Pulmonary embolism without major complications in Virginia
What 22 hospitals in Virginia charged and were paid for a Medicare hospital stay for pulmonary embolism without major complications (DRG 176), from 2024 Medicare claims.
Average charge
$36,766
Hospital list price billed
Average payment
$7,868
Medicare + patient + other payers
Medicare paid
$5,177
Average per stay
State rank
#24 of 39
1 = lowest average payment
Hospitals in Virginia billed an average of $36,766 for pulmonary embolism without major complications, about 4.7 times the average total payment of $7,868. That payment is 5% below the U.S. average of $8,294.
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 $7,868Billed $36,766
About 21¢ 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 without 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 |
|---|---|---|---|---|
| Cjw Medical CenterRichmond | 33 | $62,855 | $6,233 | $4,617 |
| Winchester Medical Center INCWinchester | 29 | $17,815 | $6,847 | $4,995 |
| Mary Washington Hospital, INCFredericksburg | 24 | $18,801 | $6,555 | $5,061 |
| Sentara Virginia Beach General HospitalVirginia Beach | 23 | $33,577 | $6,108 | $5,024 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 22 | $45,509 | $7,917 | $5,527 |
| Carilion Medical CenterRoanoke | 20 | $31,016 | $9,130 | $4,539 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 20 | $36,962 | $6,392 | $4,943 |
| Medical College of Virginia HospitalsRichmond | 18 | $55,864 | $13,357 | $8,363 |
| Sentara Leigh HospitalNorfolk | 18 | $32,864 | $7,047 | $4,455 |
| Inova Fairfax HospitalFalls Church | 17 | $29,688 | $9,452 | $5,393 |
| University of Virginia Medical CenterCharlottesville | 16 | $40,594 | $13,052 | $8,078 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 16 | $35,111 | $6,274 | $4,743 |
| Sentara Norfolk General HospitalNorfolk | 15 | $41,036 | $11,060 | $5,277 |
| Bon Secours - St Francis Medical CenterMidlothian | 15 | $37,505 | $7,274 | $4,960 |
| Inova Loudoun HospitalLeesburg | 14 | $34,389 | $7,825 | $4,303 |
| Riverside Regional Medical CenterNewport News | 14 | $21,883 | $7,282 | $4,705 |
| Sentara Bayside HospitalVirginia Beach | 13 | $34,569 | $6,582 | $4,575 |
| Augusta HealthFishersville | 12 | $24,471 | $7,468 | $4,428 |
| Inova Alexandria HospitalAlexandria | 12 | $35,545 | $7,861 | $4,975 |
| Lewisgale Medical CenterSalem | 12 | $70,574 | $7,952 | $5,425 |
| Virginia Hospital Center - ArlingtonArlington | 11 | $16,186 | $6,816 | $4,823 |
| Reston Hospital CenterReston | 11 | $46,030 | $7,171 | $4,534 |
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 Virginia Beach General HospitalVirginia Beach, VA | $6,108 |
|---|---|
| Cjw Medical CenterRichmond, VA | $6,233 |
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $6,274 |
| Bon Secours - St Marys Hospital of RichmondRichmond, VA | $6,392 |
| Mary Washington Hospital, INCFredericksburg, VA | $6,555 |
Highest
| Medical College of Virginia HospitalsRichmond, VA | $13,357 |
|---|---|
| University of Virginia Medical CenterCharlottesville, VA | $13,052 |
| Sentara Norfolk General HospitalNorfolk, VA | $11,060 |
| Inova Fairfax HospitalFalls Church, VA | $9,452 |
| Carilion Medical CenterRoanoke, VA | $9,130 |
Pulmonary embolism without major complications in other states
Questions
How much does pulmonary embolism without major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for pulmonary embolism without major complications (DRG 176) at 22 hospitals in Virginia was billed at $36,766 on average, while the average total payment was $7,868, of which Medicare paid $5,177. 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 4.7 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.