmond, VA | $25,765 |
|---|---|
| University of Virginia Medical CenterCharlottesville, VA | $25,650 |
| Sentara Norfolk General HospitalNorfolk, VA | $19,755 |
| Culpeper Regional HospitalCulpeper, VA | $18,657 |
| Wellmont Lonesome Pine HospitalBig Stone Gap, VA | $18,106 |
Other kidney and urinary tract diagnoses with major complications in other states
Questions
How much does other kidney and urinary tract diagnoses with major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for other kidney and urinary tract diagnoses with major complications (DRG 698) at 49 hospitals in Virginia was billed at $53,067 on average, while the average total payment was $14,224, of which Medicare paid $11,401. 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 3.7 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.