Reston Hospital Center
Reston Hospital Center, a nonprofit facility in Reston, VA, charges 8.8x the Medicare reimbursement rate across 74 analyzed procedures.
Reston, VA 20190 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
F
Very high
Avg markup vs Medicare
8.82x
Charge / Medicare rate
Max markup
17.99x
Worst procedure
Procedures analyzed
74
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 |
|---|---|---|---|---|---|
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $64,283 | $32,142 | — | 18x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $124,568 | $62,284 | — | 13.7x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $59,456 | $29,728 | — | 12.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $52,385 | $26,192 | — | 12.3x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $62,107 | $31,053 | — | 11.9x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $182,833 | $91,416 | — | 11.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $50,953 | $25,477 | — | 11.2x |
| PNEUMOTHORAX WITH CC | 200 | $76,956 | $38,478 | — | 11.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $44,189 | $22,095 | — | 11.1x |
| DYSEQUILIBRIUM | 149 | $47,012 | $23,506 | — | 11x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $81,041 | $40,520 | — | 10.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $42,160 | $21,080 | — | 10.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $55,309 | $27,654 | — | 10.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $62,151 | $31,075 | — | 10.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $146,717 | $73,359 | — | 10.2x |
| HYPERTENSION WITHOUT MCC | 305 | $41,422 | $20,711 | — | 10.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $73,165 | $36,583 | — | 10.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $109,934 | $54,967 | — | 10x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $64,785 | $32,392 | — | 9.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $46,947 | $23,473 | — | 9.6x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $48,139 | $24,070 | — | 9.6x |
| SYNCOPE AND COLLAPSE | 312 | $50,264 | $25,132 | — | 9.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $39,321 | $19,661 | — | 9.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $60,284 | $30,142 | — | 9.5x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $267,167 | $133,583 | — | 9.4x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $133,027 | $66,514 | — | 9.4x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $180,783 | $90,392 | — | 9.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $120,418 | $60,209 | — | 9.3x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $76,370 | $38,185 | — | 9.3x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $344,190 | $172,095 | — | 9.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $87,945 | $43,973 | — | 9.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $56,936 | $28,468 | — | 9.1x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $49,210 | $24,605 | — | 9x |
| REHABILITATION WITH CC/MCC | 945 | $69,499 | $34,750 | — | 8.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $69,056 | $34,528 | — | 8.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $115,981 | $57,991 | — | 8.6x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $41,770 | $20,885 | — | 8.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $90,630 | $45,315 | — | 8.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $239,130 | $119,565 | — | 8.5x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $150,540 | $75,270 | — | 8.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $257,011 | $128,505 | — | 8.4x |
| CELLULITIS WITH MCC | 602 | $79,044 | $39,522 | — | 8.4x |
| RENAL FAILURE WITH CC | 683 | $41,707 | $20,853 | — | 8.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $36,059 | $18,030 | — | 8.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $149,508 | $74,754 | — | 8.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $80,406 | $40,203 | — | 8.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $47,494 | $23,747 | — | 8.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $80,418 | $40,209 | — | 7.9x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $65,125 | $32,563 | — | 7.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $86,071 | $43,036 | — | 7.9x |
Showing 50 of 74 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.
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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