facebook tracking Peripheral, cranial nerve and other nervous system procedures with complications or peripheral neur cost in Virginia: 4 hospitals compared (DRG 041)

Peripheral, cranial nerve and other nervous system procedures with complications or peripheral neur in Virginia

What 4 hospitals in Virginia charged and were paid for a Medicare hospital stay for peripheral, cranial nerve and other nervous system procedures with complications or peripheral neur (DRG 041), from 2024 Medicare claims.

DRG 041 Inpatient 2024 Medicare data
Average charge $85,077 Hospital list price billed
Average payment $25,539 Medicare + patient + other payers
Medicare paid $16,192 Average per stay
State rank #11 of 13 1 = lowest average payment

Hospitals in Virginia billed an average of $85,077 for peripheral, cranial nerve and other nervous system procedures with complications or peripheral neur, about 3.3 times the average total payment of $25,539. That payment is 12% above the U.S. average of $22,777.

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 $25,539Billed $85,077

About 30¢ 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: peripheral, cranial nerve and other nervous system procedures with complications or peripheral neur

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
Inova Fairfax HospitalFalls Church 27 $65,508 $25,238 $13,114
Carilion Medical CenterRoanoke 14 $112,751 $30,486 $16,280
University of Virginia Medical CenterCharlottesville 12 $87,744 $29,329 $24,448
Centra Health - Lynchburg Gen HospitalLynchburg 12 $94,154 $16,652 $14,759
Advertisement

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

Centra Health - Lynchburg Gen HospitalLynchburg, VA$16,652
Inova Fairfax HospitalFalls Church, VA$25,238
University of Virginia Medical CenterCharlottesville, VA$29,329
Carilion Medical CenterRoanoke, VA$30,486

Highest

Carilion Medical CenterRoanoke, VA$30,486
University of Virginia Medical CenterCharlottesville, VA$29,329
Inova Fairfax HospitalFalls Church, VA$25,238
Centra Health - Lynchburg Gen HospitalLynchburg, VA$16,652

Peripheral, cranial nerve and other nervous system procedures with complications or peripheral neur in other states

Questions

How much does peripheral, cranial nerve and other nervous system procedures with complications or peripheral neur cost in Virginia?

In 2024 Medicare data, a hospital stay for peripheral, cranial nerve and other nervous system procedures with complications or peripheral neur (DRG 041) at 4 hospitals in Virginia was billed at $85,077 on average, while the average total payment was $25,539, of which Medicare paid $16,192. 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 3.3 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.