WINCHESTER MEDICAL CENTER
WINCHESTER, VA 22601 · Acute Care Hospitals
163 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
163
With CMS pricing data
Avg Charge-to-Medicare Ratio
3.1x
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 WINCHESTER MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, WINCHESTER MEDICAL CENTER lists chargemaster rates that average 3.1x the corresponding Medicare reimbursement amount across 163 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 3.1x, 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 WINCHESTER MEDICAL CENTER is PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC (DRG 322). The listed chargemaster rate is $96,388, while Medicare reimburses $14,721 for the same procedure — a ratio of 6.5x (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.
WINCHESTER MEDICAL CENTER 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
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.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $96,388 | $14,721 | 6.5x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $81,940 | $13,173 | 6.2x | 0th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $28,428 | $5,362 | 5.3x | 0th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $21,235 | $4,059 | 5.2x | 0th | Compare your bill |
| COAGULATION DISORDERS | 813 | $48,197 | $9,485 | 5.1x | 0th | Compare your bill |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $23,434 | $4,690 | 5.0x | 0th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $120,047 | $24,730 | 4.8x | 0th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $34,121 | $7,081 | 4.8x | 0th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $31,568 | $6,838 | 4.6x | 0th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $61,566 | $13,387 | 4.6x | 0th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $113,850 | $24,866 | 4.6x | 0th | Compare your bill |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $32,103 | $7,231 | 4.4x | 0th | Compare your bill |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $36,624 | $8,424 | 4.3x | 0th | Compare your bill |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $158,274 | $37,403 | 4.2x | 0th | Compare your bill |
| DYSEQUILIBRIUM | 149 | $17,444 | $4,150 | 4.2x | 0th | Compare your bill |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $18,844 | $4,526 | 4.2x | 0th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $25,833 | $6,274 | 4.1x | 0th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $25,414 | $6,265 | 4.1x | 0th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $66,888 | $16,542 | 4.0x | 0th | Compare your bill |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $29,675 | $7,515 | 4.0x | 0th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $21,584 | $5,487 | 3.9x | 0th | Compare your bill |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $26,046 | $6,629 | 3.9x | 0th | Compare your bill |
| OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | 229 | $95,608 | $24,682 | 3.9x | 0th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $18,853 | $4,948 | 3.8x | 0th | Compare your bill |
| HYPERTENSION WITHOUT MCC | 305 | $16,132 | $4,260 | 3.8x | 0th | Compare your bill |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $135,908 | $35,867 | 3.8x | 0th | Compare your bill |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $45,385 | $12,001 | 3.8x | 0th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $43,564 | $11,779 | 3.7x | 0th | Compare your bill |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $100,108 | $27,056 | 3.7x | 0th | Compare your bill |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $23,529 | $6,453 | 3.6x | 0th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $10,895 | $2,990 | 3.6x | 0th | Compare your bill |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $12,655 | $3,483 | 3.6x | 0th | Compare your bill |
| CHEST PAIN | 313 | $15,254 | $4,258 | 3.6x | 0th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $41,473 | $11,575 | 3.6x | 0th | Compare your bill |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | 565 | $23,197 | $6,480 | 3.6x | 0th | Compare your bill |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $85,268 | $24,029 | 3.5x | 0th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $20,560 | $5,846 | 3.5x | 0th | Compare your bill |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $17,437 | $4,948 | 3.5x | 0th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $23,933 | $6,813 | 3.5x | 0th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $9,180 | $2,629 | 3.5x | 0th | Compare your bill |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $141,639 | $40,841 | 3.5x | 0th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $29,656 | $8,575 | 3.5x | 0th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $23,323 | $6,754 | 3.5x | 0th | Compare your bill |
| ENDOCRINE DISORDERS WITH CC | 644 | $23,115 | $6,718 | 3.4x | 0th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $98,951 | $28,758 | 3.4x | 0th | Compare your bill |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $176,421 | $51,564 | 3.4x | 0th | Compare your bill |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $56,683 | $16,610 | 3.4x | 0th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $16,538 | $4,855 | 3.4x | 0th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $36,488 | $10,799 | 3.4x | 0th | Compare your bill |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $133,805 | $39,715 | 3.4x | 0th | Compare your bill |
Showing 50 of 163 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
70 hospitals in VA report pricing data to CMS. This facility's average ratio of 3.1x places it at the lower end of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: 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.
Frequently Asked Questions About WINCHESTER MEDICAL CENTER
How much does WINCHESTER MEDICAL CENTER charge compared to Medicare?
According to CMS IPPS data, WINCHESTER MEDICAL CENTER's listed chargemaster rates average 3.1x the Medicare reimbursement amount across 163 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 WINCHESTER MEDICAL CENTER?
The procedure with the highest chargemaster-to-Medicare ratio at WINCHESTER MEDICAL CENTER is PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC (DRG 322), with a listed charge of $96,388 compared to Medicare reimbursement of $14,721 — a ratio of 6.5x. Source: CMS IPPS Provider Summary.
Is WINCHESTER MEDICAL CENTER expensive compared to other VA hospitals?
WINCHESTER MEDICAL CENTER's average chargemaster-to-Medicare ratio is 3.1x. 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 WINCHESTER MEDICAL CENTER 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 WINCHESTER MEDICAL CENTER 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 WINCHESTER MEDICAL CENTER in WINCHESTER, VA accept Medicare?
WINCHESTER MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact WINCHESTER MEDICAL CENTER directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.