▸ State · VA

Virginia hospital prices

What Virginia hospitals charge across every procedure they publish in their federally-mandated machine-readable file.

Hospitals

Procedures

201

Payers

Rate rows

35,480

Top procedures in Virginia

By number of Virginia hospitals reporting (≥2). Click for the national distribution.

Procedure	Type	Code	Virginia hospitals	Virginia median
Simple pneumonia & pleurisy w CC	MS-DRG	194	15	$16,282
Heart failure & shock w MCC	MS-DRG	291	15	$21,590
COPD w MCC	MS-DRG	190	14	$19,604
Heart failure & shock w CC	MS-DRG	292	14	$18,512
COPD w CC	MS-DRG	191	14	$15,872
Kidney/UTI w MCC	MS-DRG	689	14	$21,036
Respiratory infections & inflammations w MCC	MS-DRG	177	14	$27,744
Kidney/UTI w/o MCC	MS-DRG	690	14	$14,919
Cardiac arrhythmia w CC	MS-DRG	309	13	$14,854
Cardiac arrhythmia w MCC	MS-DRG	308	13	$22,627
GI hemorrhage w CC	MS-DRG	378	13	$20,845
Major small/large bowel procedures w CC	MS-DRG	330	11	$56,489
Major small/large bowel procedures w MCC	MS-DRG	329	11	$86,632
Psychoses	MS-DRG	885	11	$13,304
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	11	$40,305
Hip & femur procedures except major joint w CC	MS-DRG	481	10	$46,069
Major joint replacement w/o MCC	MS-DRG	470	9	$60,942
Hip & femur procedures except major joint w MCC	MS-DRG	480	9	$72,819
OR procedure for obesity w CC	MS-DRG	620	8	$41,907
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	8	$11,168
AMI discharged alive w/o CC/MCC	MS-DRG	282	7	$11,253
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	7	$31,627
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	7	$21,258
AMI discharged alive w CC	MS-DRG	281	7	$17,273
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	7	$6,965
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	7	$36,856
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	7	$19,231
AMI discharged alive w MCC	MS-DRG	280	7	$18,133
OR procedure for obesity w/o CC/MCC	MS-DRG	621	7	$28,347
GI hemorrhage w/o CC/MCC	MS-DRG	379	7	$11,847
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	7	$22,903
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	7	$25,667
Fractures of femur w/o MCC	MS-DRG	533	7	$24,147
Major joint replacement w MCC	MS-DRG	469	7	$86,507
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	7	$8,312.1
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	7	$33,471
Heart failure & shock w/o CC/MCC	MS-DRG	293	7	$6,818.58
COPD w/o CC/MCC	MS-DRG	192	7	$11,012
OR procedure for obesity w MCC	MS-DRG	619	7	$103,695
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	7	$23,316

Top payers in Virginia

Payer	Hospitals	Rates	Median rate
Aetna	11	3,799	$1,054.14
Cigna	10	1,940	$2,065.68
First Health	9	695	$143.28
UnitedHealthcare	8	4,825	$1,245.16
Humana	7	2,534	$218.39
vhn - ultra	6	800	$1,822.49
Anthem BCBS	6	2,428	$496.71
connecticare	6	800	$2,057.65
gateway - tier 1	6	800	$2,792.53
gateway - tier 2	6	800	$2,351.6
gateway - tier 3	6	800	$1,616.73
sentara health plan	6	2,000	$300.11
vhn	6	800	$2,351.6
vhn - link	6	800	$2,645.55
vhn - plus	6	800	$2,263.42
vhn - secondary payors	6	800	$2,792.53
medcost/vhn link	3	231	$1,715.4
sentara hmo/ppo/pos	3	87	$803
medcost/vhn commercial	3	87	$745
Medicare	2	117	$9,998.63
pai [3082]	1	37	$24,259
select health of sc [4877]	1	37	$17,672
select health of sc [4890]	1	12	$9,167.63
allcare	1	89	$222.85
first choice vip care plus [4833]	1	34	$11,018
national provider network	1	118	$2,571.84
integrated health plan	1	118	$2,277.15
umr [3113]	1	34	$19,109
Blue Cross Blue Shield	1	724	$22,418
corvel	1	98	$110.17

Virginia hospitals (top 19 by compliance)

Hospital	City	Grade	Score	Procedures	Payers
BON SECOURS DEPAUL MEDICAL CENTER	NORFOLK	A	100	158	13
Carilion Roanoke Memorial Hospital	ROANOKE	A	100	147	16
Carilion New River Valley Medical Center	CHRISTIANSBURG	A	100	140	16
Carilion Franklin Memorial Hospital	ROCKY MOUNT	A	100	128	16
Carilion Stonewall Jackson Hospital	LEXINGTON	A	100	128	16
Carilion Giles Community Hospital	PEARISBURG	A	100	117	16
Carilion Tazewell Community Hospital	TAZEWELL	A	100	117	20
Sheltering Arms Hospital	MECHANICSVILLE	A	92	63	6
Sheltering Arms Institute	RICHMOND	A	92	63	6
Sheltering Arms Hospital South	MIDLOTHIAN	A	92	63	6
Childrens Hospital Of The Kings Daughters Inc	NORFOLK	B	86	171	0
LYNN HOUSE OF POTOMAC VALLEY INC.	ALEXANDRIA	B	86	142	0
Bath Community Hospital	HOT SPRINGS	C	78	13	3
Buchanan General Hospital	GRUNDY	C	71	11	0
Inova Fairfax Hospital	FALLS CHURCH	D	63	40	0
Inova Loudoun Hospital	LEESBURG	D	63	40	0
Inova Alexandria Hospital	ALEXANDRIA	D	63	40	0
Inova Mount Vernon Hospital	ALEXANDRIA	D	63	40	0
Inova Fair Oaks Hospital	FAIRFAX	D	63	40	0