Chesapeake General Hospital

Chesapeake General Hospital, a government-owned facility in Chesapeake, VA, charges 3.9x the Medicare reimbursement rate across 93 analyzed procedures.

Chesapeake, VA 23320 · Acute Care Hospitals · CMS Rating: 3/5

By David Park , Healthcare Cost Researcher · Published March 15, 2026 · Updated April 3, 2026

Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.

About the analyst

David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.

93 procedures analyzed

CMS price transparency data

Updated 2026-04-03

3.9x

Medicare markup ratio

VA lowestChesapeake General Hos...VA highest

3.9x

Avg markup ratio

3.9x

Median markup

Procedures

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Billing patterns — government

Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.

Pricing grade

Average

Avg markup vs Medicare

3.91x

Charge / Medicare rate

Max markup

6.87x

Worst procedure

Procedures analyzed

With pricing data

Outlier procedures

Above 90th percentile

Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.

Procedure	Code	Gross charge	Cash price	Medicare	Markup
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC	439	$29,659	$14,830	—	6.9x
CERVICAL SPINAL FUSION WITH CC	472	$155,150	$77,575	—	5.9x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	460	$179,143	$89,572	—	5.6x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	470	$60,483	$30,241	—	5.6x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	331	$50,267	$25,134	—	5.4x
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC	517	$42,446	$21,223	—	5.3x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC	282	$20,801	$10,401	—	5.2x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC	418	$53,343	$26,671	—	5.2x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	522	$68,341	$34,170	—	5.2x
SIMPLE PNEUMONIA AND PLEURISY WITH CC	194	$21,521	$10,761	—	5.1x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	175	$42,322	$21,161	—	5.1x
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC	372	$31,493	$15,747	—	4.9x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	025	$163,944	$81,972	—	4.7x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC	455	$132,126	$66,063	—	4.7x
MEDICAL BACK PROBLEMS WITHOUT MCC	552	$25,203	$12,601	—	4.7x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	394	$25,833	$12,917	—	4.7x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC	454	$237,704	$118,852	—	4.6x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	872	$26,294	$13,147	—	4.5x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC	066	$17,179	$8,589	—	4.5x
CHEST PAIN	313	$17,686	$8,843	—	4.5x
HYPERTENSION WITHOUT MCC	305	$18,174	$9,087	—	4.4x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	392	$19,404	$9,702	—	4.4x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	309	$17,650	$8,825	—	4.4x
PULMONARY EMBOLISM WITHOUT MCC	176	$20,152	$10,076	—	4.4x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	330	$62,815	$31,407	—	4.3x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC	417	$59,288	$29,644	—	4.3x
TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC	085	$74,785	$37,392	—	4.3x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC	660	$34,777	$17,389	—	4.3x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC	191	$19,852	$9,926	—	4.3x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC	271	$92,690	$46,345	—	4.2x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC	281	$21,269	$10,635	—	4.2x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	065	$24,356	$12,178	—	4.2x
DYSEQUILIBRIUM	149	$16,108	$8,054	—	4.2x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC	393	$43,638	$21,819	—	4.2x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	481	$52,590	$26,295	—	4.1x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	069	$17,408	$8,704	—	4.1x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC	247	$45,568	$22,784	—	4.1x
DIABETES WITH CC	638	$20,609	$10,305	—	4.1x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC	480	$75,151	$37,576	—	4.1x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	310	$11,269	$5,635	—	4x
REVISION OF HIP OR KNEE REPLACEMENT WITH CC	467	$86,058	$43,029	—	4x
PULMONARY EDEMA AND RESPIRATORY FAILURE	189	$29,877	$14,939	—	4x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O	246	$76,743	$38,372	—	4x
GASTROINTESTINAL HEMORRHAGE WITH CC	378	$22,834	$11,417	—	4x
FRACTURES OF HIP AND PELVIS WITHOUT MCC	536	$16,257	$8,129	—	3.9x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	329	$137,796	$68,898	—	3.9x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC	243	$56,517	$28,259	—	3.9x
ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC	283	$50,349	$25,174	—	3.8x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC	193	$29,109	$14,554	—	3.8x
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC	981	$108,882	$54,441	—	3.8x

Showing 50 of 93 procedures

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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — government hospital billing

How do government hospital billing rates compare to Medicare benchmarks?

Based on available data from 374 government hospitals, charges average 4.2 times the Medicare benchmark rates. Government hospitals, while publicly owned, still establish their own pricing structures that can result in charges above standard Medicare rates.

Why do government hospitals charge above Medicare rates if they're publicly owned?

Government hospitals operate as independent entities that must cover operational costs, equipment, and staffing expenses. Public ownership doesn't require hospitals to limit charges to Medicare benchmark levels, as they still need to maintain financial sustainability for continued operations.

What should I expect when reviewing a government hospital bill?

Government hospital bills typically show charges that may be several times higher than Medicare benchmark rates, with the average markup being approximately 4.2x across sampled facilities. The final amount you pay will depend on your insurance coverage, negotiated rates, and any applicable financial assistance programs.

Are there potential billing differences between government hospitals and other facility types?

Government hospitals show similar billing patterns to other hospital types, with charges typically set above Medicare benchmarks. The potential difference in what patients ultimately pay often depends more on individual insurance plans and hospital financial assistance policies than on the ownership structure of the facility.

Related pricing data

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Chesapeake, VA costsCity-level pricing data

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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.

Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use