Virginia / Bon Secours Maryview Medical Center

CMS certification 490017 · Portsmouth, VA · 2 entries in CMS's price-transparency list

Bon Secours Maryview Medical Center: charges and Medicare payments

Bon Secours Maryview Medical Center reported 1,358 Medicare inpatient stays across 51 DRGs in 2024. Across them it charged 3.4 times what it was paid — mid-range in Virginia, number 42 of 66 hospitals with at least 100 stays (state median 3.6×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 219 stays at an average charge of $55,316, 39% below the national average. It also billed 1,452 outpatient services, charging 10.15 times what Medicare paid.

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  1. 1Medicare inpatient stays 1,358
  2. 2Charge ÷ paid, inpatient 3.4×
  3. 3Rank in VA (highest ratio = 1) 42 of 66
  4. 4CMS price-transparency actions 2
DRG 871$55,316DRG 291$29,676DRG 280$51,869DRG 872$27,817DRG 065$28,037DRG 177$39,215DRG 885$18,575DRG 274$165,648DRG 378$21,975DRG 640$28,989
Average charge per stay at Bon Secours Maryview Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 51 DRGs that can be compared with the national average, Bon Secours Maryview Medical Center charged more than the national average in 2 (4%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC219$55,316-39%$16,755
291 Heart Failure and Shock with MCC118$29,676-47%$11,123
280 Acute Myocardial Infarction, Discharged Alive with MCC47$51,869-32%$14,088
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC41$27,817-43%$8,996
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...37$28,037-50%$8,885
177 Respiratory Infections and Inflammations with MCC37$39,215-44%$14,570
885 Psychoses37$18,575-58%$12,094
274 Percutaneous and Other Intracardiac Procedures without MCC35$165,648+6%$25,705
378 Gastrointestinal Hemorrhage with CC34$21,975-55%$9,069
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...33$28,989-52%$11,003
698 Other Kidney and Urinary Tract Diagnoses with MCC30$31,103-58%$12,835
309 Cardiac Arrhythmia and Conduction Disorders with CC29$22,280-38%$7,156
682 Renal Failure with MCC28$31,028-53%$12,268
377 Gastrointestinal Hemorrhage with MCC27$42,877-50%$15,821
193 Simple Pneumonia and Pleurisy with MCC26$28,125-53%$11,296
853 Infectious and Parasitic Diseases with O.R. Procedures with...25$105,458-54%$35,415
812 Red Blood Cell Disorders without MCC23$23,135-48%$8,563
690 Kidney and Urinary Tract Infections without MCC22$17,441-54%$7,565
287 Circulatory Disorders except AMI, with Cardiac...21$40,462-37%$9,322
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...21$18,745-49%$7,096
683 Renal Failure with CC21$18,505-55%$8,275
638 Diabetes with CC20$20,173-52%$8,229
689 Kidney and Urinary Tract Infections with MCC20$21,358-58%$10,052
870 Septicemia or Severe Sepsis with MV >96 Hours20$220,399-32%$59,028
321 Percutaneous Cardiovascular Procedures with Intraluminal...19$124,268-24%$21,255
481 Hip and Femur Procedures except Major Joint with CC19$95,917-5%$18,224
308 Cardiac Arrhythmia and Conduction Disorders with MCC18$26,484-53%$10,291
322 Percutaneous Cardiovascular Procedures with Intraluminal...18$80,408-30%$19,124
811 Red Blood Cell Disorders with MCC18$31,222-54%$13,515
064 Intracranial Hemorrhage or Cerebral Infarction with MCC17$49,864-50%$16,339
069 Transient Ischemia without Thrombolytic17$21,322-58%$7,119
057 Degenerative Nervous System Disorders without MCC16$22,668-60%$10,880
281 Acute Myocardial Infarction, Discharged Alive with CC16$27,494-46%$7,932
312 Syncope and Collapse16$23,626-48%$8,446
394 Other Digestive System Diagnoses with CC15$25,449-46%$8,598
190 Chronic Obstructive Pulmonary Disease with MCC14$29,764-41%$9,689
522 Hip Replacement with Principal Diagnosis of Hip Fracture...14$79,980-22%$16,352
101 Seizures without MCC13$18,202-63%$7,921
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale13$67,829+4%$13,414
189 Pulmonary Edema and Respiratory Failure13$30,534-47%$10,594
208 Respiratory System Diagnosis with Ventilator Support <=96...13$99,254-27%$21,786
253 Other Vascular Procedures with CC13$110,793-16%$19,682
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...13$23,746-41%$7,274
194 Simple Pneumonia and Pleurisy with CC12$22,691-41%$7,450
329 Major Small and Large Bowel Procedures with MCC12$133,001-38%$37,141
330 Major Small and Large Bowel Procedures with CC12$78,616-34%$18,975
917 Poisoning and Toxic Effects of Drugs with MCC12$70,730-6%$15,664
191 Chronic Obstructive Pulmonary Disease with CC11$18,442-53%$7,600
314 Other Circulatory System Diagnoses with MCC11$67,305-29%$16,566
393 Other Digestive System Diagnoses with MCC11$31,125-59%$13,386
884 Organic Disturbances and Intellectual Disability11$30,308-51%$12,015

Outpatient services

Against the Virginia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Bon Secours Maryview Medical Center charged $55,316 on average, 15% less than the Virginia average of $65,235, and was paid $16,755 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Bon Secours Maryview Medical Center charged $29,676 on average, 27% less than the Virginia average of $40,795, and was paid $11,123 against a state average of $11,030. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Bon Secours Maryview Medical Center charged $51,869 on average, 10% less than the Virginia average of $57,438, and was paid $14,088 against a state average of $13,197. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Bon Secours Maryview Medical Center charged $27,817 on average, 25% less than the Virginia average of $37,022, and was paid $8,996 against a state average of $8,962. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,228 was 18% above the state average of $11,217. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $25,150 was 21% below the state average of $31,869. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $85,551 was 2% above the state average of $83,920. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $39,474 was 19% above the state average of $33,253.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Bon Secours Maryview Medical Center in Portsmouth, VA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.