facebook tracking Postoperative and post-traumatic infections with major complications cost in Virginia: 9 hospitals compared (DRG 862)

Postoperative and post-traumatic infections with major complications in Virginia

What 9 hospitals in Virginia charged and were paid for a Medicare hospital stay for postoperative and post-traumatic infections with major complications (DRG 862), from 2024 Medicare claims.

DRG 862 Inpatient 2024 Medicare data
Average charge $71,361 Hospital list price billed
Average payment $19,138 Medicare + patient + other payers
Medicare paid $13,992 Average per stay
State rank #18 of 30 1 = lowest average payment

Hospitals in Virginia billed an average of $71,361 for postoperative and post-traumatic infections with major complications, about 3.7 times the average total payment of $19,138. That payment is 6% below the U.S. average of $20,381.

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 $19,138Billed $71,361

About 27¢ 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: postoperative and post-traumatic infections 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
Inova Fairfax HospitalFalls Church 26 $35,585 $19,004 $13,490
University of Virginia Medical CenterCharlottesville 20 $88,170 $28,726 $20,032
Carilion Medical CenterRoanoke 19 $70,539 $20,050 $11,502
Bon Secours - St Marys Hospital of RichmondRichmond 17 $74,137 $13,430 $12,080
Sentara Norfolk General HospitalNorfolk 15 $56,154 $16,659 $13,909
Medical College of Virginia HospitalsRichmond 14 $98,355 $27,611 $17,979
Virginia Hospital Center - ArlingtonArlington 13 $31,994 $13,275 $11,080
Cjw Medical CenterRichmond 13 $158,617 $14,452 $10,988
Augusta HealthFishersville 11 $52,278 $14,329 $13,490
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

Virginia Hospital Center - ArlingtonArlington, VA$13,275
Bon Secours - St Marys Hospital of RichmondRichmond, VA$13,430
Augusta HealthFishersville, VA$14,329
Cjw Medical CenterRichmond, VA$14,452
Sentara Norfolk General HospitalNorfolk, VA$16,659

Highest

University of Virginia Medical CenterCharlottesville, VA$28,726
Medical College of Virginia HospitalsRichmond, VA$27,611
Carilion Medical CenterRoanoke, VA$20,050
Inova Fairfax HospitalFalls Church, VA$19,004
Sentara Norfolk General HospitalNorfolk, VA$16,659

Postoperative and post-traumatic infections with major complications in other states

Questions

How much does postoperative and post-traumatic infections with major complications cost in Virginia?

In 2024 Medicare data, a hospital stay for postoperative and post-traumatic infections with major complications (DRG 862) at 9 hospitals in Virginia was billed at $71,361 on average, while the average total payment was $19,138, of which Medicare paid $13,992. 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 3.7 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.