Respiratory infections and inflammations with complications in Virginia
What 27 hospitals in Virginia charged and were paid for a Medicare hospital stay for respiratory infections and inflammations with complications (DRG 178), from 2024 Medicare claims.
Average charge
$33,849
Hospital list price billed
Average payment
$9,030
Medicare + patient + other payers
Medicare paid
$6,564
Average per stay
State rank
#24 of 46
1 = lowest average payment
Hospitals in Virginia billed an average of $33,849 for respiratory infections and inflammations with complications, about 3.7 times the average total payment of $9,030. That payment is 5% below the U.S. average of $9,493.
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 $9,030Billed $33,849
About 27¢ was paid for every $1 hospitals in Virginia billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Virginia:
Virginia hospitals: respiratory infections and inflammations with 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 |
|---|---|---|---|---|
| Winchester Medical Center INCWinchester | 41 | $20,551 | $8,023 | $6,585 |
| Cjw Medical CenterRichmond | 38 | $69,030 | $6,983 | $5,640 |
| University of Virginia Medical CenterCharlottesville | 34 | $59,472 | $19,341 | $11,343 |
| Augusta HealthFishersville | 33 | $27,715 | $7,673 | $6,339 |
| Mary Washington Hospital, INCFredericksburg | 31 | $23,657 | $7,545 | $5,929 |
| Carilion Medical CenterRoanoke | 29 | $32,825 | $8,716 | $6,787 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 29 | $33,330 | $7,564 | $6,273 |
| Medical College of Virginia HospitalsRichmond | 25 | $54,180 | $15,799 | $7,880 |
| Riverside Regional Medical CenterNewport News | 24 | $25,794 | $7,949 | $6,068 |
| Inova Fairfax HospitalFalls Church | 24 | $32,830 | $10,727 | $7,179 |
| Bon Secours - St Francis Medical CenterMidlothian | 24 | $30,029 | $8,354 | $5,701 |
| Inova Loudoun HospitalLeesburg | 23 | $26,877 | $7,955 | $5,995 |
| Virginia Hospital Center - ArlingtonArlington | 23 | $25,710 | $7,800 | $6,290 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 22 | $30,763 | $8,803 | $5,484 |
| Sentara Norfolk General HospitalNorfolk | 21 | $39,738 | $11,616 | $7,348 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 21 | $28,704 | $7,820 | $5,745 |
| Inova Alexandria HospitalAlexandria | 18 | $28,509 | $8,193 | $6,715 |
| Sentara Virginia Beach General HospitalVirginia Beach | 18 | $34,356 | $6,825 | $5,530 |
| Sentara Northern Virginia Medical CenterWoodbridge | 18 | $30,342 | $8,716 | $6,750 |
| Inova Fair Oaks HospitalFairfax | 16 | $21,161 | $7,562 | $6,036 |
| Carilion New River Vly Med CtrChristiansburg | 15 | $38,711 | $7,869 | $6,620 |
| Sentara Leigh HospitalNorfolk | 15 | $28,427 | $7,421 | $5,798 |
| Chesapeake General HospitalChesapeake | 15 | $29,359 | $7,052 | $5,640 |
| Sentara Obici HospitalSuffolk | 14 | $33,069 | $7,267 | $5,967 |
| Sentara Rmh Medical CenterHarrisonburg | 13 | $19,076 | $8,477 | $6,869 |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg | 13 | $20,294 | $6,137 | $4,334 |
| Carilion Franklin Memorial HospitalRocky Mount | 12 | $26,313 | $8,782 | $7,288 |
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
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg, VA | $6,137 |
|---|---|
| Sentara Virginia Beach General HospitalVirginia Beach, VA | $6,825 |
| Cjw Medical CenterRichmond, VA | $6,983 |
| Chesapeake General HospitalChesapeake, VA | $7,052 |
| Sentara Obici HospitalSuffolk, VA | $7,267 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $19,341 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $15,799 |
| Sentara Norfolk General HospitalNorfolk, VA | $11,616 |
| Inova Fairfax HospitalFalls Church, VA | $10,727 |
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $8,803 |
Respiratory infections and inflammations with complications in other states
Questions
How much does respiratory infections and inflammations with complications cost in Virginia?
In 2024 Medicare data, a hospital stay for respiratory infections and inflammations with complications (DRG 178) at 27 hospitals in Virginia was billed at $33,849 on average, while the average total payment was $9,030, of which Medicare paid $6,564. 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.