facebook tracking Permanent cardiac pacemaker implant without complications cost in Virginia: 11 hospitals compared (DRG 244)

Permanent cardiac pacemaker implant without complications in Virginia

What 11 hospitals in Virginia charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant without complications (DRG 244), from 2024 Medicare claims.

DRG 244 Inpatient 2024 Medicare data
Average charge $101,212 Hospital list price billed
Average payment $15,175 Medicare + patient + other payers
Medicare paid $12,818 Average per stay
State rank #14 of 31 1 = lowest average payment

Hospitals in Virginia billed an average of $101,212 for permanent cardiac pacemaker implant without complications, about 6.7 times the average total payment of $15,175. That payment is 7% below the U.S. average of $16,288.

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 $15,175Billed $101,212

About 15¢ was paid for every $1 hospitals in Virginia billed for this stay.

Virginia hospitals: permanent cardiac pacemaker implant without 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 29 $52,518 $16,366 $14,072
Cjw Medical CenterRichmond 25 $287,279 $12,581 $11,135
Carilion Medical CenterRoanoke 22 $82,799 $14,556 $12,527
Sentara Norfolk General HospitalNorfolk 20 $77,816 $15,983 $13,717
Prince William HospitalManassas 17 $64,480 $14,754 $13,492
Augusta HealthFishersville 16 $83,694 $14,124 $12,766
Riverside Regional Medical CenterNewport News 16 $59,855 $15,947 $10,462
Mary Washington Hospital, INCFredericksburg 12 $54,902 $13,772 $11,942
Lewisgale Medical CenterSalem 12 $147,127 $15,347 $12,537
Sentara Rmh Medical CenterHarrisonburg 11 $56,673 $15,302 $13,543
Medical College of Virginia HospitalsRichmond 11 $73,442 $19,978 $15,284
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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$12,581
Mary Washington Hospital, INCFredericksburg, VA$13,772
Augusta HealthFishersville, VA$14,124
Carilion Medical CenterRoanoke, VA$14,556
Prince William HospitalManassas, VA$14,754

Highest

Medical College of Virginia HospitalsRichmond, VA$19,978
Inova Fairfax HospitalFalls Church, VA$16,366
Sentara Norfolk General HospitalNorfolk, VA$15,983
Riverside Regional Medical CenterNewport News, VA$15,947
Lewisgale Medical CenterSalem, VA$15,347

Permanent cardiac pacemaker implant without complications in other states

Questions

How much does permanent cardiac pacemaker implant without complications cost in Virginia?

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant without complications (DRG 244) at 11 hospitals in Virginia was billed at $101,212 on average, while the average total payment was $15,175, of which Medicare paid $12,818. 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 6.7 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.