Heart valve replacement through a catheter (TAVR), with major complications in Virginia
MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc
$194,387typical hospital bill
$54,185typical amount paid
$43,979–$94,064range paid across 13 hospitals
Virginia hospitals billed Medicare a typical $194,387 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)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Henrico Doctors' Hospital | Richmond | 43 | $668,517 | $43,979 | |
| Cjw Medical Center | Richmond | 27 | $734,213 | $44,241 | |
| Riverside Regional Medical Center | Newport News | 80 | $119,121 | $47,135 | |
| Mary Washington Hospital | Fredericksburg | 37 | $180,807 | $47,578 | |
| Carilion Medical Center | Roanoke | 70 | $199,865 | $50,170 | |
| Sentara Norfolk General Hospital | Norfolk | 191 | $159,796 | $52,066 | |
| Sentara Rmh Medical Center | Harrisonburg | 21 | $108,719 | $54,185 | |
| Winchester Medical Center | Winchester | 20 | $194,387 | $54,373 | |
| Bon Secours St Marys Hospital | Richmond | 33 | $357,449 | $58,502 | |
| Inova Fairfax Hospital | Falls Church | 121 | $190,752 | $58,768 | |
| Virginia Hospital Center | Arlington | 17 | $331,252 | $65,775 | |
| University of Virginia Medical Center | Charlottesville | 127 | $130,811 | $66,543 | |
| Medical College of Virginia Hospitals | Richmond | 15 | $336,753 | $94,064 |
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.