Medical College of Virginia Hospitals
Medical College of Virginia Hospitals in Richmond charges 6.2x the Medicare reimbursement rate on average across 170 analyzed procedures at this government-owned facility.
Richmond, VA 23298 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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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
D
High
Avg markup vs Medicare
6.18x
Charge / Medicare rate
Max markup
13.72x
Worst procedure
Procedures analyzed
170
With pricing data
Outlier procedures
1.8%
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 |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $363,719 | $181,859 | — | 13.7x |
| PNEUMOTHORAX WITH CC | 200 | $97,001 | $48,500 | — | 10.6x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $83,039 | $41,519 | — | 10.2x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $432,256 | $216,128 | — | 9.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $77,241 | $38,621 | — | 9.3x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $85,150 | $42,575 | — | 9.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $132,091 | $66,045 | — | 9.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $85,583 | $42,791 | — | 9.1x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $66,880 | $33,440 | — | 8.5x |
| INTERSTITIAL LUNG DISEASE WITH MCC | 196 | $139,434 | $69,717 | — | 8.3x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $112,381 | $56,191 | — | 8.2x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $117,241 | $58,621 | — | 7.9x |
| LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | 005 | $901,656 | $450,828 | — | 7.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $112,313 | $56,156 | — | 7.8x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $226,166 | $113,083 | — | 7.7x |
| SEIZURES WITHOUT MCC | 101 | $59,228 | $29,614 | — | 7.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $137,964 | $68,982 | — | 7.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $52,104 | $26,052 | — | 7.6x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $58,781 | $29,391 | — | 7.5x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $91,013 | $45,507 | — | 7.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $127,736 | $63,868 | — | 7.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $105,358 | $52,679 | — | 7.4x |
| COAGULATION DISORDERS | 813 | $118,824 | $59,412 | — | 7.4x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $84,363 | $42,181 | — | 7.4x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $73,246 | $36,623 | — | 7.3x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $107,155 | $53,577 | — | 7.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $165,229 | $82,615 | — | 7.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $40,791 | $20,396 | — | 7.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $80,858 | $40,429 | — | 7.2x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $85,465 | $42,733 | — | 7.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $64,317 | $32,158 | — | 7.2x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $62,502 | $31,251 | — | 7.1x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $113,260 | $56,630 | — | 7.1x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $143,470 | $71,735 | — | 7.1x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $51,239 | $25,619 | — | 7.1x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $63,043 | $31,522 | — | 7.1x |
| MAJOR HEAD AND NECK PROCEDURES WITH CC | 141 | $134,813 | $67,406 | — | 7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $142,353 | $71,176 | — | 7x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $172,345 | $86,172 | — | 6.9x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $243,038 | $121,519 | — | 6.9x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $77,360 | $38,680 | — | 6.9x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $144,007 | $72,004 | — | 6.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $174,370 | $87,185 | — | 6.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $139,612 | $69,806 | — | 6.8x |
| FEVER AND INFLAMMATORY CONDITIONS | 864 | $49,451 | $24,726 | — | 6.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $175,354 | $87,677 | — | 6.8x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $78,011 | $39,005 | — | 6.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $153,161 | $76,580 | — | 6.7x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $119,481 | $59,741 | — | 6.7x |
| WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D | 464 | $190,163 | $95,081 | — | 6.7x |
Showing 50 of 170 procedures
How MEDICAL COLLEGE OF VIRGINIA HOSPITALS 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