University of Virginia Medical Center
University of Virginia Medical Center in Charlottesville charges 5.0x the Medicare reimbursement rate across 193 analyzed procedures at this government-owned facility.
Charlottesville, VA 22908 · 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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Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
C
Average
Avg markup vs Medicare
4.98x
Charge / Medicare rate
Max markup
9.96x
Worst procedure
Procedures analyzed
193
With pricing data
Outlier procedures
2.1%
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 | $245,416 | $122,708 | — | 10x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $76,033 | $38,016 | — | 8.7x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $93,699 | $46,850 | — | 8.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $46,530 | $23,265 | — | 7.6x |
| DIABETES WITH MCC | 637 | $92,059 | $46,029 | — | 7.5x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $87,807 | $43,904 | — | 7.4x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $76,569 | $38,284 | — | 7.2x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH CC | 908 | $137,044 | $68,522 | — | 7.1x |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | 964 | $93,434 | $46,717 | — | 7.1x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $106,001 | $53,001 | — | 7.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $51,507 | $25,753 | — | 7.1x |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $81,075 | $40,537 | — | 6.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $99,464 | $49,732 | — | 6.8x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $89,817 | $44,909 | — | 6.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $61,412 | $30,706 | — | 6.8x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $269,270 | $134,635 | — | 6.7x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $67,302 | $33,651 | — | 6.7x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $286,858 | $143,429 | — | 6.6x |
| COMPLICATIONS OF TREATMENT WITH MCC | 919 | $106,425 | $53,212 | — | 6.6x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $51,134 | $25,567 | — | 6.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $67,561 | $33,781 | — | 6.5x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $66,388 | $33,194 | — | 6.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $202,473 | $101,237 | — | 6.2x |
| PNEUMOTHORAX WITH CC | 200 | $60,624 | $30,312 | — | 6.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $83,955 | $41,977 | — | 6.2x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $131,665 | $65,832 | — | 6.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $52,416 | $26,208 | — | 6.1x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $284,201 | $142,100 | — | 6.1x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $90,637 | $45,318 | — | 6x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $95,671 | $47,836 | — | 6x |
| SEIZURES WITH MCC | 100 | $132,274 | $66,137 | — | 6x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $76,074 | $38,037 | — | 5.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $97,789 | $48,895 | — | 5.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $100,839 | $50,419 | — | 5.8x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $69,681 | $34,841 | — | 5.8x |
| COMPLICATIONS OF TREATMENT WITH CC | 920 | $73,047 | $36,523 | — | 5.8x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $50,916 | $25,458 | — | 5.7x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $65,100 | $32,550 | — | 5.7x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | 085 | $135,193 | $67,597 | — | 5.7x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $90,203 | $45,102 | — | 5.6x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | 466 | $264,020 | $132,010 | — | 5.6x |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | 963 | $251,825 | $125,913 | — | 5.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $467,322 | $233,661 | — | 5.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $56,411 | $28,205 | — | 5.6x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | 659 | $128,459 | $64,230 | — | 5.5x |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $90,337 | $45,169 | — | 5.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $51,526 | $25,763 | — | 5.5x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $106,149 | $53,075 | — | 5.5x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $104,680 | $52,340 | — | 5.5x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $129,957 | $64,978 | — | 5.4x |
Showing 50 of 193 procedures
How UNIVERSITY OF VIRGINIA MEDICAL CENTER 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.
FAQ — government hospital billing
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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