Respiratory system diagnosis with ventilator support >96 hours in Virginia
What 6 hospitals in Virginia charged and were paid for a Medicare hospital stay for respiratory system diagnosis with ventilator support >96 hours (DRG 207), from 2024 Medicare claims.
Average charge
$367,301
Hospital list price billed
Average payment
$71,544
Medicare + patient + other payers
Medicare paid
$56,692
Average per stay
State rank
#21 of 28
1 = lowest average payment
Hospitals in Virginia billed an average of $367,301 for respiratory system diagnosis with ventilator support >96 hours, about 5.1 times the average total payment of $71,544. That payment is 10% above the U.S. average of $65,323.
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 $71,544Billed $367,301
About 19¢ was paid for every $1 hospitals in Virginia billed for this stay.
Virginia hospitals: respiratory system diagnosis with ventilator support >96 hours
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 |
|---|---|---|---|---|
| Carilion Medical CenterRoanoke | 19 | $181,920 | $44,271 | $41,457 |
| Henrico Doctors' HospitalRichmond | 18 | $568,962 | $51,987 | $33,465 |
| Riverside Regional Medical CenterNewport News | 13 | $136,197 | $45,571 | $38,375 |
| University of Virginia Medical CenterCharlottesville | 12 | $788,372 | $209,239 | $155,428 |
| Sentara Leigh HospitalNorfolk | 12 | $162,694 | $39,865 | $38,559 |
| Inova Specialty HospitalAlexandria | 11 | $394,494 | $65,693 | $54,733 |
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 Leigh HospitalNorfolk, VA | $39,865 |
|---|---|
| Carilion Medical CenterRoanoke, VA | $44,271 |
| Riverside Regional Medical CenterNewport News, VA | $45,571 |
| Henrico Doctors' HospitalRichmond, VA | $51,987 |
| Inova Specialty HospitalAlexandria, VA | $65,693 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $209,239 |
|---|---|
| Inova Specialty HospitalAlexandria, VA | $65,693 |
| Henrico Doctors' HospitalRichmond, VA | $51,987 |
| Riverside Regional Medical CenterNewport News, VA | $45,571 |
| Carilion Medical CenterRoanoke, VA | $44,271 |
Respiratory system diagnosis with ventilator support >96 hours in other states
Questions
How much does respiratory system diagnosis with ventilator support >96 hours cost in Virginia?
In 2024 Medicare data, a hospital stay for respiratory system diagnosis with ventilator support >96 hours (DRG 207) at 6 hospitals in Virginia was billed at $367,301 on average, while the average total payment was $71,544, of which Medicare paid $56,692. 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 5.1 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.