Respiratory infections and inflammations with major complications in Virginia
What 61 hospitals in Virginia charged and were paid for a Medicare hospital stay for respiratory infections and inflammations with major complications (DRG 177), from 2024 Medicare claims.
Average charge
$49,466
Hospital list price billed
Average payment
$13,715
Medicare + patient + other payers
Medicare paid
$11,138
Average per stay
State rank
#21 of 50
1 = lowest average payment
Hospitals in Virginia billed an average of $49,466 for respiratory infections and inflammations with major complications, about 3.6 times the average total payment of $13,715. That payment is 8% below the U.S. average of $14,949.
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 $13,715Billed $49,466
About 28¢ 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 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 |
|---|---|---|---|---|
| Mary Washington Hospital, INCFredericksburg | 203 | $28,254 | $12,476 | $10,944 |
| Inova Fairfax HospitalFalls Church | 193 | $44,606 | $17,578 | $12,561 |
| Winchester Medical Center INCWinchester | 181 | $28,381 | $13,498 | $12,188 |
| Inova Loudoun HospitalLeesburg | 164 | $39,451 | $13,030 | $10,774 |
| Cjw Medical CenterRichmond | 155 | $113,738 | $11,957 | $9,750 |
| Carilion Medical CenterRoanoke | 125 | $46,624 | $14,329 | $11,257 |
| Henrico Doctors' HospitalRichmond | 116 | $93,669 | $12,349 | $9,750 |
| Sentara Virginia Beach General HospitalVirginia Beach | 114 | $44,928 | $11,782 | $9,576 |
| Inova Alexandria HospitalAlexandria | 109 | $43,625 | $13,303 | $11,717 |
| Riverside Regional Medical CenterNewport News | 107 | $35,769 | $12,700 | $10,547 |
| Sentara Rmh Medical CenterHarrisonburg | 105 | $26,835 | $14,652 | $12,560 |
| Chesapeake General HospitalChesapeake | 103 | $31,081 | $11,553 | $10,240 |
| Sentara Leigh HospitalNorfolk | 100 | $42,028 | $12,492 | $10,353 |
| University of Virginia Medical CenterCharlottesville | 98 | $88,545 | $28,028 | $16,255 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 91 | $38,282 | $12,571 | $10,940 |
| Sentara Bayside HospitalVirginia Beach | 80 | $45,169 | $11,876 | $9,307 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 77 | $49,298 | $12,520 | $10,127 |
| Martha Jefferson HospitalCharlottesville | 77 | $28,410 | $10,356 | $8,712 |
| Sentara Northern Virginia Medical CenterWoodbridge | 77 | $42,944 | $13,137 | $11,699 |
| Medical College of Virginia HospitalsRichmond | 76 | $78,724 | $24,732 | $14,532 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 74 | $45,084 | $12,127 | $10,367 |
| Virginia Hospital Center - ArlingtonArlington | 68 | $39,344 | $12,878 | $11,175 |
| Inova Fair Oaks HospitalFairfax | 67 | $38,104 | $14,150 | $10,230 |
| Sentara Obici HospitalSuffolk | 64 | $46,093 | $11,322 | $10,227 |
| Reston Hospital CenterReston | 64 | $70,434 | $12,113 | $10,912 |
| Lewisgale Medical CenterSalem | 63 | $77,101 | $14,141 | $10,967 |
| Danville Regional Medical CenterDanville | 63 | $67,554 | $12,475 | $10,207 |
| Inova Mount Vernon HospitalAlexandria | 59 | $41,908 | $13,817 | $11,981 |
| Bon Secours - St Francis Medical CenterMidlothian | 59 | $38,703 | $12,458 | $10,347 |
| Carilion Franklin Memorial HospitalRocky Mount | 57 | $38,346 | $13,727 | $11,829 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 56 | $37,876 | $11,202 | $9,022 |
| Carilion New River Vly Med CtrChristiansburg | 52 | $43,885 | $12,714 | $10,753 |
