Chesapeake General Hospital: charges and Medicare payments

Chesapeake General Hospital reported 3,525 Medicare inpatient stays across 99 DRGs in 2024. Across them it charged 3.43 times what it was paid — mid-range in Virginia, number 39 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: 349 stays at an average charge of $41,679, 54% below the national average. It also billed 2,403 outpatient services, charging 6.29 times what Medicare paid.

1Medicare inpatient stays 3,525
2Charge ÷ paid, inpatient 3.43×
3Rank in VA (highest ratio = 1) 39 of 66
4CMS price-transparency actions 0

Average charge per stay at Chesapeake General Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 99 DRGs that can be compared with the national average, Chesapeake General Hospital charged more than the national average in 2 (2%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	349	$41,679	-54%	$13,728
291 Heart Failure and Shock with MCC	254	$23,644	-58%	$9,094
177 Respiratory Infections and Inflammations with MCC	103	$31,081	-56%	$11,553
193 Simple Pneumonia and Pleurisy with MCC	101	$28,336	-53%	$9,385
189 Pulmonary Edema and Respiratory Failure	100	$33,381	-42%	$8,917
689 Kidney and Urinary Tract Infections with MCC	95	$25,795	-50%	$8,335
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	87	$35,522	-64%	$13,832
378 Gastrointestinal Hemorrhage with CC	85	$24,176	-50%	$7,171
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	81	$29,210	-48%	$7,548
280 Acute Myocardial Infarction, Discharged Alive with MCC	79	$30,377	-60%	$11,164
312 Syncope and Collapse	71	$18,303	-60%	$6,310
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	70	$23,811	-61%	$9,057
308 Cardiac Arrhythmia and Conduction Disorders with MCC	62	$25,873	-54%	$8,658
377 Gastrointestinal Hemorrhage with MCC	56	$38,545	-55%	$12,443
190 Chronic Obstructive Pulmonary Disease with MCC	54	$24,523	-52%	$8,263
682 Renal Failure with MCC	54	$28,772	-56%	$10,667
069 Transient Ischemia without Thrombolytic	53	$18,499	-63%	$6,010
690 Kidney and Urinary Tract Infections without MCC	51	$19,721	-48%	$5,881
683 Renal Failure with CC	50	$19,531	-52%	$6,605
853 Infectious and Parasitic Diseases with O.R. Procedures with...	50	$102,826	-55%	$33,625
698 Other Kidney and Urinary Tract Diagnoses with MCC	47	$33,703	-54%	$11,390
309 Cardiac Arrhythmia and Conduction Disorders with CC	45	$17,571	-51%	$5,491
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	43	$20,719	-48%	$5,814
603 Cellulitis without MCC	42	$16,308	-56%	$6,438
460 Spinal Fusion except Cervical without MCC	41	$171,878	+1%	$31,108
481 Hip and Femur Procedures except Major Joint with CC	39	$57,722	-43%	$14,192
322 Percutaneous Cardiovascular Procedures with Intraluminal...	37	$59,027	-48%	$12,652
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	37	$15,570	-58%	$5,776
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	36	$26,790	-45%	$7,547
194 Simple Pneumonia and Pleurisy with CC	32	$22,910	-40%	$6,042
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	30	$35,835	-45%	$9,878
281 Acute Myocardial Infarction, Discharged Alive with CC	30	$21,583	-57%	$6,577
552 Medical Back Problems without MCC	30	$20,937	-57%	$7,024
287 Circulatory Disorders except AMI, with Cardiac...	29	$22,848	-64%	$7,766
305 Hypertension without MCC	29	$18,152	-55%	$5,594
100 Seizures with MCC	28	$42,035	-55%	$13,574
638 Diabetes with CC	27	$15,116	-64%	$6,494
101 Seizures without MCC	26	$24,655	-49%	$6,624
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	26	$13,351	-54%	$4,342
330 Major Small and Large Bowel Procedures with CC	26	$91,109	-23%	$17,346
394 Other Digestive System Diagnoses with CC	26	$27,313	-42%	$7,067
321 Percutaneous Cardiovascular Procedures with Intraluminal...	25	$79,937	-51%	$19,803
331 Major Small and Large Bowel Procedures without CC/MCC	24	$50,897	-41%	$11,593
470 Major Hip and Knee Joint Replacement or Reattachment of...	24	$65,126	-30%	$13,635
066 Intracranial Hemorrhage or Cerebral Infarction without...	23	$18,612	-56%	$5,233
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	22	$70,030	-32%	$14,517
025 Craniotomy and Endovascular Intracranial Procedures with MCC	21	$166,090	-28%	$36,734
057 Degenerative Nervous System Disorders without MCC	21	$23,694	-58%	$9,134
329 Major Small and Large Bowel Procedures with MCC	21	$102,285	-52%	$31,151
418 Laparoscopic Cholecystectomy without C.D.E. with CC	21	$57,612	-38%	$12,264
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	20	$27,331	-55%	$9,102
637 Diabetes with MCC	20	$35,634	-46%	$10,915
149 Dysequilibrium	19	$16,294	-63%	$5,563
313 Chest Pain	19	$16,875	-58%	$5,375
389 Gastrointestinal Obstruction with CC	19	$20,298	-48%	$5,927
472 Cervical Spinal Fusion with CC	19	$170,285	+19%	$24,591
480 Hip and Femur Procedures except Major Joint with MCC	19	$75,042	-46%	$19,319
854 Infectious and Parasitic Diseases with O.R. Procedures with...	19	$72,648	-26%	$14,205
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	18	$20,545	-53%	$5,329
699 Other Kidney and Urinary Tract Diagnoses with CC	18	$17,348	-63%	$7,331

