Respiratory neoplasms with major complications in Virginia
What 18 hospitals in Virginia charged and were paid for a Medicare hospital stay for respiratory neoplasms with major complications (DRG 180), from 2024 Medicare claims.
Average charge
$70,458
Hospital list price billed
Average payment
$16,822
Medicare + patient + other payers
Medicare paid
$12,148
Average per stay
State rank
#21 of 35
1 = lowest average payment
Hospitals in Virginia billed an average of $70,458 for respiratory neoplasms with major complications, about 4.2 times the average total payment of $16,822. That payment is 8% below the U.S. average of $18,205.
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 $16,822Billed $70,458
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: respiratory neoplasms 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 |
|---|---|---|---|---|
| Inova Fairfax HospitalFalls Church | 30 | $44,991 | $17,614 | $13,573 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 26 | $44,427 | $12,875 | $11,603 |
| Cjw Medical CenterRichmond | 24 | $143,205 | $13,440 | $9,764 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 22 | $49,679 | $13,582 | $10,477 |
| Henrico Doctors' HospitalRichmond | 21 | $93,805 | $13,742 | $10,454 |
| Carilion Medical CenterRoanoke | 20 | $62,753 | $16,386 | $10,906 |
| Winchester Medical Center INCWinchester | 17 | $58,250 | $21,235 | $16,004 |
| Medical College of Virginia HospitalsRichmond | 17 | $107,057 | $29,895 | $18,598 |
| Mary Washington Hospital, INCFredericksburg | 15 | $36,580 | $14,123 | $10,779 |
| Sentara Virginia Beach General HospitalVirginia Beach | 15 | $85,550 | $12,696 | $11,549 |
| University of Virginia Medical CenterCharlottesville | 12 | $101,696 | $28,676 | $20,130 |
| Sentara Obici HospitalSuffolk | 12 | $60,343 | $13,922 | $10,152 |
| Riverside Regional Medical CenterNewport News | 12 | $30,793 | $15,201 | $10,567 |
| Sentara Norfolk General HospitalNorfolk | 11 | $92,053 | $32,205 | $12,311 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 11 | $65,829 | $12,189 | $10,638 |
| Southside Regional Medical CenterPetersburg | 11 | $106,230 | $12,613 | $10,784 |
| Inova Mount Vernon HospitalAlexandria | 11 | $39,291 | $15,981 | $8,450 |
| Bon Secours - St Francis Medical CenterMidlothian | 11 | $40,297 | $13,113 | $11,933 |
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
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $12,189 |
|---|---|
| Southside Regional Medical CenterPetersburg, VA | $12,613 |
| Sentara Virginia Beach General HospitalVirginia Beach, VA | $12,696 |
| Bon Secours - St Marys Hospital of RichmondRichmond, VA | $12,875 |
| Bon Secours - St Francis Medical CenterMidlothian, VA | $13,113 |
Highest
| Sentara Norfolk General HospitalNorfolk, VA | $32,205 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $29,895 |
| University of Virginia Medical CenterCharlottesville, VA | $28,676 |
| Winchester Medical Center INCWinchester, VA | $21,235 |
| Inova Fairfax HospitalFalls Church, VA | $17,614 |
Respiratory neoplasms with major complications in other states
Questions
How much does respiratory neoplasms with major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for respiratory neoplasms with major complications (DRG 180) at 18 hospitals in Virginia was billed at $70,458 on average, while the average total payment was $16,822, of which Medicare paid $12,148. 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.