facebook tracking Respiratory system diagnosis with ventilator support <=96 hours cost in Virginia: 25 hospitals compared (DRG 208)

Respiratory system diagnosis with ventilator support <=96 hours in Virginia

What 25 hospitals in Virginia charged and were paid for a Medicare hospital stay for respiratory system diagnosis with ventilator support <=96 hours (DRG 208), from 2024 Medicare claims.

DRG 208 Inpatient 2024 Medicare data
Average charge $121,502 Hospital list price billed
Average payment $23,627 Medicare + patient + other payers
Medicare paid $18,831 Average per stay
State rank #21 of 45 1 = lowest average payment

Hospitals in Virginia billed an average of $121,502 for respiratory system diagnosis with ventilator support <=96 hours, about 5.1 times the average total payment of $23,627. That payment is 8% below the U.S. average of $25,674.

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 $23,627Billed $121,502

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
Winchester Medical Center INCWinchester 54 $51,638 $22,113 $19,632
Carilion Medical CenterRoanoke 47 $98,417 $24,798 $18,214
Cjw Medical CenterRichmond 45 $266,224 $21,228 $15,865
Henrico Doctors' HospitalRichmond 45 $220,998 $19,466 $16,526
Inova Fairfax HospitalFalls Church 34 $94,731 $27,670 $21,788
Centra Health - Lynchburg Gen HospitalLynchburg 30 $118,326 $25,805 $20,864
Sentara Norfolk General HospitalNorfolk 27 $107,550 $23,882 $19,495
University of Virginia Medical CenterCharlottesville 26 $154,844 $41,732 $26,460
Medical College of Virginia HospitalsRichmond 25 $143,487 $33,718 $24,285
Lewisgale Medical CenterSalem 25 $140,608 $22,590 $18,624
Riverside Regional Medical CenterNewport News 25 $60,660 $19,986 $17,274
Mary Washington Hospital, INCFredericksburg 20 $61,387 $21,476 $16,742
Bon Secours - Memorial Regional MedicalMechanicsville 20 $82,358 $21,466 $17,035
Inova Alexandria HospitalAlexandria 17 $82,160 $23,851 $19,350
Sentara Leigh HospitalNorfolk 17 $107,594 $21,192 $16,051
Sentara Virginia Beach General HospitalVirginia Beach 17 $137,417 $20,706 $19,866
Bon Secours - St Marys Hospital of RichmondRichmond 16 $117,854 $22,775 $16,875
Danville Regional Medical CenterDanville 15 $110,335 $20,490 $15,197
Reston Hospital CenterReston 15 $137,127 $21,651 $18,089
Sentara Rmh Medical CenterHarrisonburg 13 $64,024 $22,954 $21,269
Bon Secours - Maryview Medical CenterPortsmouth 13 $99,254 $21,786 $18,993
Johnston Memorial HospitalAbingdon 13 $100,151 $22,846 $18,181
Sentara Careplex HospitalHampton 12 $116,032 $20,262 $16,975
Sentara Bayside HospitalVirginia Beach 12 $87,730 $16,781 $15,667
Chesapeake General HospitalChesapeake 12 $60,961 $18,243 $17,427
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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 Bayside HospitalVirginia Beach, VA$16,781
Chesapeake General HospitalChesapeake, VA$18,243
Henrico Doctors' HospitalRichmond, VA$19,466
Riverside Regional Medical CenterNewport News, VA$19,986
Sentara Careplex HospitalHampton, VA$20,262

Highest

University of Virginia Medical CenterCharlottesville, VA$41,732
Medical College of Virginia HospitalsRichmond, VA$33,718
Inova Fairfax HospitalFalls Church, VA$27,670
Centra Health - Lynchburg Gen HospitalLynchburg, VA$25,805
Carilion Medical CenterRoanoke, VA$24,798

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 208) at 25 hospitals in Virginia was billed at $121,502 on average, while the average total payment was $23,627, of which Medicare paid $18,831. 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.