Medical College of Virginia Hospitals

1250 East Marshall Street, Richmond, VA 23298 · (804) 828-9000

General hospitalGovernment - Hospital District or AuthorityEmergency roomCMS rating ★★★★★

The money

$25what care cost the hospital for every $100 it billed

$526.5Mnet income, all sources

2.7%margin on patient care alone

$41.1Mcost of charity care (1.7% of costs)

$94.1Munpaid bills written off (bad debt)

865beds

From the hospital's Medicare cost report for the year ending June 2025.

Hospital stays

Medicare figures are 2024 averages for this hospital; the bars show how much of the bill was actually paid.

Billed (list price)Actually paid (Medicare + patient)

Stay	Medicare stays	Billed	Paid
Sepsis, with major complications 871	339	$118,071	$30,173
Heart failure, with major complications 291	230	$76,701	$22,298
Heart procedure through a catheter (e.g. ablation, valve clip) 274	138	$108,708	$31,739
Other kidney and urinary problems, with major complications 698	119	$80,852	$25,765
Heart catheterization, with major complications 286	95	$164,636	$42,438
Irregular heartbeat, with complications 309	93	$34,976	$11,657
Pneumonia, with major complications 193	84	$66,030	$19,951
Lung infection, with major complications 177	76	$78,724	$24,732
Bowel surgery, with complications 330	76	$136,015	$31,562
Stomach and digestive disorders 392	74	$47,986	$13,532
Hip or knee replacement 470	74	$86,175	$20,543
Other kidney and urinary problems, with complications 699	74	$54,256	$16,070
Anemia and blood disorders 812	70	$42,056	$13,926
Stroke, with major complications 064	67	$116,976	$29,246
Dehydration and electrolyte problems, with major complications 640	66	$95,898	$26,444
Infection needing surgery, with major complications 853	66	$379,092	$99,222
Sepsis 872	65	$52,016	$15,943
Major Chest Procedures with Cc 164	64	$130,731	$30,026
Heart valve replacement through a catheter (TAVR) 267	61	$136,943	$43,704
Kidney Transplant with Hemodialysis with Mcc 650	61	$464,544	$62,355
Irregular heartbeat 310	59	$26,573	$9,411
Stroke, with complications or clot-busting drug 065	55	$71,658	$16,894
Urinary tract infection 690	53	$43,630	$13,843
Respiratory failure 189	52	$62,840	$18,392
Heart attack, with major complications 280	52	$114,940	$28,250
Stomach or intestinal bleeding, with complications 378	51	$60,212	$14,089
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441	51	$135,479	$33,409
Other circulation problems, with major complications 314	48	$110,793	$30,641
Seizures 101	46	$55,673	$15,505
Kidney Transplant 652	46	$370,706	$48,490
Revision of Hip or Knee Replacement with Cc 467	44	$162,978	$36,889
Fainting 312	43	$61,525	$15,026
Dehydration and electrolyte problems 641	43	$53,753	$13,960
Acute Leukemia with Mcc 834	43	$314,670	$86,581
Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847	42	$105,846	$24,622
Revision of Hip or Knee Replacement Without Cc/Mcc 468	40	$116,718	$29,123
Kidney failure, with major complications 682	39	$79,489	$22,514
Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003	38	$1,059,500	$291,781
Hip or thigh bone surgery (not replacement), with complications 481	38	$146,494	$25,867
Skin infection (cellulitis) 603	38	$46,036	$16,865
Kidney failure, with complications 683	38	$44,141	$14,010
Urinary tract infection, with major complications 689	38	$61,131	$18,248
Craniotomy and Endovascular Intracranial Procedures with Mcc 025	37	$210,534	$51,164
Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023	35	$289,499	$76,745
Major Chest Procedures with Mcc 163	35	$196,755	$63,094
Back problems (no surgery) 552	34	$53,586	$14,665
Other Circulatory System Diagnoses with Cc 315	33	$59,184	$14,851
Permanent Cardiac Pacemaker Implant with Cc 243	32	$97,667	$26,189
Degenerative nerve disorders (e.g. Parkinson's, dementia) 057	31	$72,516	$26,039
Anemia and blood disorders, with major complications 811	31	$77,299	$22,533
Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027	29	$145,574	$26,505
Coronary Bypass Without Cardiac Catheterization Without Mcc 236	29	$247,357	$47,546
