facebook tracking Permanent cardiac pacemaker implant with complications cost in Virginia: 23 hospitals compared (DRG 243)

Permanent cardiac pacemaker implant with complications in Virginia

What 23 hospitals in Virginia charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with complications (DRG 243), from 2024 Medicare claims.

DRG 243 Inpatient 2024 Medicare data
Average charge $102,302 Hospital list price billed
Average payment $19,465 Medicare + patient + other payers
Medicare paid $15,891 Average per stay
State rank #24 of 43 1 = lowest average payment

Hospitals in Virginia billed an average of $102,302 for permanent cardiac pacemaker implant with complications, about 5.3 times the average total payment of $19,465. That payment is 5% below the U.S. average of $20,414.

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 $19,465Billed $102,302

About 19¢ was paid for every $1 hospitals in Virginia billed for this stay.

Virginia hospitals: permanent cardiac pacemaker implant 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
Inova Fairfax HospitalFalls Church 74 $58,624 $20,577 $17,486
Carilion Medical CenterRoanoke 48 $102,818 $19,643 $15,281
Centra Health - Lynchburg Gen HospitalLynchburg 45 $100,673 $17,178 $15,614
Cjw Medical CenterRichmond 37 $279,378 $15,407 $14,159
Riverside Regional Medical CenterNewport News 36 $63,636 $18,066 $15,039
Mary Washington Hospital, INCFredericksburg 34 $62,940 $18,556 $14,034
Augusta HealthFishersville 32 $105,425 $18,871 $15,792
Medical College of Virginia HospitalsRichmond 32 $97,667 $26,189 $17,917
Lewisgale Medical CenterSalem 30 $159,211 $20,776 $16,162
Sentara Norfolk General HospitalNorfolk 28 $81,682 $21,335 $16,078
Sentara Rmh Medical CenterHarrisonburg 24 $64,823 $19,112 $17,493
Winchester Medical Center INCWinchester 24 $82,300 $21,005 $17,736
University of Virginia Medical CenterCharlottesville 23 $81,857 $28,681 $19,710
Sentara Virginia Beach General HospitalVirginia Beach 22 $80,991 $16,504 $13,490
Bon Secours - Memorial Regional MedicalMechanicsville 22 $121,044 $17,198 $15,224
Henrico Doctors' HospitalRichmond 18 $230,583 $17,629 $13,688
Prince William HospitalManassas 17 $65,344 $18,029 $16,762
Inova Alexandria HospitalAlexandria 14 $63,544 $20,012 $15,148
Virginia Hospital Center - ArlingtonArlington 14 $64,852 $17,480 $15,767
Bon Secours - St Marys Hospital of RichmondRichmond 14 $129,554 $20,140 $15,298
Inova Loudoun HospitalLeesburg 13 $62,490 $16,777 $15,267
Bon Secours - St Francis Medical CenterMidlothian 13 $99,185 $17,412 $13,881
Sentara Obici HospitalSuffolk 12 $89,493 $16,125 $14,479
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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$15,407
Sentara Obici HospitalSuffolk, VA$16,125
Sentara Virginia Beach General HospitalVirginia Beach, VA$16,504
Inova Loudoun HospitalLeesburg, VA$16,777
Centra Health - Lynchburg Gen HospitalLynchburg, VA$17,178

Highest

Permanent cardiac pacemaker implant with complications in other states

Questions

How much does permanent cardiac pacemaker implant with complications cost in Virginia?

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with complications (DRG 243) at 23 hospitals in Virginia was billed at $102,302 on average, while the average total payment was $19,465, of which Medicare paid $15,891. 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 5.3 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.