Other operating room procedures for injuries with major complications in Virginia
What 6 hospitals in Virginia charged and were paid for a Medicare hospital stay for other operating room procedures for injuries with major complications (DRG 907), from 2024 Medicare claims.
Average charge
$175,635
Hospital list price billed
Average payment
$49,321
Medicare + patient + other payers
Medicare paid
$36,027
Average per stay
State rank
#22 of 26
1 = lowest average payment
Hospitals in Virginia billed an average of $175,635 for other operating room procedures for injuries with major complications, about 3.6 times the average total payment of $49,321. That payment is 13% above the U.S. average of $43,774.
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 $49,321Billed $175,635
About 28¢ 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 operating room procedures for injuries 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 |
|---|---|---|---|---|
| University of Virginia Medical CenterCharlottesville | 26 | $239,610 | $73,084 | $53,933 |
| Inova Fairfax HospitalFalls Church | 24 | $92,383 | $40,340 | $24,818 |
| Winchester Medical Center INCWinchester | 18 | $73,612 | $30,562 | $28,774 |
| Medical College of Virginia HospitalsRichmond | 17 | $365,540 | $69,717 | $46,790 |
| Sentara Norfolk General HospitalNorfolk | 16 | $133,163 | $37,858 | $27,474 |
| Carilion Medical CenterRoanoke | 11 | $141,297 | $28,602 | $25,837 |
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 | $28,602 |
|---|---|
| Winchester Medical Center INCWinchester, VA | $30,562 |
| Sentara Norfolk General HospitalNorfolk, VA | $37,858 |
| Inova Fairfax HospitalFalls Church, VA | $40,340 |
| Medical College of Virginia HospitalsRichmond, VA | $69,717 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $73,084 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $69,717 |
| Inova Fairfax HospitalFalls Church, VA | $40,340 |
| Sentara Norfolk General HospitalNorfolk, VA | $37,858 |
| Winchester Medical Center INCWinchester, VA | $30,562 |
Other operating room procedures for injuries with major complications in other states
Questions
How much does other operating room procedures for injuries with major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for other operating room procedures for injuries with major complications (DRG 907) at 6 hospitals in Virginia was billed at $175,635 on average, while the average total payment was $49,321, of which Medicare paid $36,027. 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 3.6 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.