Heart stent 322	29	$141,352	$23,141
Craniotomy and Endovascular Intracranial Procedures with Cc 026	28	$127,375	$29,695
Major Chest Trauma with Cc 184	28	$84,495	$16,261
Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219	28	$448,032	$103,849
Irregular heartbeat, with major complications 308	28	$64,641	$17,024
Bowel obstruction, with complications 389	28	$42,748	$13,261
Spinal fusion (lower or mid back) 460	28	$179,325	$42,524
Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981	28	$230,499	$63,207
Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175	27	$88,201	$22,103
Heart catheterization 287	27	$83,410	$17,303
Bowel surgery, with major complications 329	27	$317,673	$85,665
Stomach or intestinal bleeding, with major complications 377	27	$84,198	$22,009
Major Chest Procedures Without Cc/Mcc 165	26	$106,137	$22,576
Cirrhosis and Alcoholic Hepatitis with Mcc 432	26	$120,354	$34,055
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442	26	$63,518	$16,037
Seizures with Mcc 100	25	$119,808	$29,859
Lung infection, with complications 178	25	$54,180	$15,799
Breathing problem needing a ventilator (up to 4 days) 208	25	$143,487	$33,718
Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220	25	$289,510	$56,685
Permanent Cardiac Pacemaker Implant with Mcc 242	25	$158,648	$43,118
Other Vascular Procedures with Mcc 252	25	$219,377	$67,190
Stomach, Esophageal and Duodenal Procedures with Cc 327	25	$141,724	$28,939
Major Small and Large Bowel Procedures Without Cc/Mcc 331	25	$129,387	$21,205
Other Digestive System Diagnoses with Mcc 393	25	$109,582	$29,725
Signs and Symptoms Without Mcc 948	25	$49,951	$12,438
Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328	24	$98,379	$18,713
Heart stent, with major complications or 4+ stents 321	23	$186,850	$39,814
Stomach and digestive disorders, with major complications 391	23	$78,276	$20,567
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493	22	$132,000	$29,095
Autologous Bone Marrow Transplant with Cc/Mcc 016	21	$321,386	$87,674
Pneumonia, with complications 194	21	$40,431	$12,007
Other Major Cardiovascular Procedures with Mcc 270	21	$368,661	$102,907
Cervical Spinal Fusion with Cc 472	21	$151,355	$31,956
Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659	21	$188,983	$44,127
Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982	21	$138,278	$30,472
Traumatic Stupor and Coma >1 Hour with Cc 083	20	$133,418	$23,108
Stomach, Esophageal and Duodenal Procedures with Mcc 326	20	$338,749	$78,888
Diabetes, with complications 638	20	$44,630	$14,651
Other Kidney and Urinary Tract Procedures with Mcc 673	20	$188,061	$56,721
Other digestive problems, with complications 394	19	$43,481	$15,345
Other O.r. Procedures for Injuries with Cc 908	19	$99,137	$26,567
Ventricular Shunt Procedures Without Cc/Mcc 033	18	$88,680	$17,509
Traumatic Stupor and Coma >1 Hour with Mcc 082	18	$177,482	$50,431
Pulmonary Embolism Without Mcc 176	18	$55,864	$13,357
Diabetes, with major complications 637	18	$86,580	$22,448
Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837	18	$186,291	$70,875
Complications of Treatment with Mcc 919	18	$112,901	$32,728
Respiratory Neoplasms with Mcc 180	17	$107,057	$29,895
COPD, with major complications 190	17	$42,580	$13,808
Coagulation Disorders 813	17	$920,737	$315,081
Infectious and Parasitic Diseases with O.r. Procedures with Cc 854	17	$112,495	$28,434
Other O.r. Procedures for Injuries with Mcc 907	17	$365,540	$69,717
Poisoning and Toxic Effects of Drugs with Mcc 917	17	$81,827	$24,367
Degenerative Nervous System Disorders with Mcc 056	16	$152,638	$39,341
Mini-stroke (TIA) 069	16	$54,397	$11,121
Other Respiratory System O.r. Procedures with Cc 167	16	$88,880	$21,673
Pneumothorax with Cc 200	16	$65,670	$14,376
Coronary Bypass Without Cardiac Catheterization with Mcc 235	16	$402,170	$107,995
Hernia Procedures Except Inguinal and Femoral with Cc 354	16	$116,086	$25,363
Disorders of the Biliary Tract with Mcc 444	16	$82,288	$21,696
Hip replacement after a hip fracture 522	16	$137,238	$27,279
Kidney and Ureter Procedures for Non-Neoplasm with Cc 660	16	$116,981	$24,813
