Other musculoskeletal system and connective tissue operating room procedures with complications in Virginia
What 13 hospitals in Virginia charged and were paid for a Medicare hospital stay for other musculoskeletal system and connective tissue operating room procedures with complications (DRG 516), from 2024 Medicare claims.
Average charge
$131,488
Hospital list price billed
Average payment
$16,711
Medicare + patient + other payers
Medicare paid
$13,854
Average per stay
State rank
#11 of 33
1 = lowest average payment
Hospitals in Virginia billed an average of $131,488 for other musculoskeletal system and connective tissue operating room procedures with complications, about 7.9 times the average total payment of $16,711. That payment is 12% below the U.S. average of $18,981.
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 $16,711Billed $131,488
About 13¢ 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 musculoskeletal system and connective tissue operating room procedures 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 |
|---|---|---|---|---|
| Cjw Medical CenterRichmond | 55 | $246,548 | $13,908 | $11,659 |
| Inova Fairfax HospitalFalls Church | 28 | $64,222 | $18,627 | $15,425 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 26 | $86,377 | $15,549 | $12,984 |
| Henrico Doctors' HospitalRichmond | 26 | $258,253 | $15,133 | $12,046 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 18 | $90,207 | $14,828 | $13,480 |
| University of Virginia Medical CenterCharlottesville | 17 | $101,428 | $29,501 | $20,250 |
| Carilion Medical CenterRoanoke | 16 | $81,050 | $16,040 | $13,636 |
| Winchester Medical Center INCWinchester | 15 | $39,671 | $16,369 | $15,257 |
| Sentara Bayside HospitalVirginia Beach | 14 | $57,615 | $14,128 | $12,479 |
| Virginia Hospital Center - ArlingtonArlington | 13 | $67,659 | $16,635 | $14,870 |
| Reston Hospital CenterReston | 12 | $102,557 | $15,078 | $13,854 |
| Medical College of Virginia HospitalsRichmond | 11 | $126,242 | $25,066 | $18,009 |
| Chesapeake General HospitalChesapeake | 11 | $53,245 | $13,878 | $12,691 |
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
| Chesapeake General HospitalChesapeake, VA | $13,878 |
|---|---|
| Cjw Medical CenterRichmond, VA | $13,908 |
| Sentara Bayside HospitalVirginia Beach, VA | $14,128 |
| Bon Secours - St Marys Hospital of RichmondRichmond, VA | $14,828 |
| Reston Hospital CenterReston, VA | $15,078 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $29,501 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $25,066 |
| Inova Fairfax HospitalFalls Church, VA | $18,627 |
| Virginia Hospital Center - ArlingtonArlington, VA | $16,635 |
| Winchester Medical Center INCWinchester, VA | $16,369 |
Other musculoskeletal system and connective tissue operating room procedures with complications in other states
Questions
How much does other musculoskeletal system and connective tissue operating room procedures with complications cost in Virginia?
In 2024 Medicare data, a hospital stay for other musculoskeletal system and connective tissue operating room procedures with complications (DRG 516) at 13 hospitals in Virginia was billed at $131,488 on average, while the average total payment was $16,711, of which Medicare paid $13,854. 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 7.9 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.