facebook tracking Other multiple significant trauma with complications cost in Virginia: 2 hospitals compared (DRG 964)

Other multiple significant trauma with complications in Virginia

What 2 hospitals in Virginia charged and were paid for a Medicare hospital stay for other multiple significant trauma with complications (DRG 964), from 2024 Medicare claims.

DRG 964 Inpatient 2024 Medicare data
Average charge $74,108 Hospital list price billed
Average payment $19,244 Medicare + patient + other payers
Medicare paid $13,514 Average per stay
Volume 32 Medicare hospital stays

Hospitals in Virginia billed an average of $74,108 for other multiple significant trauma with complications, about 3.9 times the average total payment of $19,244. That payment is about the same as the U.S. average of $19,129.

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 $19,244Billed $74,108

About 26¢ 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 multiple significant trauma 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
University of Virginia Medical CenterCharlottesville 20 $87,388 $21,892 $14,616
Inova Fairfax HospitalFalls Church 12 $51,976 $14,832 $11,678
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Other multiple significant trauma with complications in other states

Questions

How much does other multiple significant trauma with complications cost in Virginia?

In 2024 Medicare data, a hospital stay for other multiple significant trauma with complications (DRG 964) at 2 hospitals in Virginia was billed at $74,108 on average, while the average total payment was $19,244, of which Medicare paid $13,514. 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 3.9 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.