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Healthcare Pricing Data: RICHMOND, VA

5 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

5

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

12.9x

Across all procedures

vs National Average

+52%

Chargemaster rates

About This Data

RICHMOND, VA has 5 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 12.9x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in RICHMOND is CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION (DRG 219), with an average chargemaster rate of $677,443 across reporting hospitals.

Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.

Procedure Pricing Data

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION219$677,443411.6x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC266$482,130411.1x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC235$460,243412.1x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$401,681415.7x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$397,397411.8x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$393,511412.1x
REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$341,775414.4x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$339,389412.4x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$331,240410.1x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$264,638412.3x
REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC468$262,668414.6x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$258,130413.6x
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$241,444417.1x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$220,863411.4x
OTHER VASCULAR PROCEDURES WITH CC253$220,727413.3x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$215,541414.3x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$192,882416.6x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$190,111414.1x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$187,210415.8x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$174,645413.1x
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC516$164,643412.3x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$164,507416.1x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$162,097411.2x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$160,038415.8x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$159,01648.6x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$153,519410.9x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$150,468410.9x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC314$125,96649.6x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$123,886410.7x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$122,589413.0x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error