US Health Care Costs

Pneumonia, with major complications in Virginia

MS-DRG 193: Simple pneumonia and pleurisy with mcc

$38,193typical hospital bill
$10,618typical amount paid
$8,256–$19,951range paid across 66 hospitals

Virginia hospitals billed Medicare a typical $38,193 for this stay in 2024, about 3.6 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)

HospitalCityMedicare staysBilledPaid
Riverside Doctors' Hospital of WilliamsburgWilliamsburg19$23,587$8,256
Sentara Martha Jefferson HospitalCharlottesville58$23,923$8,440
Riverside Walter Reed HospitalGloucester13$20,669$8,693
Sentara Williamsburg Regional Medical CenterWilliamsburg40$42,080$9,094
Fauquier HospitalWarrenton35$49,872$9,207
Sentara Virginia Beach General HospitalVirginia Beach97$40,320$9,316
Chesapeake General HospitalChesapeake101$28,336$9,385
Sentara Princess Anne HospitalVirginia Beach68$35,206$9,424
Centra Health - Lynchburg Gen HospitalLynchburg56$37,812$9,597
John Randolph Medical CenterHopewell58$82,858$9,638
Sentara Obici HospitalSuffolk73$38,385$9,680
Sentara Leigh HospitalNorfolk102$39,093$9,722
Riverside Shore Memorial HospitalOnancock16$23,876$9,773
Bon Secours Southside Medical CenterPetersburg51$101,501$9,803
Henrico Doctors' HospitalRichmond142$93,279$9,888
Uva Health Haymarket Medical CenterHaymarket36$36,714$9,902
Riverside Regional Medical CenterNewport News61$26,421$10,098
Cjw Medical CenterRichmond137$124,701$10,129
Stonesprings Hospital CenterDulles14$63,029$10,138
Community Memorial HospitalSouth Hill34$35,757$10,155
Spotsylvania Regional Medical CenterFredericksburg49$56,103$10,165
Augusta HealthFishersville40$27,422$10,194
Reston Hospital CenterReston66$69,977$10,196
Bon Secours St Marys HospitalRichmond67$41,159$10,223
Stafford Hospital, LLCStafford37$26,658$10,299
Mary Washington HospitalFredericksburg208$21,906$10,329
Sentara Halifax Regional HospitalSouth Boston14$26,334$10,342
Bon Secours Memorial Regional Medical CenterMechanicsville73$42,798$10,384
Bon Secours St Francis Medical CenterMidlothian42$38,607$10,433
Virginia Hospital CenterArlington60$30,672$10,505
Inova Loudoun HospitalLeesburg133$35,151$10,519
Inova Fair Oaks HospitalFairfax45$30,981$10,535
Clinch Valley Medical CenterRichlands52$64,945$10,604
Carilion New River Valley Medical CenterChristiansburg24$39,361$10,631
Centra Bedford Memorial HospitalBedford13$26,216$10,664
Southside Community Hospital, IncFarmville25$44,399$10,686
Sentara Careplex HospitalHampton35$38,100$10,698
Twin County Regional HospitalGalax22$53,316$10,929
Carilion Franklin Memorial HospitalRocky Mount22$30,155$10,957
Sovah Health DanvilleDanville98$52,788$10,977
Carilion Tazewell Community HospitalTazewell12$26,896$11,015
Lewisgale Hospital AlleghanyLow Moor19$60,088$11,085
Russell County HospitalLebanon18$30,119$11,094
Inova Alexandria HospitalAlexandria83$35,639$11,168
Winchester Medical CenterWinchester215$24,550$11,174
Smyth County Community HospitalMarion16$26,374$11,195
Sentara Northern Virginia Medical CenterWoodbridge75$39,255$11,242
Bon Secours Maryview Medical CenterPortsmouth26$28,125$11,296
Uva Health Culpeper Medical CenterCulpeper87$30,665$11,383
Carilion Medical CenterRoanoke79$42,836$11,402
Sentara Rmh Medical CenterHarrisonburg82$24,831$11,458
Wythe County Community HospitalWytheville20$52,573$11,539
Uva Health Prince William Medical CenterManassas42$32,384$11,559
Inova Mount Vernon HospitalAlexandria52$41,106$11,733
Johnston Memorial HospitalAbingdon68$36,778$11,792
Bon Secours Southampton Memorial HospitalFranklin13$38,285$12,099
Lewisgale Medical CenterSalem64$67,059$12,109
Lewisgale Hospital PulaskiPulaski16$58,441$12,266
Vcu Health Tappahannock HospitalTappahannock24$46,570$12,388
Warren Memorial HospitalFront Royal49$20,790$12,596
Lewisgale Hospital MontgomeryBlacksburg37$46,748$12,814
Inova Fairfax HospitalFalls Church139$33,499$13,446
Lonesome Pine HospitalBig Stone Gap33$36,375$13,904
Sentara Norfolk General HospitalNorfolk39$54,010$14,566
University of Virginia Medical CenterCharlottesville68$55,738$19,874
Medical College of Virginia HospitalsRichmond84$66,030$19,951

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.