facebook tracking Other kidney and urinary tract procedures with major complications cost in Virginia: 11 hospitals compared (DRG 673)

Other kidney and urinary tract procedures with major complications in Virginia

What 11 hospitals in Virginia charged and were paid for a Medicare hospital stay for other kidney and urinary tract procedures with major complications (DRG 673), from 2024 Medicare claims.

DRG 673 Inpatient 2024 Medicare data
Average charge $173,818 Hospital list price billed
Average payment $40,256 Medicare + patient + other payers
Medicare paid $31,277 Average per stay
State rank #20 of 32 1 = lowest average payment

Hospitals in Virginia billed an average of $173,818 for other kidney and urinary tract procedures with major complications, about 4.3 times the average total payment of $40,256. That payment is about the same as the U.S. average of $39,987.

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 $40,256Billed $173,818

About 23¢ was paid for every $1 hospitals in Virginia billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Virginia:

Virginia hospitals: other kidney and urinary tract procedures 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 25 $87,739 $38,139 $32,547
Centra Health - Lynchburg Gen HospitalLynchburg 20 $129,113 $32,305 $29,878
Medical College of Virginia HospitalsRichmond 20 $188,060 $56,721 $35,326
Henrico Doctors' HospitalRichmond 19 $311,637 $27,688 $25,377
University of Virginia Medical CenterCharlottesville 17 $250,475 $76,624 $50,026
Sentara Norfolk General HospitalNorfolk 16 $176,774 $41,079 $34,010
Winchester Medical Center INCWinchester 14 $77,442 $32,717 $24,734
Lewisgale Medical CenterSalem 12 $144,935 $31,450 $27,172
Cjw Medical CenterRichmond 12 $346,254 $30,185 $23,442
Carilion Medical CenterRoanoke 11 $106,384 $27,082 $24,809
Inova Alexandria HospitalAlexandria 11 $97,515 $37,256 $28,641
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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

Carilion Medical CenterRoanoke, VA$27,082
Henrico Doctors' HospitalRichmond, VA$27,688
Cjw Medical CenterRichmond, VA$30,185
Lewisgale Medical CenterSalem, VA$31,450
Centra Health - Lynchburg Gen HospitalLynchburg, VA$32,305

Highest

University of Virginia Medical CenterCharlottesville, VA$76,624
Medical College of Virginia HospitalsRichmond, VA$56,721
Sentara Norfolk General HospitalNorfolk, VA$41,079
Inova Fairfax HospitalFalls Church, VA$38,139
Inova Alexandria HospitalAlexandria, VA$37,256

Other kidney and urinary tract procedures with major complications in other states

Questions

How much does other kidney and urinary tract procedures with major complications cost in Virginia?

In 2024 Medicare data, a hospital stay for other kidney and urinary tract procedures with major complications (DRG 673) at 11 hospitals in Virginia was billed at $173,818 on average, while the average total payment was $40,256, of which Medicare paid $31,277. 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.