Virginia / Bon Secours Mary Immaculate Hospital
CMS certification 490041 · Newport News, VA · 2 entries in CMS's price-transparency list
Bon Secours Mary Immaculate Hospital: charges and Medicare payments
Bon Secours Mary Immaculate Hospital reported 519 Medicare inpatient stays across 26 DRGs in 2024. Across them it charged 4.42 times what it was paid — among the higher ratios in Virginia, number 18 of 66 hospitals with at least 100 stays (state median 3.6×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 65 stays at an average charge of $39,161, 31% below the national average. It also billed 2,147 outpatient services, charging 8.7 times what Medicare paid.
- 1Medicare inpatient stays 519
- 2Charge ÷ paid, inpatient 4.42×
- 3Rank in VA (highest ratio = 1) 18 of 66
- 4CMS price-transparency actions 2
Inpatient stays
For the 26 DRGs that can be compared with the national average, Bon Secours Mary Immaculate Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 65 | $39,161 | -31% | $9,508 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 61 | $48,372 | -46% | $14,179 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 36 | $117,116 | -5% | $20,959 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 27 | $21,420 | -41% | $5,649 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 22 | $36,436 | -43% | $7,841 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 22 | $87,028 | -7% | $13,161 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $35,073 | -42% | $9,493 |
| 177 Respiratory Infections and Inflammations with MCC | 19 | $42,331 | -40% | $11,702 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 17 | $23,000 | -59% | $7,923 |
| 460 Spinal Fusion except Cervical without MCC | 17 | $145,854 | -14% | $28,696 |
| 467 Revision of Hip or Knee Replacement with CC | 16 | $151,414 | -4% | $24,088 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $107,720 | -53% | $31,966 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 15 | $34,819 | -39% | $8,665 |
| 378 Gastrointestinal Hemorrhage with CC | 15 | $36,319 | -25% | $7,195 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $33,500 | -32% | $7,552 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $21,856 | -46% | $5,930 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $24,349 | -36% | $5,931 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $44,612 | -23% | $8,877 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 12 | $45,959 | -39% | $11,378 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $44,068 | -13% | $6,770 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $81,846 | -29% | $17,409 |
| 603 Cellulitis without MCC | 12 | $19,323 | -48% | $6,590 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $18,816 | -49% | $6,363 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $37,214 | -26% | $7,962 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 11 | $48,324 | -57% | $16,529 |
| 683 Renal Failure with CC | 11 | $25,514 | -37% | $7,363 |
Outpatient services
Against the Virginia average
For Heart Failure and Shock with MCC (DRG 291), Bon Secours Mary Immaculate Hospital charged $39,161 on average, 4% less than the Virginia average of $40,795, and was paid $9,508 against a state average of $11,030. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Bon Secours Mary Immaculate Hospital charged $48,372 on average, 26% less than the Virginia average of $65,235, and was paid $14,179 against a state average of $16,367. For Revision of Hip or Knee Replacement without CC/MCC (DRG 468), Bon Secours Mary Immaculate Hospital charged $117,116 on average, 16% less than the Virginia average of $139,336, and was paid $20,959 against a state average of $22,697. For Cardiac Arrhythmia and Conduction Disorders with CC (DRG 309), Bon Secours Mary Immaculate Hospital charged $21,420 on average, 25% less than the Virginia average of $28,407, and was paid $5,649 against a state average of $6,880. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $72,944 was 13% below the state average of $83,920. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $17,747 was 51% above the state average of $11,766. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $36,071 was 8% above the state average of $33,253. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $132,535 was 16% above the state average of $113,861.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Bon Secours Mary Immaculate Hospital in Newport News, VA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-11-18 (CMS case 2937)
- Closure Notice — 2025-02-24 (CMS case 2937)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.