Cjw Medical Center
CJW Medical Center in Richmond, VA charges 16.7x the Medicare reimbursement rate across 183 analyzed procedures, with two-thirds showing significant price variations.
Richmond, VA 23225 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
16.68x
Charge / Medicare rate
Max markup
38.82x
Worst procedure
Procedures analyzed
183
With pricing data
Outlier procedures
65.6%
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 |
|---|---|---|---|---|---|
| UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | 743 | $255,586 | $127,793 | — | 38.8x |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $371,163 | $185,581 | — | 38x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $282,327 | $141,163 | — | 32.5x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $366,306 | $183,153 | — | 28.2x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $427,089 | $213,544 | — | 28x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $211,729 | $105,865 | — | 27.1x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $345,870 | $172,935 | — | 26x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $279,936 | $139,968 | — | 25.6x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $573,876 | $286,938 | — | 25.1x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $281,320 | $140,660 | — | 25x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $674,153 | $337,077 | — | 24.6x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $432,527 | $216,263 | — | 24.5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $183,181 | $91,590 | — | 24.5x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $376,711 | $188,356 | — | 23.5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $222,999 | $111,500 | — | 23.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $271,868 | $135,934 | — | 23.4x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $688,856 | $344,428 | — | 23.4x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | 453 | $1,742,858 | $871,429 | — | 23.2x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $845,574 | $422,787 | — | 23.2x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $1,191,438 | $595,719 | — | 23x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $294,538 | $147,269 | — | 22.9x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | 520 | $179,321 | $89,660 | — | 22.7x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $496,239 | $248,120 | — | 22.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $209,535 | $104,768 | — | 22.3x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $141,272 | $70,636 | — | 22.2x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $495,989 | $247,994 | — | 21.9x |
| GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | 379 | $66,954 | $33,477 | — | 21.2x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | 087 | $107,989 | $53,994 | — | 21.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $80,262 | $40,131 | — | 21.1x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $342,496 | $171,248 | — | 21x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | 273 | $492,096 | $246,048 | — | 20.8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $111,199 | $55,600 | — | 20.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $200,462 | $100,231 | — | 20.5x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH CC | 908 | $278,345 | $139,172 | — | 20.4x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $437,533 | $218,767 | — | 20.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $247,890 | $123,945 | — | 20.1x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $341,761 | $170,881 | — | 20.1x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $237,068 | $118,534 | — | 19.9x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $289,561 | $144,780 | — | 19.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $278,260 | $139,130 | — | 19.8x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | 515 | $363,735 | $181,867 | — | 19.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $361,299 | $180,649 | — | 19.7x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $560,807 | $280,403 | — | 19.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $113,115 | $56,558 | — | 19.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $351,851 | $175,925 | — | 19.5x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $220,224 | $110,112 | — | 19.5x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $84,882 | $42,441 | — | 18.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $64,056 | $32,028 | — | 18.8x |
| DIGESTIVE MALIGNANCY WITH MCC | 374 | $206,725 | $103,363 | — | 18.8x |
| BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | 478 | $274,852 | $137,426 | — | 18.7x |
Showing 50 of 183 procedures
How CJW MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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.
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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