Pulmonary edema and respiratory failure in Virginia
What 60 hospitals in Virginia charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.
Average charge
$49,326
Hospital list price billed
Average payment
$10,867
Medicare + patient + other payers
Medicare paid
$8,241
Average per stay
State rank
#18 of 50
1 = lowest average payment
Hospitals in Virginia billed an average of $49,326 for pulmonary edema and respiratory failure, about 4.5 times the average total payment of $10,867. That payment is 11% below the U.S. average of $12,197.
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 $10,867Billed $49,326
About 22¢ was paid for every $1 hospitals in Virginia billed for this stay.
Virginia hospitals: pulmonary edema and respiratory failure
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 |
|---|---|---|---|---|
| Cjw Medical CenterRichmond | 114 | $127,241 | $9,641 | $7,029 |
| Henrico Doctors' HospitalRichmond | 102 | $75,650 | $9,479 | $7,495 |
| Chesapeake General HospitalChesapeake | 100 | $33,381 | $8,917 | $7,693 |
| Winchester Medical Center INCWinchester | 92 | $25,180 | $10,271 | $8,512 |
| Inova Fairfax HospitalFalls Church | 92 | $44,913 | $14,643 | $10,121 |
| Carilion Medical CenterRoanoke | 78 | $48,452 | $11,817 | $8,396 |
| Mary Washington Hospital, INCFredericksburg | 74 | $28,147 | $9,856 | $7,748 |
| Riverside Regional Medical CenterNewport News | 72 | $29,617 | $10,667 | $7,837 |
| Lewisgale Medical CenterSalem | 71 | $56,044 | $11,294 | $7,914 |
| University of Virginia Medical CenterCharlottesville | 62 | $73,605 | $19,670 | $12,828 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 53 | $40,752 | $9,655 | $8,088 |
| Sentara Leigh HospitalNorfolk | 53 | $36,744 | $9,025 | $7,454 |
| Medical College of Virginia HospitalsRichmond | 52 | $62,840 | $18,392 | $9,939 |
| Danville Regional Medical CenterDanville | 49 | $55,035 | $10,482 | $8,439 |
| Inova Loudoun HospitalLeesburg | 46 | $32,175 | $9,365 | $8,191 |
| Inova Alexandria HospitalAlexandria | 44 | $39,502 | $11,064 | $8,373 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 42 | $56,912 | $10,358 | $7,103 |
| Augusta HealthFishersville | 40 | $27,921 | $11,867 | $7,206 |
| Sentara Bayside HospitalVirginia Beach | 40 | $40,891 | $8,776 | $7,942 |
| Sentara Norfolk General HospitalNorfolk | 37 | $60,757 | $14,500 | $8,817 |
| The Fauquier Hospital, INCWarrenton | 37 | $53,985 | $9,333 | $7,441 |
| Virginia Hospital Center - ArlingtonArlington | 34 | $25,549 | $9,991 | $8,358 |
| Southside Regional Medical CenterPetersburg | 34 | $134,772 | $9,684 | $6,223 |
| Sentara Obici HospitalSuffolk | 33 | $43,437 | $9,346 | $6,782 |
| Sentara Virginia Beach General HospitalVirginia Beach | 33 | $49,929 | $8,853 | $7,682 |
| Buchanan General HospitalGrundy | 33 | $42,127 | $11,105 | $10,067 |
| John Randolph Medical CenterHopewell | 31 | $62,232 | $9,091 | $7,723 |
| Spotsylvania Regional Medical CenterFredericksburg | 31 | $42,443 | $9,767 | $7,814 |
| Carilion New River Vly Med CtrChristiansburg | 30 | $42,511 | $11,827 | $7,511 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 30 | $55,248 | $10,321 | $8,311 |
| Inova Mount Vernon HospitalAlexandria | 30 | $47,350 | $12,112 | $8,756 |
| Sentara Rmh Medical CenterHarrisonburg | 29 | $26,230 | $10,568 | $8,960 |
