Sentara Leigh Hospital
Sentara Leigh Hospital in Norfolk, VA charges 5.4x the Medicare reimbursement rate across 96 analyzed procedures, reflecting the pricing patterns typical of nonprofit-private healthcare facilities.
Norfolk, VA 23502 · 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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Pricing grade
D
High
Avg markup vs Medicare
5.36x
Charge / Medicare rate
Max markup
11.84x
Worst procedure
Procedures analyzed
96
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 WITHOUT CC/MCC | 282 | $40,071 | $20,036 | — | 11.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $38,072 | $19,036 | — | 9.6x |
| CHEST PAIN | 313 | $31,826 | $15,913 | — | 8.2x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $38,679 | $19,339 | — | 8.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $47,451 | $23,725 | — | 8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $22,204 | $11,102 | — | 7.6x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $50,933 | $25,466 | — | 7.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $87,808 | $43,904 | — | 7.4x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $24,400 | $12,200 | — | 7.3x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $73,821 | $36,910 | — | 7.3x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $34,611 | $17,305 | — | 7.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $36,671 | $18,335 | — | 7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $29,792 | $14,896 | — | 6.7x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $50,958 | $25,479 | — | 6.6x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $62,114 | $31,057 | — | 6.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $30,686 | $15,343 | — | 6.4x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $61,679 | $30,840 | — | 6.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $39,847 | $19,924 | — | 6.4x |
| SYNCOPE AND COLLAPSE | 312 | $31,462 | $15,731 | — | 6.3x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $47,746 | $23,873 | — | 6.3x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $35,192 | $17,596 | — | 6.3x |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $70,588 | $35,294 | — | 6.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $54,552 | $27,276 | — | 6.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $25,257 | $12,629 | — | 6.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $27,216 | $13,608 | — | 5.9x |
| SEIZURES WITH MCC | 100 | $72,649 | $36,324 | — | 5.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $34,066 | $17,033 | — | 5.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $43,164 | $21,582 | — | 5.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $67,269 | $33,634 | — | 5.8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $54,140 | $27,070 | — | 5.8x |
| ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | 283 | $73,157 | $36,579 | — | 5.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $87,207 | $43,604 | — | 5.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $22,915 | $11,457 | — | 5.6x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $29,413 | $14,706 | — | 5.5x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $23,588 | $11,794 | — | 5.5x |
| COMPLICATIONS OF TREATMENT WITH CC | 920 | $38,254 | $19,127 | — | 5.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $29,201 | $14,600 | — | 5.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $31,011 | $15,506 | — | 5.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $32,226 | $16,113 | — | 5.3x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $40,425 | $20,213 | — | 5.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $29,150 | $14,575 | — | 5.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $115,240 | $57,620 | — | 5.1x |
| SEIZURES WITHOUT MCC | 101 | $28,164 | $14,082 | — | 5.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $72,447 | $36,223 | — | 5.1x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $52,321 | $26,161 | — | 5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $51,256 | $25,628 | — | 5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $75,692 | $37,846 | — | 5x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $81,633 | $40,817 | — | 5x |
| RENAL FAILURE WITH CC | 683 | $25,748 | $12,874 | — | 5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $48,509 | $24,255 | — | 4.9x |
Showing 50 of 96 procedures
How SENTARA LEIGH 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