facebook tracking Other vascular procedures with major complications cost in Virginia: 15 hospitals compared (DRG 252)

Other vascular procedures with major complications in Virginia

What 15 hospitals in Virginia charged and were paid for a Medicare hospital stay for other vascular procedures with major complications (DRG 252), from 2024 Medicare claims.

DRG 252 Inpatient 2024 Medicare data
Average charge $141,980 Hospital list price billed
Average payment $34,290 Medicare + patient + other payers
Medicare paid $27,259 Average per stay
State rank #25 of 36 1 = lowest average payment

Hospitals in Virginia billed an average of $141,980 for other vascular procedures with major complications, about 4.1 times the average total payment of $34,290. That payment is about the same as the U.S. average of $34,185.

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 $34,290Billed $141,980

About 24¢ was paid for every $1 hospitals in Virginia billed for this stay.

Virginia hospitals: other vascular 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
Sentara Norfolk General HospitalNorfolk 49 $150,724 $36,743 $29,961
University of Virginia Medical CenterCharlottesville 35 $205,072 $51,490 $37,747
Centra Health - Lynchburg Gen HospitalLynchburg 32 $134,682 $32,522 $29,122
Carilion Medical CenterRoanoke 31 $124,082 $26,811 $24,437
Riverside Regional Medical CenterNewport News 30 $63,318 $26,254 $22,382
Inova Fairfax HospitalFalls Church 30 $105,400 $34,725 $27,668
Medical College of Virginia HospitalsRichmond 25 $219,377 $67,190 $33,029
Virginia Hospital Center - ArlingtonArlington 18 $88,652 $24,477 $22,854
Winchester Medical Center INCWinchester 16 $82,843 $27,779 $26,415
Mary Washington Hospital, INCFredericksburg 16 $81,480 $25,899 $23,802
Sentara Virginia Beach General HospitalVirginia Beach 15 $124,207 $26,037 $24,294
Cjw Medical CenterRichmond 15 $391,331 $24,065 $22,842
Sentara Leigh HospitalNorfolk 14 $104,458 $28,102 $19,464
Sentara Careplex HospitalHampton 14 $124,824 $25,593 $24,078
Bon Secours - Memorial Regional MedicalMechanicsville 13 $129,676 $24,479 $21,940
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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

Cjw Medical CenterRichmond, VA$24,065
Virginia Hospital Center - ArlingtonArlington, VA$24,477
Bon Secours - Memorial Regional MedicalMechanicsville, VA$24,479
Sentara Careplex HospitalHampton, VA$25,593
Mary Washington Hospital, INCFredericksburg, VA$25,899

Highest

Other vascular procedures with major complications in other states

Questions

How much does other vascular procedures with major complications cost in Virginia?

In 2024 Medicare data, a hospital stay for other vascular procedures with major complications (DRG 252) at 15 hospitals in Virginia was billed at $141,980 on average, while the average total payment was $34,290, of which Medicare paid $27,259. 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 4.1 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.