Pancreas, Liver and Shunt Procedures with Mcc in Virginia
MS-DRG 405: Pancreas, liver and shunt procedures with mcc
$162,519typical hospital bill
$63,785typical amount paid
$46,370–$81,200range paid across 2 hospitals
Virginia hospitals billed Medicare a typical $162,519 for this stay in 2024, about 2.5 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 | |
|---|---|---|---|---|---|
| Inova Fairfax Hospital | Falls Church | 17 | $114,872 | $46,370 | |
| University of Virginia Medical Center | Charlottesville | 14 | $210,166 | $81,200 |
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.