| Inova Fair Oaks HospitalFairfax | 29 | $35,756 | $9,933 | $7,996 |
| Sentara Careplex HospitalHampton | 28 | $39,695 | $10,300 | $8,302 |
| Montgomery Regional HospitalBlacksburg | 26 | $38,215 | $11,689 | $9,312 |
| Sentara Northern Virginia Medical CenterWoodbridge | 25 | $42,583 | $10,816 | $9,126 |
| Prince William HospitalManassas | 24 | $24,289 | $11,023 | $8,439 |
| Martha Jefferson HospitalCharlottesville | 24 | $29,622 | $8,140 | $7,136 |
| Bon Secours - St Francis Medical CenterMidlothian | 23 | $49,014 | $10,471 | $7,554 |
| Reston Hospital CenterReston | 22 | $65,648 | $9,682 | $7,906 |
| Culpeper Regional HospitalCulpeper | 21 | $20,171 | $10,665 | $8,438 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 20 | $49,812 | $8,459 | $6,991 |
| Riverside Walter Reed HospitalGloucester | 20 | $21,757 | $9,401 | $6,514 |
| Twin County Regional HospitalGalax | 18 | $56,599 | $10,209 | $8,849 |
| Warren Memorial HospitalFront Royal | 17 | $21,943 | $12,016 | $10,075 |
| Bedford Memorial HospitalBedford | 17 | $34,293 | $10,669 | $8,375 |
| Halifax Regional HospitalSouth Boston | 15 | $27,963 | $9,724 | $8,853 |
| Johnston Memorial HospitalAbingdon | 15 | $31,236 | $12,223 | $7,839 |
| Carilion Tazewell Community HospitalTazewell | 15 | $34,122 | $10,531 | $9,458 |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg | 15 | $21,836 | $9,053 | $6,548 |
| Riverside Tappahannock HospitalTappahannock | 14 | $22,026 | $11,532 | $8,929 |
| Bon Secours - Maryview Medical CenterPortsmouth | 13 | $30,534 | $10,594 | $9,284 |
| Mary Immaculate HospitalNewport News | 13 | $44,612 | $8,877 | $7,621 |
| Southside Community Hospital, INCFarmville | 13 | $40,148 | $9,106 | $7,976 |
| Clinch Valley Medical CenterRichlands | 12 | $65,480 | $9,134 | $8,318 |
| UVA Health Haymarket Medical CenterHaymarket | 12 | $44,612 | $9,274 | $8,322 |
| Russell County Medical CenterLebanon | 11 | $44,292 | $10,223 | $8,548 |
| Wythe County Community HospitalWytheville | 11 | $39,631 | $10,941 | $8,689 |
| Pulaski Community HospitalPulaski | 11 | $62,506 | $11,708 | $8,372 |
| Stafford Hospital CenterStafford | 11 | $27,167 | $10,180 | $7,966 |
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
| Martha Jefferson HospitalCharlottesville, VA | $8,140 |
|---|---|
| Sentara Williamsburg Regional Medical CenterWilliamsburg, VA | $8,459 |
| Sentara Bayside HospitalVirginia Beach, VA | $8,776 |
| Sentara Virginia Beach General HospitalVirginia Beach, VA | $8,853 |
| Mary Immaculate HospitalNewport News, VA | $8,877 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $19,670 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $18,392 |
| Inova Fairfax HospitalFalls Church, VA | $14,643 |
| Sentara Norfolk General HospitalNorfolk, VA | $14,500 |
| Johnston Memorial HospitalAbingdon, VA | $12,223 |
Pulmonary edema and respiratory failure in other states
Questions
How much does pulmonary edema and respiratory failure cost in Virginia?
In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 60 hospitals in Virginia was billed at $49,326 on average, while the average total payment was $10,867, of which Medicare paid $8,241. 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 4.5 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.