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809	16	$146,269	$34,098
Septicemia or Severe Sepsis with Mv >96 Hours 870	16	$434,388	$98,537
Delirium and other mental confusion 884	16	$79,253	$29,723
Complications of Treatment with Cc 920	16	$70,379	$16,180
Cranial and Peripheral Nerve Disorders Without Mcc 074	15	$78,986	$13,780
Traumatic Stupor and Coma <1 Hour with Mcc 085	15	$201,188	$44,062
Other Disorders of Nervous System with Cc 092	15	$50,825	$15,438
Heart valve replacement through a catheter (TAVR), with major complications 266	15	$336,753	$94,064
Heart attack, with complications 281	15	$62,503	$13,242
Peripheral Vascular Disorders with Cc 300	15	$55,806	$16,021
Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372	15	$49,185	$17,059
Malignancy of Hepatobiliary System or Pancreas with Mcc 435	15	$125,008	$33,193
Back and Neck Procedures Except Spinal Fusion with Cc 519	15	$117,118	$22,702
Viral Illness Without Mcc 866	15	$54,602	$15,502
Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928	15	$214,316	$72,448
Liver Transplant with Mcc or Intestinal Transplant 005	14	$1,062,005	$197,035
Nervous System Neoplasms with Mcc 054	14	$82,460	$21,144
Traumatic Stupor and Coma <1 Hour with Cc 086	14	$84,626	$16,928
Major Chest Trauma with Mcc 183	14	$97,784	$21,616
Other Respiratory System Diagnoses with Mcc 205	14	$106,174	$28,963
Gastrointestinal Obstruction with Mcc 388	14	$66,824	$21,333
Cirrhosis and Alcoholic Hepatitis with Cc 433	14	$58,331	$16,572
Combined Anterior and Posterior Spinal Fusion with Cc 454	14	$204,646	$68,443
Fracture or sprain (not hip or thigh) 563	14	$55,668	$12,693
Postoperative and Post-Traumatic Infections with Mcc 862	14	$98,355	$27,611
Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004	13	$581,810	$148,010
Allogeneic Bone Marrow Transplant 014	13	$1,151,606	$277,583
Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024	13	$183,143	$37,617
Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066	13	$45,568	$10,645
Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517	13	$90,627	$17,232
Postoperative and Post-Traumatic Infections Without Mcc 863	13	$44,848	$15,884
Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897	13	$48,103	$12,746
Non-Extensive Burns 935	13	$105,446	$31,594
Other O.r. Procedures for Multiple Significant Trauma with Mcc 957	13	$453,574	$72,759
Heart Transplant or Implant of Heart Assist System with Mcc 001	12	$2,163,455	$411,754
Ventricular Shunt Procedures with Cc 032	12	$83,125	$22,837
Other Vascular Procedures with Cc 253	12	$111,383	$27,408
Percutaneous and Other Intracardiac Procedures with Mcc 273	12	$169,397	$49,772
Acute Myocardial Infarction, Expired with Mcc 283	12	$109,015	$27,955
Digestive Malignancy with Cc 375	12	$84,412	$22,238
Disorders of the Biliary Tract with Cc 445	12	$56,323	$12,939
Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580	12	$126,778	$24,318
Lymphoma and Non-Acute Leukemia with Mcc 840	12	$282,766	$77,407
Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857	12	$88,886	$24,799
Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018	11	$1,965,733	$404,720
Carotid Artery Stent Procedures with Cc 035	11	$99,914	$21,227
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062	11	$106,414	$20,738
Other Disorders of Nervous System with Mcc 091	11	$80,716	$25,449
Interstitial Lung Disease with Mcc 196	11	$84,737	$23,167
Pneumothorax with Mcc 199	11	$117,420	$25,270
Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244	11	$73,442	$19,978
Digestive Malignancy with Mcc 374	11	$78,825	$25,613
Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516	11	$126,242	$25,066
Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565	11	$69,543	$15,223
Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605	11	$67,625	$11,779
Endocrine Disorders with Mcc 643	11	$81,241	$26,342
Endocrine Disorders with Cc 644	11	$48,972	$15,020
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808	11	$82,199	$28,360

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