Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Virginia
MS-DRG 220: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$215,258typical hospital bill
$45,395typical amount paid
$42,919–$81,861range paid across 8 hospitals
Virginia hospitals billed Medicare a typical $215,258 for this stay in 2024, about 4.7 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 | |
|---|---|---|---|---|---|
| Carilion Medical Center | Roanoke | 21 | $224,731 | $42,919 | |
| Centra Health - Lynchburg Gen Hospital | Lynchburg | 24 | $251,868 | $43,483 | |
| Virginia Hospital Center | Arlington | 11 | $178,271 | $44,381 | |
| Sentara Norfolk General Hospital | Norfolk | 32 | $205,785 | $45,133 | |
| Winchester Medical Center | Winchester | 15 | $164,354 | $45,656 | |
| Medical College of Virginia Hospitals | Richmond | 25 | $289,510 | $56,685 | |
| Inova Fairfax Hospital | Falls Church | 83 | $205,565 | $60,938 | |
| University of Virginia Medical Center | Charlottesville | 25 | $377,454 | $81,861 |
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.