Sentara Obici Hospital
Sentara Obici Hospital in Suffolk, VA charges 5.9x the Medicare reimbursement rate across 67 analyzed procedures, reflecting pricing patterns common among nonprofit healthcare providers.
Suffolk, VA 23434 · Acute Care Hospitals · CMS Rating: 4/5
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
5.9x
Charge / Medicare rate
Max markup
9.85x
Worst procedure
Procedures analyzed
67
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 | $40,522 | $20,261 | — | 9.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $36,992 | $18,496 | — | 9.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $101,288 | $50,644 | — | 9.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $22,357 | $11,178 | — | 9.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $42,866 | $21,433 | — | 8.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $55,628 | $27,814 | — | 8.6x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $48,075 | $24,037 | — | 8.3x |
| CHEST PAIN | 313 | $31,977 | $15,989 | — | 8.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $44,534 | $22,267 | — | 7.9x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $29,650 | $14,825 | — | 7.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $31,501 | $15,751 | — | 7.8x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $22,427 | $11,214 | — | 7.5x |
| SYNCOPE AND COLLAPSE | 312 | $37,054 | $18,527 | — | 7.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $72,674 | $36,337 | — | 6.8x |
| SEIZURES WITHOUT MCC | 101 | $33,082 | $16,541 | — | 6.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $42,864 | $21,432 | — | 6.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $29,294 | $14,647 | — | 6.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $27,453 | $13,726 | — | 6.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $48,573 | $24,287 | — | 6.4x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $59,233 | $29,617 | — | 6.2x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $47,396 | $23,698 | — | 6.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $41,570 | $20,785 | — | 6.1x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $31,809 | $15,904 | — | 6.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $28,551 | $14,276 | — | 5.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $75,564 | $37,782 | — | 5.9x |
| RENAL FAILURE WITH CC | 683 | $31,038 | $15,519 | — | 5.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $28,612 | $14,306 | — | 5.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $32,547 | $16,273 | — | 5.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $43,691 | $21,845 | — | 5.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $43,283 | $21,641 | — | 5.6x |
| DIABETES WITH CC | 638 | $26,273 | $13,136 | — | 5.6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $29,023 | $14,511 | — | 5.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $40,116 | $20,058 | — | 5.6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $27,089 | $13,544 | — | 5.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $53,862 | $26,931 | — | 5.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $46,313 | $23,156 | — | 5.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $35,020 | $17,510 | — | 5.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $145,506 | $72,753 | — | 5.3x |
| DIABETES WITH MCC | 637 | $44,646 | $22,323 | — | 5.3x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $32,375 | $16,188 | — | 5.3x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $43,323 | $21,661 | — | 5.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $66,194 | $33,097 | — | 5.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $30,907 | $15,454 | — | 5.2x |
| CELLULITIS WITHOUT MCC | 603 | $26,085 | $13,043 | — | 5.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $36,344 | $18,172 | — | 5x |
| RENAL FAILURE WITH MCC | 682 | $43,548 | $21,774 | — | 4.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $64,115 | $32,057 | — | 4.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $61,195 | $30,597 | — | 4.9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $42,390 | $21,195 | — | 4.9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $28,262 | $14,131 | — | 4.9x |
Showing 50 of 67 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