Sentara Virginia Beach General Hospital
Sentara Virginia Beach General Hospital in Virginia Beach, VA charges 5.7x the Medicare reimbursement rate across 109 analyzed procedures at this nonprofit-private facility.
Virginia Beach, VA 23454 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
D
High
Avg markup vs Medicare
5.72x
Charge / Medicare rate
Max markup
8.63x
Worst procedure
Procedures analyzed
109
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 | $30,173 | $15,087 | — | 8.6x |
| HYPERTENSION WITHOUT MCC | 305 | $36,153 | $18,077 | — | 8.6x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $26,496 | $13,248 | — | 8.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $54,543 | $27,271 | — | 8.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $44,244 | $22,122 | — | 8.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $88,992 | $44,496 | — | 8x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $69,504 | $34,752 | — | 7.6x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $36,308 | $18,154 | — | 7.6x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $76,052 | $38,026 | — | 7.6x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $33,428 | $16,714 | — | 7.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $40,071 | $20,036 | — | 7.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $20,818 | $10,409 | — | 7.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $89,702 | $44,851 | — | 7.4x |
| DYSEQUILIBRIUM | 149 | $30,507 | $15,254 | — | 7.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $83,282 | $41,641 | — | 7.2x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $59,422 | $29,711 | — | 7.2x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $54,456 | $27,228 | — | 7.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $32,154 | $16,077 | — | 7.1x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $30,021 | $15,011 | — | 7.1x |
| CHEST PAIN | 313 | $28,644 | $14,322 | — | 7x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $32,218 | $16,109 | — | 6.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $28,434 | $14,217 | — | 6.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $33,119 | $16,560 | — | 6.8x |
| SYNCOPE AND COLLAPSE | 312 | $34,015 | $17,008 | — | 6.8x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $69,003 | $34,501 | — | 6.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $42,497 | $21,249 | — | 6.7x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $38,238 | $19,119 | — | 6.7x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $53,045 | $26,523 | — | 6.7x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $28,579 | $14,290 | — | 6.6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $35,884 | $17,942 | — | 6.5x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $83,224 | $41,612 | — | 6.5x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $31,660 | $15,830 | — | 6.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $59,480 | $29,740 | — | 6.4x |
| MAJOR CHEST TRAUMA WITH MCC | 183 | $59,139 | $29,569 | — | 6.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $37,895 | $18,947 | — | 6.3x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | 085 | $85,129 | $42,564 | — | 6.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $75,104 | $37,552 | — | 6.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $46,625 | $23,312 | — | 6.2x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $36,804 | $18,402 | — | 6.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $27,881 | $13,940 | — | 6.1x |
| DIGESTIVE MALIGNANCY WITH MCC | 374 | $69,758 | $34,879 | — | 6.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $110,176 | $55,088 | — | 6x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $91,397 | $45,699 | — | 6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $61,888 | $30,944 | — | 6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $67,235 | $33,618 | — | 6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $26,308 | $13,154 | — | 6x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | 205 | $65,447 | $32,723 | — | 5.9x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $50,604 | $25,302 | — | 5.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $50,590 | $25,295 | — | 5.8x |
| RENAL FAILURE WITH MCC | 682 | $50,590 | $25,295 | — | 5.8x |
Showing 50 of 109 procedures
How SENTARA VIRGINIA BEACH 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