Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc in Virginia
MS-DRG 987: Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
$102,598typical hospital bill
$30,180typical amount paid
$28,209–$32,150range paid across 2 hospitals
Virginia hospitals billed Medicare a typical $102,598 for this stay in 2024, about 3.4 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 | 16 | $122,554 | $28,209 | |
| Inova Fairfax Hospital | Falls Church | 18 | $82,642 | $32,150 |
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.