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VCU HEALTH TAPPAHANNOCK HOSPITAL

TAPPAHANNOCK, VA 22560 · Acute Care Hospitals

13 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 27, 2026 · Methodology

Procedures Analyzed

13

With CMS pricing data

Avg Charge-to-Medicare Ratio

2.9x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Private

Above 90th Percentile

0%

Compared to VA hospitals

Understanding Your Costs

When you receive a bill from VCU HEALTH TAPPAHANNOCK HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, VCU HEALTH TAPPAHANNOCK HOSPITAL lists chargemaster rates that average 2.9x the corresponding Medicare reimbursement amount across 13 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in VA has a chargemaster-to-Medicare ratio of 4.6x, with ratios across the state ranging from 2.0x to 16.7x. At 2.9x, this facility’s average ratio is below the state median. 70 hospitals in VA report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at VCU HEALTH TAPPAHANNOCK HOSPITAL is Septicemia or Severe Sepsis without Mechanical Ventilation over 96 Hours without Major Complications (DRG 872). The listed chargemaster rate is $25,449, while Medicare reimburses $6,956 for the same procedure — a ratio of 3.7x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

VCU HEALTH TAPPAHANNOCK HOSPITAL is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 4/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
Septicemia or Severe Sepsis without Mechanical Ventilation over 96 Hours without Major Complications872$25,449$6,9563.7x
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Kidney and Urinary Tract Infections without Major Complications690$22,278$6,1763.6x
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Pulmonary Edema and Respiratory Failure189$36,235$10,8803.3x
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Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without Major Complications392$22,210$6,7613.3x
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Medical Back Problems without Major Complications552$23,900$7,5843.1x
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Simple Pneumonia and Pleurisy with Major Complications or Comorbidities193$30,338$10,3032.9x
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Cardiac Arrhythmia and Conduction Disorders with Complications309$16,714$6,1352.7x
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Cellulitis without Major Complications603$18,096$7,0202.6x
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Kidney and Urinary Tract Infections with Major Complications or Comorbidities689$23,568$9,1812.6x
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Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with Major Complications or Comorbidities640$23,146$9,5542.4x
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Septicemia or Severe Sepsis without Mechanical Ventilation over 96 Hours with Major Complications or Comorbidities871$35,811$15,2702.4x
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Respiratory Infections and Inflammations with Major Complications or Comorbidities177$37,623$16,5072.3x
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Heart Failure and Shock with Major Complications or Comorbidities291$22,215$10,2732.2x
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Showing 13 of 13 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across VA hospitals

2.0x
Median: 4.6x
16.7x
2.9x

70 hospitals in VA report pricing data to CMS. This facility's average ratio of 2.9x places it at the lower end of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

Compare Your Bill

Upload your bill and our system compares every line item against CMS reimbursement data. Free, takes 60 seconds.

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Request an Itemized Bill

Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.

Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

Read our methodology·Report a data error

Frequently Asked Questions About VCU HEALTH TAPPAHANNOCK HOSPITAL

How much does VCU HEALTH TAPPAHANNOCK HOSPITAL charge compared to Medicare?

According to CMS IPPS data, VCU HEALTH TAPPAHANNOCK HOSPITAL's listed chargemaster rates average 2.9x the Medicare reimbursement amount across 13 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at VCU HEALTH TAPPAHANNOCK HOSPITAL?

The procedure with the highest chargemaster-to-Medicare ratio at VCU HEALTH TAPPAHANNOCK HOSPITAL is Septicemia or Severe Sepsis without Mechanical Ventilation over 96 Hours without Major Complications (DRG 872), with a listed charge of $25,449 compared to Medicare reimbursement of $6,956 — a ratio of 3.7x. Source: CMS IPPS Provider Summary.

Is VCU HEALTH TAPPAHANNOCK HOSPITAL expensive compared to other VA hospitals?

VCU HEALTH TAPPAHANNOCK HOSPITAL's average chargemaster-to-Medicare ratio is 2.9x. Ratios vary significantly across VA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for VCU HEALTH TAPPAHANNOCK HOSPITAL come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from VCU HEALTH TAPPAHANNOCK HOSPITAL is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does VCU HEALTH TAPPAHANNOCK HOSPITAL in TAPPAHANNOCK, VA accept Medicare?

VCU HEALTH TAPPAHANNOCK HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact VCU HEALTH TAPPAHANNOCK HOSPITAL directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.