Sentara Northern Virginia Medical Center
SENTARA NORTHERN VIRGINIA MEDICAL CENTER in Woodbridge, VA charges 5.0x the Medicare reimbursement rate across 56 analyzed procedures, positioning it among mid-range pricing for nonprofit hospitals.
Woodbridge, VA 22191 · 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
C
Average
Avg markup vs Medicare
4.95x
Charge / Medicare rate
Max markup
7.52x
Worst procedure
Procedures analyzed
56
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 |
|---|---|---|---|---|---|
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $136,042 | $68,021 | — | 7.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $89,331 | $44,665 | — | 7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $53,417 | $26,709 | — | 6.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $52,703 | $26,352 | — | 6.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $43,015 | $21,507 | — | 6.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $36,602 | $18,301 | — | 6.2x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $77,432 | $38,716 | — | 6.2x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $47,983 | $23,991 | — | 6.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $18,052 | $9,026 | — | 5.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $33,639 | $16,819 | — | 5.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $49,462 | $24,731 | — | 5.6x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $32,446 | $16,223 | — | 5.6x |
| DIABETES WITH CC | 638 | $25,002 | $12,501 | — | 5.5x |
| SYNCOPE AND COLLAPSE | 312 | $33,068 | $16,534 | — | 5.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $34,817 | $17,408 | — | 5.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $26,959 | $13,479 | — | 5.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $38,029 | $19,015 | — | 5.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $31,250 | $15,625 | — | 5.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $242,683 | $121,341 | — | 5.3x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $20,467 | $10,233 | — | 5.2x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $27,925 | $13,962 | — | 5.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $73,865 | $36,932 | — | 5.2x |
| RENAL FAILURE WITH MCC | 682 | $55,941 | $27,970 | — | 5.1x |
| RENAL FAILURE WITH CC | 683 | $31,697 | $15,848 | — | 5.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $44,403 | $22,202 | — | 5x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $85,143 | $42,572 | — | 5x |
| ENDOCRINE DISORDERS WITH CC | 644 | $36,270 | $18,135 | — | 4.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $65,452 | $32,726 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $35,093 | $17,546 | — | 4.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $54,601 | $27,301 | — | 4.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $28,393 | $14,196 | — | 4.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $44,137 | $22,068 | — | 4.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $66,959 | $33,480 | — | 4.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $66,325 | $33,163 | — | 4.7x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $64,086 | $32,043 | — | 4.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $25,726 | $12,863 | — | 4.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $69,309 | $34,654 | — | 4.6x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $43,564 | $21,782 | — | 4.6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $26,766 | $13,383 | — | 4.5x |
| DIABETES WITH MCC | 637 | $47,520 | $23,760 | — | 4.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $52,515 | $26,258 | — | 4.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $29,783 | $14,891 | — | 4.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $55,579 | $27,789 | — | 4.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $25,322 | $12,661 | — | 4.2x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $106,353 | $53,177 | — | 4.2x |
| CHEST PAIN | 313 | $22,521 | $11,260 | — | 4.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $36,845 | $18,422 | — | 4.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $47,565 | $23,782 | — | 4.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $27,406 | $13,703 | — | 4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $33,417 | $16,708 | — | 4x |
Showing 50 of 56 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