Pathological fractures and musculoskeletal and connective tissue malignancy without complications/m in Virginia
What 1 hospital in Virginia charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy without complications/m (DRG 544), from 2024 Medicare claims.
Average charge
$22,675
Hospital list price billed
Average payment
$7,108
Medicare + patient + other payers
Medicare paid
$5,094
Average per stay
Volume
14
Medicare hospital stays
Hospitals in Virginia billed an average of $22,675 for pathological fractures and musculoskeletal and connective tissue malignancy without complications/m, about 3.2 times the average total payment of $7,108. That payment is 8% above the U.S. average of $6,558.
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 $7,108Billed $22,675
About 31¢ 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: pathological fractures and musculoskeletal and connective tissue malignancy without complications/m
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 |
|---|---|---|---|---|
| Carilion Medical CenterRoanoke | 14 | $22,675 | $7,108 | $5,094 |
Pathological fractures and musculoskeletal and connective tissue malignancy without complications/m in other states
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy without complications/m cost in Virginia?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy without complications/m (DRG 544) at 1 hospital in Virginia was billed at $22,675 on average, while the average total payment was $7,108, of which Medicare paid $5,094. 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 3.2 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.