facebook tracking Red blood cell disorders with major complications cost in Virginia: 36 hospitals compared (DRG 811)

Red blood cell disorders with major complications in Virginia

What 36 hospitals in Virginia charged and were paid for a Medicare hospital stay for red blood cell disorders with major complications (DRG 811), from 2024 Medicare claims.

DRG 811 Inpatient 2024 Medicare data
Average charge $62,380 Hospital list price billed
Average payment $13,387 Medicare + patient + other payers
Medicare paid $10,178 Average per stay
State rank #25 of 43 1 = lowest average payment

Hospitals in Virginia billed an average of $62,380 for red blood cell disorders with major complications, about 4.7 times the average total payment of $13,387. That payment is 5% below the U.S. average of $14,033.

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 $13,387Billed $62,380

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: red blood cell disorders 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
Cjw Medical CenterRichmond 58 $126,384 $10,690 $8,504
Inova Fairfax HospitalFalls Church 53 $62,947 $20,201 $10,834
Henrico Doctors' HospitalRichmond 50 $109,887 $10,624 $8,574
Lewisgale Medical CenterSalem 36 $87,226 $12,875 $9,523
Virginia Hospital Center - ArlingtonArlington 36 $29,822 $11,350 $9,493
Mary Washington Hospital, INCFredericksburg 35 $26,154 $10,806 $9,702
Winchester Medical Center INCWinchester 34 $28,270 $11,328 $10,190
Medical College of Virginia HospitalsRichmond 31 $77,299 $22,533 $14,208
Sentara Leigh HospitalNorfolk 31 $41,229 $11,248 $7,967
Centra Health - Lynchburg Gen HospitalLynchburg 30 $52,792 $13,085 $9,639
Bon Secours - St Marys Hospital of RichmondRichmond 30 $46,358 $10,550 $9,436
Sentara Obici HospitalSuffolk 27 $48,103 $9,644 $8,199
Sentara Norfolk General HospitalNorfolk 26 $96,933 $25,278 $18,092
Riverside Regional Medical CenterNewport News 25 $33,486 $12,112 $9,155
Bon Secours - Memorial Regional MedicalMechanicsville 23 $46,545 $11,385 $8,053
Inova Alexandria HospitalAlexandria 22 $38,385 $11,066 $9,921
Carilion Medical CenterRoanoke 21 $46,267 $13,624 $8,988
Sentara Virginia Beach General HospitalVirginia Beach 21 $43,364 $9,982 $8,941
Reston Hospital CenterReston 21 $64,539 $10,706 $9,305
University of Virginia Medical CenterCharlottesville 20 $177,615 $40,231 $28,500
Southside Regional Medical CenterPetersburg 20 $111,236 $10,534 $8,217
Sentara Rmh Medical CenterHarrisonburg 19 $26,895 $11,923 $10,650
Sentara Careplex HospitalHampton 19 $58,948 $14,350 $13,492
Bon Secours - Maryview Medical CenterPortsmouth 18 $31,222 $13,515 $7,910
Sentara Bayside HospitalVirginia Beach 18 $45,269 $9,900 $9,067
Martha Jefferson HospitalCharlottesville 16 $20,678 $10,049 $7,480
Sentara Northern Virginia Medical CenterWoodbridge 15 $42,890 $11,492 $10,567
Bon Secours - St Francis Medical CenterMidlothian 14 $42,523 $10,196 $8,617
Montgomery Regional HospitalBlacksburg 12 $48,530 $12,836 $10,047
Halifax Regional HospitalSouth Boston 11 $34,180 $10,839 $9,652
John Randolph Medical CenterHopewell 11 $84,332 $10,240 $9,647
The Fauquier Hospital, INCWarrenton 11 $63,823 $9,971 $8,932
Inova Loudoun HospitalLeesburg 11 $33,177 $10,659 $9,320
Sentara Williamsburg Regional Medical CenterWilliamsburg 11 $44,578 $11,016 $7,267
Inova Fair Oaks HospitalFairfax 11 $41,388 $14,068 $8,126
Inova Mount Vernon HospitalAlexandria 11 $50,897 $11,438 $10,015
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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

Sentara Obici HospitalSuffolk, VA$9,644
Sentara Bayside HospitalVirginia Beach, VA$9,900
The Fauquier Hospital, INCWarrenton, VA$9,971
Sentara Virginia Beach General HospitalVirginia Beach, VA$9,982
Martha Jefferson HospitalCharlottesville, VA$10,049

Highest

University of Virginia Medical CenterCharlottesville, VA$40,231
Sentara Norfolk General HospitalNorfolk, VA$25,278
Medical College of Virginia HospitalsRichmond, VA$22,533
Inova Fairfax HospitalFalls Church, VA$20,201
Sentara Careplex HospitalHampton, VA$14,350

Red blood cell disorders with major complications in other states

Questions

How much does red blood cell disorders with major complications cost in Virginia?

In 2024 Medicare data, a hospital stay for red blood cell disorders with major complications (DRG 811) at 36 hospitals in Virginia was billed at $62,380 on average, while the average total payment was $13,387, of which Medicare paid $10,178. 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.