facebook tracking Poisoning and toxic effects of drugs with major complications cost in Virginia: 17 hospitals compared (DRG 917)

Poisoning and toxic effects of drugs with major complications in Virginia

What 17 hospitals in Virginia charged and were paid for a Medicare hospital stay for poisoning and toxic effects of drugs with major complications (DRG 917), from 2024 Medicare claims.

DRG 917 Inpatient 2024 Medicare data
Average charge $67,061 Hospital list price billed
Average payment $14,591 Medicare + patient + other payers
Medicare paid $11,411 Average per stay
State rank #15 of 38 1 = lowest average payment

Hospitals in Virginia billed an average of $67,061 for poisoning and toxic effects of drugs with major complications, about 4.6 times the average total payment of $14,591. That payment is 14% below the U.S. average of $16,910.

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 $14,591Billed $67,061

About 22¢ was paid for every $1 hospitals in Virginia billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Virginia:

Virginia hospitals: poisoning and toxic effects of drugs 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
Centra Health - Lynchburg Gen HospitalLynchburg 25 $49,600 $12,174 $10,660
Carilion Medical CenterRoanoke 19 $64,495 $13,550 $11,002
Cjw Medical CenterRichmond 19 $178,647 $10,345 $9,378
Medical College of Virginia HospitalsRichmond 17 $81,827 $24,367 $15,987
Inova Fairfax HospitalFalls Church 16 $59,195 $17,276 $12,269
Winchester Medical Center INCWinchester 15 $39,240 $13,435 $11,898
Sentara Norfolk General HospitalNorfolk 14 $85,781 $19,776 $12,934
Mary Washington Hospital, INCFredericksburg 14 $19,301 $11,873 $10,999
Lewisgale Medical CenterSalem 14 $60,567 $12,875 $8,923
University of Virginia Medical CenterCharlottesville 13 $72,831 $21,633 $15,443
Augusta HealthFishersville 13 $28,768 $12,538 $11,702
Bon Secours - St Marys Hospital of RichmondRichmond 13 $87,837 $11,155 $9,783
Bon Secours - Maryview Medical CenterPortsmouth 12 $70,730 $15,664 $12,896
Inova Alexandria HospitalAlexandria 11 $57,310 $13,021 $11,605
Sentara Virginia Beach General HospitalVirginia Beach 11 $27,590 $11,796 $7,977
Bon Secours - Memorial Regional MedicalMechanicsville 11 $37,403 $13,682 $8,977
Danville Regional Medical CenterDanville 11 $78,975 $13,096 $10,978
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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

Highest

Poisoning and toxic effects of drugs with major complications in other states

Questions

How much does poisoning and toxic effects of drugs with major complications cost in Virginia?

In 2024 Medicare data, a hospital stay for poisoning and toxic effects of drugs with major complications (DRG 917) at 17 hospitals in Virginia was billed at $67,061 on average, while the average total payment was $14,591, of which Medicare paid $11,411. 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 4.6 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.