Sentara Princess Anne Hospital
Sentara Princess Anne Hospital in Virginia Beach, VA charges 5.7x the Medicare reimbursement rate across 83 analyzed procedures, reflecting the pricing patterns at this nonprofit-private healthcare facility.
Virginia Beach, VA 23456 · 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
5.65x
Charge / Medicare rate
Max markup
10.86x
Worst procedure
Procedures analyzed
83
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 |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $34,818 | $17,409 | — | 10.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $38,179 | $19,090 | — | 10.1x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $89,129 | $44,564 | — | 9x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $38,763 | $19,381 | — | 8.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $23,629 | $11,814 | — | 8.7x |
| CHEST PAIN | 313 | $31,699 | $15,849 | — | 8.1x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $84,305 | $42,153 | — | 7.8x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $26,611 | $13,305 | — | 7.7x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $19,886 | $9,943 | — | 7.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $36,927 | $18,464 | — | 7.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $27,460 | $13,730 | — | 7.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $39,960 | $19,980 | — | 7.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $47,187 | $23,593 | — | 7.4x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $38,866 | $19,433 | — | 6.9x |
| SEIZURES WITHOUT MCC | 101 | $34,420 | $17,210 | — | 6.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $27,590 | $13,795 | — | 6.7x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $58,864 | $29,432 | — | 6.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $28,779 | $14,389 | — | 6.6x |
| HYPERTENSION WITHOUT MCC | 305 | $26,402 | $13,201 | — | 6.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $256,272 | $128,136 | — | 6.4x |
| SYNCOPE AND COLLAPSE | 312 | $30,889 | $15,445 | — | 6.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $24,910 | $12,455 | — | 6.2x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $35,475 | $17,738 | — | 6.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $49,055 | $24,528 | — | 6.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $42,495 | $21,247 | — | 6.1x |
| ENDOCRINE DISORDERS WITH CC | 644 | $34,392 | $17,196 | — | 6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $30,483 | $15,242 | — | 6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $24,440 | $12,220 | — | 5.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $32,282 | $16,141 | — | 5.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $29,359 | $14,680 | — | 5.9x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $48,881 | $24,440 | — | 5.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $29,004 | $14,502 | — | 5.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $55,165 | $27,582 | — | 5.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $86,222 | $43,111 | — | 5.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $38,697 | $19,348 | — | 5.7x |
| DIABETES WITH CC | 638 | $29,072 | $14,536 | — | 5.6x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $29,584 | $14,792 | — | 5.5x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $97,430 | $48,715 | — | 5.5x |
| CELLULITIS WITHOUT MCC | 603 | $25,512 | $12,756 | — | 5.5x |
| RENAL FAILURE WITH CC | 683 | $27,285 | $13,642 | — | 5.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $23,230 | $11,615 | — | 5.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $59,979 | $29,989 | — | 5.4x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | 205 | $59,725 | $29,862 | — | 5.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $39,723 | $19,861 | — | 5.4x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $70,076 | $35,038 | — | 5.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $65,287 | $32,643 | — | 5.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $39,842 | $19,921 | — | 5.2x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $55,950 | $27,975 | — | 5.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $29,116 | $14,558 | — | 5.1x |
| ENDOCRINE DISORDERS WITH MCC | 643 | $47,327 | $23,663 | — | 5.1x |
Showing 50 of 83 procedures
How SENTARA PRINCESS ANNE 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