Mary Immaculate Hospital
Mary Immaculate Hospital in Newport News, VA charges 5.1x the Medicare reimbursement rate across 26 analyzed procedures, reflecting this nonprofit facility's pricing structure.
Newport News, VA 23602 · Acute Care Hospitals · CMS Rating: 3/5
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.
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Pricing grade
D
High
Avg markup vs Medicare
5.1x
Charge / Medicare rate
Max markup
6.88x
Worst procedure
Procedures analyzed
26
With pricing data
Outlier procedures
0%
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 |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $33,596 | $16,798 | — | 6.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $77,797 | $38,898 | — | 6.7x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $124,486 | $62,243 | — | 6.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $25,959 | $12,980 | — | 6.4x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $126,863 | $63,432 | — | 6.3x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $127,678 | $63,839 | — | 6.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $39,867 | $19,933 | — | 6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $33,414 | $16,707 | — | 5.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $36,183 | $18,092 | — | 5.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $33,470 | $16,735 | — | 5.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $69,024 | $34,512 | — | 5.5x |
| CELLULITIS WITHOUT MCC | 603 | $24,555 | $12,278 | — | 5.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $23,868 | $11,934 | — | 5.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $36,834 | $18,417 | — | 5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $19,800 | $9,900 | — | 4.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $34,702 | $17,351 | — | 4.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $24,945 | $12,473 | — | 4.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $47,959 | $23,980 | — | 4.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $33,059 | $16,530 | — | 4.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $54,056 | $27,028 | — | 4.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $43,407 | $21,704 | — | 4.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $16,429 | $8,215 | — | 4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $46,845 | $23,422 | — | 3.8x |
| RENAL FAILURE WITH CC | 683 | $19,040 | $9,520 | — | 3.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $24,304 | $12,152 | — | 3.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $26,420 | $13,210 | — | 3.3x |
How MARY IMMACULATE HOSPITAL 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