Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Virginia
MS-DRG 219: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$476,664typical hospital bill
$80,909typical amount paid
$64,435–$129,400range paid across 8 hospitals
Virginia hospitals billed Medicare a typical $476,664 for this stay in 2024, about 5.9 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 | |
|---|---|---|---|---|---|
| Henrico Doctors' Hospital | Richmond | 18 | $882,422 | $64,435 | |
| Cjw Medical Center | Richmond | 35 | $875,172 | $72,791 | |
| Sentara Norfolk General Hospital | Norfolk | 85 | $307,867 | $73,550 | |
| Bon Secours Memorial Regional Medical Center | Mechanicsville | 11 | $505,295 | $79,652 | |
| Carilion Medical Center | Roanoke | 28 | $380,060 | $82,165 | |
| Inova Fairfax Hospital | Falls Church | 134 | $281,707 | $94,075 | |
| Medical College of Virginia Hospitals | Richmond | 28 | $448,032 | $103,849 | |
| University of Virginia Medical Center | Charlottesville | 53 | $513,200 | $129,400 |
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.