| Sentara Norfolk General HospitalNorfolk | 51 | $62,365 | $17,124 | $12,038 |
| Southside Regional Medical CenterPetersburg | 49 | $129,673 | $12,373 | $10,024 |
| Augusta HealthFishersville | 45 | $37,054 | $12,687 | $11,354 |
| Culpeper Regional HospitalCulpeper | 45 | $35,185 | $14,247 | $11,802 |
| Johnston Memorial HospitalAbingdon | 44 | $50,855 | $14,052 | $10,263 |
| Prince William HospitalManassas | 39 | $36,293 | $12,810 | $11,598 |
| Bon Secours - Maryview Medical CenterPortsmouth | 37 | $39,215 | $14,570 | $10,571 |
| Halifax Regional HospitalSouth Boston | 35 | $38,347 | $12,816 | $11,558 |
| Warren Memorial HospitalFront Royal | 32 | $20,294 | $14,347 | $12,481 |
| Riverside Tappahannock HospitalTappahannock | 32 | $36,917 | $15,125 | $13,156 |
| Montgomery Regional HospitalBlacksburg | 31 | $46,920 | $15,897 | $11,690 |
| Sentara Careplex HospitalHampton | 30 | $43,203 | $12,441 | $11,136 |
| Twin County Regional HospitalGalax | 30 | $73,252 | $14,011 | $12,027 |
| Stafford Hospital CenterStafford | 30 | $27,865 | $11,921 | $10,629 |
| UVA Health Haymarket Medical CenterHaymarket | 30 | $39,873 | $10,942 | $9,867 |
| John Randolph Medical CenterHopewell | 27 | $104,140 | $11,418 | $10,089 |
| Southside Community Hospital, INCFarmville | 24 | $46,182 | $12,458 | $11,506 |
| Community Memorial Healthcenter, INCSouth Hill | 24 | $43,924 | $13,262 | $12,039 |
| The Fauquier Hospital, INCWarrenton | 22 | $78,654 | $11,443 | $10,479 |
| Spotsylvania Regional Medical CenterFredericksburg | 22 | $52,431 | $12,451 | $11,119 |
| Riverside Shore Memorial HospitalNassawadox | 20 | $30,758 | $11,918 | $10,944 |
| Wellmont Lonesome Pine HospitalBig Stone Gap | 20 | $33,034 | $16,797 | $13,498 |
| Alleghany Regional HospitalJackson River | 20 | $61,091 | $13,974 | $12,909 |
| Mary Immaculate HospitalNewport News | 19 | $42,331 | $11,702 | $10,330 |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg | 19 | $37,776 | $10,355 | $9,326 |
| Smyth County Community HospitalMarion | 17 | $46,861 | $13,791 | $12,591 |
| Bedford Memorial HospitalBedford | 15 | $45,479 | $12,957 | $11,978 |
| Clinch Valley Medical CenterRichlands | 13 | $59,898 | $12,023 | $10,893 |
| Russell County Medical CenterLebanon | 12 | $45,257 | $13,873 | $13,193 |
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 | $10,355 |
|---|---|
| Martha Jefferson HospitalCharlottesville, VA | $10,356 |
| UVA Health Haymarket Medical CenterHaymarket, VA | $10,942 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg, VA | $11,202 |
| Sentara Obici HospitalSuffolk, VA | $11,322 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $28,028 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $24,732 |
| Inova Fairfax HospitalFalls Church, VA | $17,578 |
| Sentara Norfolk General HospitalNorfolk, VA | $17,124 |
| Wellmont Lonesome Pine HospitalBig Stone Gap, VA | $16,797 |
Respiratory infections and inflammations with major complications in other states
Questions
How much does respiratory infections and inflammations with major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for respiratory infections and inflammations with major complications (DRG 177) at 61 hospitals in Virginia was billed at $49,466 on average, while the average total payment was $13,715, of which Medicare paid $11,138. 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 3.6 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.