Showing the 60 most frequent of 99 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	460	$10,958	$2,336
Level 1 Endovascular Procedures	202	$8,665	$2,810
Level 2 Excision/ Biopsy/ Incision and Drainage	197	$10,072	$1,394
Level 2 Upper GI Procedures	170	$7,937	$1,617
Level 5 Musculoskeletal Procedures	123	$66,121	$11,198
Level 1 Laparoscopy and Related Services	116	$29,901	$4,779
Level 3 Vascular Procedures	113	$14,052	$2,754
Level 5 Urology and Related Services	92	$25,219	$4,463
Level 4 Musculoskeletal Procedures	73	$39,410	$6,089
Level 3 Endovascular Procedures	65	$39,129	$9,566
Level 4 Vascular Procedures	48	$33,940	$4,627
Level 3 Urology and Related Services	47	$9,449	$1,772
Level 3 Pacemaker and Similar Procedures	45	$32,266	$9,116
Level 3 Excision/ Biopsy/ Incision and Drainage	43	$18,385	$2,472
Level 3 Lower GI Procedures	43	$13,158	$2,398
Level 2 Vascular Procedures	41	$5,115	$1,394
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	40	$24,061	$2,950
Level 4 Airway Endoscopy	39	$22,827	$3,258
Level 2 Laparoscopy and Related Services	39	$52,261	$8,765
Level 2 Breast/Lymphatic Surgery and Related Procedures	37	$41,938	$5,674
Level 2 Endovascular Procedures	37	$14,648	$4,973
Level 4 Gynecologic Procedures	36	$16,136	$2,720
Level 3 Musculoskeletal Procedures	35	$23,703	$2,817
Level 3 Airway Endoscopy	32	$8,965	$1,477
Level 4 Urology and Related Services	31	$24,629	$3,033

Against the Virginia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Chesapeake General Hospital charged $41,679 on average, 36% less than the Virginia average of $65,235, and was paid $13,728 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Chesapeake General Hospital charged $23,644 on average, 42% less than the Virginia average of $40,795, and was paid $9,094 against a state average of $11,030. For Respiratory Infections and Inflammations with MCC (DRG 177), Chesapeake General Hospital charged $31,081 on average, 37% less than the Virginia average of $49,485, and was paid $11,553 against a state average of $13,709. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Chesapeake General Hospital charged $28,336 on average, 37% less than the Virginia average of $44,717, and was paid $9,385 against a state average of $11,065. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,958 was 44% below the state average of $19,506. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $8,665 was 73% below the state average of $31,869. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,072 was 10% below the state average of $11,217. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $7,937 was 43% below the state average of $13,852.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.