Pleural Effusion with Mcc in Virginia
MS-DRG 186: Pleural effusion with mcc
$76,097typical hospital bill
$13,428typical amount paid
$11,104–$16,780range paid across 3 hospitals
Virginia hospitals billed Medicare a typical $76,097 for this stay in 2024, about 5.7 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 | |
|---|---|---|---|---|---|
| Henrico Doctors' Hospital | Richmond | 15 | $104,533 | $11,104 | |
| Lewisgale Medical Center | Salem | 11 | $76,097 | $13,428 | |
| Inova Fairfax Hospital | Falls Church | 12 | $45,655 | $16,780 |
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.