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SENTARA NORFOLK GENERAL HOSPITAL

NORFOLK, VA 23507 · Acute Care Hospitals

146 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 26, 2026 · Methodology

Procedures Analyzed

146

With CMS pricing data

Avg Charge-to-Medicare Ratio

5.5x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Other

Above 90th Percentile

0%

Compared to VA hospitals

Understanding Your Costs

When you receive a bill from SENTARA NORFOLK GENERAL HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, SENTARA NORFOLK GENERAL HOSPITAL lists chargemaster rates that average 5.5x the corresponding Medicare reimbursement amount across 146 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in VA has a chargemaster-to-Medicare ratio of 4.6x, with ratios across the state ranging from 2.0x to 16.7x. At 5.5x, this facility’s average ratio is above the state median. 70 hospitals in VA report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at SENTARA NORFOLK GENERAL HOSPITAL is KIDNEY TRANSPLANT (DRG 652). The listed chargemaster rate is $272,522, while Medicare reimburses $19,406 for the same procedure — a ratio of 14.0x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

SENTARA NORFOLK GENERAL HOSPITAL is a voluntary non-profit - other acute care hospitals facility with a CMS quality rating of 3/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
KIDNEY TRANSPLANT652$272,522$19,40614.0x
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KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC650$365,186$37,0759.8x
1th
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MAJOR BLADDER PROCEDURES WITH CC654$155,767$19,1958.1x
1th
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$40,889$5,2277.8x
1th
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INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$98,533$12,7237.7x
1th
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PULMONARY EDEMA AND RESPIRATORY FAILURE189$68,769$8,9217.7x
1th
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PERIPHERAL VASCULAR DISORDERS WITH CC300$48,700$6,3327.7x
1th
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$60,568$8,0827.5x
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OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$62,420$8,3817.5x
1th
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KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$41,527$5,6417.4x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$51,844$7,0977.3x
1th
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CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$63,841$8,9667.1x
1th
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NERVOUS SYSTEM NEOPLASMS WITH MCC054$71,148$10,0187.1x
1th
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POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$90,084$13,3376.8x
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NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC987$147,969$22,0476.7x
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BONE DISEASES AND ARTHROPATHIES WITHOUT MCC554$40,116$5,9876.7x
1th
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SEIZURES WITHOUT MCC101$40,466$6,0526.7x
1th
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OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC091$104,859$15,6966.7x
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PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC406$134,743$20,2536.7x
1th
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$111,871$16,9146.6x
1th
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$52,013$7,9586.5x
1th
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HYPERTENSION WITHOUT MCC305$36,736$5,6356.5x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$39,425$6,0736.5x
1th
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$92,129$14,2456.5x
0th
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TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC012$176,733$27,3506.5x
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RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$134,214$21,1076.4x
1th
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TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC086$55,674$8,7746.3x
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TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$36,185$5,7536.3x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$86,961$13,8526.3x
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CHEST PAIN313$33,266$5,3356.2x
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KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC657$81,379$13,0376.2x
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PERIPHERAL VASCULAR DISORDERS WITH MCC299$64,573$10,3716.2x
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TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC082$116,602$18,7886.2x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$100,460$16,1976.2x
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SYNCOPE AND COLLAPSE312$38,322$6,1946.2x
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PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$67,129$10,8486.2x
1th
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$71,567$11,5826.2x
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RENAL FAILURE WITH MCC682$60,753$9,8936.1x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$34,996$5,7226.1x
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CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC234$203,088$33,4036.1x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$114,160$18,8956.0x
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STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC327$114,274$18,9486.0x
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TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC083$60,516$10,0316.0x
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OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$45,260$7,5476.0x
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HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$84,076$14,0316.0x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$144,771$24,2066.0x
1th
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MEDICAL BACK PROBLEMS WITHOUT MCC552$42,903$7,2086.0x
1th
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TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU004$498,947$84,5235.9x
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OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC356$235,116$40,5445.8x
1th
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GASTROINTESTINAL HEMORRHAGE WITH CC378$39,865$6,8685.8x
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Showing 50 of 146 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across VA hospitals

2.0x
Median: 4.6x
16.7x
5.5x

70 hospitals in VA report pricing data to CMS. This facility's average ratio of 5.5x places it at the lower end of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

Read our methodology·Report a data error

Frequently Asked Questions About SENTARA NORFOLK GENERAL HOSPITAL

How much does SENTARA NORFOLK GENERAL HOSPITAL charge compared to Medicare?

According to CMS IPPS data, SENTARA NORFOLK GENERAL HOSPITAL's listed chargemaster rates average 5.5x the Medicare reimbursement amount across 146 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at SENTARA NORFOLK GENERAL HOSPITAL?

The procedure with the highest chargemaster-to-Medicare ratio at SENTARA NORFOLK GENERAL HOSPITAL is KIDNEY TRANSPLANT (DRG 652), with a listed charge of $272,522 compared to Medicare reimbursement of $19,406 — a ratio of 14.0x. Source: CMS IPPS Provider Summary.

Is SENTARA NORFOLK GENERAL HOSPITAL expensive compared to other VA hospitals?

SENTARA NORFOLK GENERAL HOSPITAL's average chargemaster-to-Medicare ratio is 5.5x. Ratios vary significantly across VA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for SENTARA NORFOLK GENERAL HOSPITAL come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from SENTARA NORFOLK GENERAL HOSPITAL is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does SENTARA NORFOLK GENERAL HOSPITAL in NORFOLK, VA accept Medicare?

SENTARA NORFOLK GENERAL HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact SENTARA NORFOLK GENERAL HOSPITAL directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.