Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit in Virginia
MS-DRG 216: Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
$366,091typical hospital bill
$92,381typical amount paid
$81,516–$134,002range paid across 3 hospitals
Virginia hospitals billed Medicare a typical $366,091 for this stay in 2024, about 4.0 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 | |
|---|---|---|---|---|---|
| Sentara Norfolk General Hospital | Norfolk | 43 | $366,091 | $81,516 | |
| Cjw Medical Center | Richmond | 11 | $1,163,451 | $92,381 | |
| Inova Fairfax Hospital | Falls Church | 22 | $360,573 | $134,002 |
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.