Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc in Virginia
MS-DRG 542: Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
$50,714typical hospital bill
$14,872typical amount paid
$12,089–$19,970range paid across 5 hospitals
Virginia hospitals billed Medicare a typical $50,714 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 | |
|---|---|---|---|---|---|
| Sentara Virginia Beach General Hospital | Virginia Beach | 17 | $65,821 | $12,089 | |
| Mary Washington Hospital | Fredericksburg | 11 | $31,695 | $13,754 | |
| Carilion Medical Center | Roanoke | 33 | $50,714 | $14,872 | |
| Centra Health - Lynchburg Gen Hospital | Lynchburg | 22 | $51,600 | $15,181 | |
| Inova Fairfax Hospital | Falls Church | 39 | $49,437 | $19,970 |
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.