Major Chest Procedures Without Cc/Mcc in Virginia
MS-DRG 165: Major chest procedures without cc/mcc
$54,565typical hospital bill
$17,488typical amount paid
$13,936–$22,907range paid across 7 hospitals
Virginia hospitals billed Medicare a typical $54,565 for this stay in 2024, about 3.1 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 | |
|---|---|---|---|---|---|
| Mary Washington Hospital | Fredericksburg | 14 | $26,439 | $13,936 | |
| Reston Hospital Center | Reston | 13 | $163,414 | $14,011 | |
| Winchester Medical Center | Winchester | 22 | $40,310 | $15,014 | |
| Inova Fairfax Hospital | Falls Church | 52 | $54,565 | $17,488 | |
| Sentara Leigh Hospital | Norfolk | 14 | $81,165 | $17,951 | |
| Medical College of Virginia Hospitals | Richmond | 26 | $106,137 | $22,576 | |
| University of Virginia Medical Center | Charlottesville | 18 | $53,453 | $22,907 |
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.