Cardiac Congenital and Valvular Disorders with Mcc in Virginia
MS-DRG 306: Cardiac congenital and valvular disorders with mcc
$87,688typical hospital bill
$24,453typical amount paid
$20,291–$28,615range paid across 2 hospitals
Virginia hospitals billed Medicare a typical $87,688 for this stay in 2024, about 3.6 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Inova Fairfax Hospital | Falls Church | 14 | $58,926 | $20,291 | |
| University of Virginia Medical Center | Charlottesville | 17 | $116,450 | $28,615 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.