Sentara Norfolk General Hospital
Sentara Norfolk General Hospital in Norfolk, VA charges 5.5x the Medicare reimbursement rate across 146 analyzed procedures, reflecting the pricing practices of this nonprofit-private healthcare facility.
Norfolk, VA 23507 · 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
D
High
Avg markup vs Medicare
5.47x
Charge / Medicare rate
Max markup
14.04x
Worst procedure
Procedures analyzed
146
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 |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $272,522 | $136,261 | — | 14x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $365,186 | $182,593 | — | 9.9x |
| MAJOR BLADDER PROCEDURES WITH CC | 654 | $155,767 | $77,884 | — | 8.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $40,889 | $20,444 | — | 7.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $98,533 | $49,266 | — | 7.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $68,769 | $34,385 | — | 7.7x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $48,700 | $24,350 | — | 7.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $60,568 | $30,284 | — | 7.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $62,420 | $31,210 | — | 7.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $41,527 | $20,763 | — | 7.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $51,844 | $25,922 | — | 7.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $63,841 | $31,921 | — | 7.1x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $71,148 | $35,574 | — | 7.1x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $90,084 | $45,042 | — | 6.8x |
| NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 987 | $147,969 | $73,985 | — | 6.7x |
| BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | 554 | $40,116 | $20,058 | — | 6.7x |
| SEIZURES WITHOUT MCC | 101 | $40,466 | $20,233 | — | 6.7x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $104,859 | $52,429 | — | 6.7x |
| PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | 406 | $134,743 | $67,372 | — | 6.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $111,871 | $55,935 | — | 6.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $52,013 | $26,006 | — | 6.5x |
| HYPERTENSION WITHOUT MCC | 305 | $36,736 | $18,368 | — | 6.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $39,425 | $19,712 | — | 6.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $92,129 | $46,064 | — | 6.5x |
| TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | 012 | $176,733 | $88,367 | — | 6.5x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $134,214 | $67,107 | — | 6.4x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $55,674 | $27,837 | — | 6.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $36,185 | $18,093 | — | 6.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $86,961 | $43,480 | — | 6.3x |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | 657 | $81,379 | $40,689 | — | 6.2x |
| CHEST PAIN | 313 | $33,266 | $16,633 | — | 6.2x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $64,573 | $32,286 | — | 6.2x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $116,602 | $58,301 | — | 6.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $100,460 | $50,230 | — | 6.2x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $67,129 | $33,564 | — | 6.2x |
| SYNCOPE AND COLLAPSE | 312 | $38,322 | $19,161 | — | 6.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $71,567 | $35,784 | — | 6.2x |
| RENAL FAILURE WITH MCC | 682 | $60,753 | $30,376 | — | 6.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $34,996 | $17,498 | — | 6.1x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $203,088 | $101,544 | — | 6.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $114,160 | $57,080 | — | 6x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $60,516 | $30,258 | — | 6x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $114,274 | $57,137 | — | 6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $45,260 | $22,630 | — | 6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $84,076 | $42,038 | — | 6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $144,771 | $72,385 | — | 6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $42,903 | $21,451 | — | 6x |
| TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU | 004 | $498,947 | $249,474 | — | 5.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $39,865 | $19,932 | — | 5.8x |
| OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | 356 | $235,116 | $117,558 | — | 5.8x |
Showing 50 of 146 procedures
How SENTARA NORFOLK GENERAL 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