Pulmonary embolism with major complications or acute cor pulmonale in Virginia
What 34 hospitals in Virginia charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.
Average charge
$51,281
Hospital list price billed
Average payment
$12,350
Medicare + patient + other payers
Medicare paid
$9,287
Average per stay
State rank
#21 of 48
1 = lowest average payment
Hospitals in Virginia billed an average of $51,281 for pulmonary embolism with major complications or acute cor pulmonale, about 4.2 times the average total payment of $12,350. That payment is 8% below the U.S. average of $13,466.
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 $12,350Billed $51,281
About 24¢ 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: pulmonary embolism with major complications or acute cor pulmonale
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 | 59 | $45,635 | $15,146 | $10,240 |
| Winchester Medical Center INCWinchester | 44 | $27,196 | $11,770 | $9,828 |
| Cjw Medical CenterRichmond | 42 | $116,412 | $11,577 | $7,518 |
| Sentara Leigh HospitalNorfolk | 40 | $47,213 | $11,135 | $8,288 |
| Carilion Medical CenterRoanoke | 37 | $44,961 | $11,762 | $9,653 |
| University of Virginia Medical CenterCharlottesville | 34 | $48,230 | $19,078 | $13,772 |
| Mary Washington Hospital, INCFredericksburg | 33 | $31,687 | $10,966 | $8,783 |
| Lewisgale Medical CenterSalem | 33 | $58,910 | $12,605 | $8,056 |
| Sentara Virginia Beach General HospitalVirginia Beach | 33 | $47,725 | $10,697 | $7,901 |
| Henrico Doctors' HospitalRichmond | 31 | $98,380 | $10,525 | $7,164 |
| Chesapeake General HospitalChesapeake | 30 | $35,835 | $9,878 | $8,572 |
| Sentara Norfolk General HospitalNorfolk | 29 | $59,008 | $16,437 | $10,253 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 29 | $56,656 | $13,052 | $10,326 |
| Riverside Regional Medical CenterNewport News | 29 | $38,317 | $11,822 | $9,017 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 29 | $47,293 | $11,374 | $8,342 |
| Sentara Rmh Medical CenterHarrisonburg | 27 | $35,762 | $13,121 | $10,311 |
| Medical College of Virginia HospitalsRichmond | 27 | $88,201 | $22,103 | $13,185 |
| Virginia Hospital Center - ArlingtonArlington | 27 | $38,766 | $10,722 | $8,809 |
| Inova Loudoun HospitalLeesburg | 26 | $45,020 | $11,668 | $8,393 |
| Martha Jefferson HospitalCharlottesville | 26 | $30,784 | $9,683 | $7,415 |
| Inova Alexandria HospitalAlexandria | 23 | $41,345 | $11,321 | $10,008 |
| Sentara Obici HospitalSuffolk | 22 | $38,871 | $9,718 | $8,738 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 19 | $59,940 | $10,531 | $9,117 |
| Sentara Bayside HospitalVirginia Beach | 18 | $56,416 | $10,336 | $9,408 |
| Bon Secours - St Francis Medical CenterMidlothian | 18 | $58,487 | $11,871 | $8,407 |
| Danville Regional Medical CenterDanville | 17 | $67,266 | $11,153 | $9,176 |
| Sentara Careplex HospitalHampton | 17 | $44,693 | $10,811 | $9,467 |
| Sentara Northern Virginia Medical CenterWoodbridge | 16 | $33,678 | $11,961 | $9,517 |
| Bon Secours - Maryview Medical CenterPortsmouth | 13 | $67,829 | $13,414 | $10,321 |
| Culpeper Regional HospitalCulpeper | 13 | $28,304 | $11,791 | $10,912 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 13 | $45,847 | $9,486 | $8,231 |
| Augusta HealthFishersville | 12 | $48,044 | $10,917 | $9,609 |
| Clinch Valley Medical CenterRichlands | 12 | $43,144 | $10,841 | $6,811 |
| Johnston Memorial HospitalAbingdon | 11 | $30,209 | $11,292 | $9,272 |
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
| Sentara Williamsburg Regional Medical CenterWilliamsburg, VA | $9,486 |
|---|---|
| Martha Jefferson HospitalCharlottesville, VA | $9,683 |
| Sentara Obici HospitalSuffolk, VA | $9,718 |
| Chesapeake General HospitalChesapeake, VA | $9,878 |
| Sentara Bayside HospitalVirginia Beach, VA | $10,336 |
Highest
| Medical College of Virginia HospitalsRichmond, VA | $22,103 |
|---|---|
| University of Virginia Medical CenterCharlottesville, VA | $19,078 |
| Sentara Norfolk General HospitalNorfolk, VA | $16,437 |
| Inova Fairfax HospitalFalls Church, VA | $15,146 |
| Bon Secours - Maryview Medical CenterPortsmouth, VA | $13,414 |
Pulmonary embolism with major complications or acute cor pulmonale in other states
Questions
How much does pulmonary embolism with major complications or acute cor pulmonale cost in Virginia?
In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 34 hospitals in Virginia was billed at $51,281 on average, while the average total payment was $12,350, of which Medicare paid $9,287. 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 4.2 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.