Virginia / Cjw Medical Center
CMS certification 490112 · Richmond, VA
Cjw Medical Center: charges and Medicare payments
Cjw Medical Center reported 7,790 Medicare inpatient stays across 184 DRGs in 2024. Across them it charged 14.56 times what it was paid — among the higher ratios in Virginia, number 1 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: 597 stays at an average charge of $175,397, 94% above the national average. It also billed 5,433 outpatient services, charging 28.1 times what Medicare paid.
- 1Medicare inpatient stays 7,790
- 2Charge ÷ paid, inpatient 14.56×
- 3Rank in VA (highest ratio = 1) 1 of 66
- 4CMS price-transparency actions 0
Inpatient stays
For the 184 DRGs that can be compared with the national average, Cjw Medical Center charged more than the national average in 184 (100%). 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 | 597 | $175,397 | +94% | $14,381 |
| 291 Heart Failure and Shock with MCC | 287 | $97,218 | +72% | $9,191 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 198 | $446,722 | +185% | $22,127 |
| 177 Respiratory Infections and Inflammations with MCC | 155 | $113,738 | +61% | $11,957 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 148 | $83,405 | +108% | $6,200 |
| 552 Medical Back Problems without MCC | 143 | $76,643 | +57% | $7,205 |
| 193 Simple Pneumonia and Pleurisy with MCC | 137 | $124,701 | +109% | $10,129 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 121 | $91,516 | +87% | $7,550 |
| 682 Renal Failure with MCC | 120 | $125,476 | +90% | $10,593 |
| 683 Renal Failure with CC | 118 | $67,052 | +65% | $6,649 |
| 189 Pulmonary Edema and Respiratory Failure | 114 | $127,241 | +121% | $9,641 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 110 | $99,283 | +78% | $7,814 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 108 | $141,911 | +42% | $13,850 |
| 312 Syncope and Collapse | 108 | $71,797 | +58% | $6,526 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 108 | $312,023 | +235% | $13,531 |
| 690 Kidney and Urinary Tract Infections without MCC | 105 | $65,400 | +73% | $5,904 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 100 | $148,554 | +96% | $11,407 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 98 | $566,752 | +148% | $51,137 |
| 378 Gastrointestinal Hemorrhage with CC | 97 | $83,094 | +71% | $7,005 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 96 | $107,656 | +79% | $9,278 |
| 069 Transient Ischemia without Thrombolytic | 95 | $66,712 | +32% | $6,097 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 82 | $65,543 | +81% | $5,474 |
| 481 Hip and Femur Procedures except Major Joint with CC | 80 | $301,066 | +199% | $14,273 |
| 884 Organic Disturbances and Intellectual Disability | 77 | $68,935 | +10% | $10,884 |
| 377 Gastrointestinal Hemorrhage with MCC | 75 | $154,375 | +81% | $12,383 |
| 689 Kidney and Urinary Tract Infections with MCC | 75 | $88,641 | +73% | $8,002 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 72 | $125,127 | +70% | $11,533 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 66 | $654,855 | +196% | $32,688 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 64 | $73,144 | +97% | $6,390 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 62 | $792,297 | +106% | $52,236 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 59 | $56,928 | +98% | $4,228 |
| 394 Other Digestive System Diagnoses with CC | 58 | $78,996 | +68% | $6,987 |
| 811 Red Blood Cell Disorders with MCC | 58 | $126,384 | +85% | $10,690 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 57 | $74,564 | +57% | $7,169 |
| 057 Degenerative Nervous System Disorders without MCC | 55 | $80,004 | +41% | $10,628 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 55 | $246,548 | +143% | $13,908 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 55 | $326,673 | +219% | $14,788 |
| 389 Gastrointestinal Obstruction with CC | 54 | $65,508 | +68% | $6,053 |
| 184 Major Chest Trauma with CC | 53 | $114,526 | +107% | $10,123 |
| 313 Chest Pain | 53 | $62,052 | +55% | $5,320 |
| 603 Cellulitis without MCC | 53 | $66,155 | +77% | $6,519 |
| 812 Red Blood Cell Disorders without MCC | 52 | $79,353 | +79% | $6,921 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 51 | $433,636 | +165% | $20,610 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 50 | $264,727 | +131% | $14,284 |
| 637 Diabetes with MCC | 50 | $99,218 | +49% | $10,496 |
| 149 Dysequilibrium | 49 | $55,033 | +24% | $5,405 |
| 330 Major Small and Large Bowel Procedures with CC | 47 | $313,372 | +163% | $18,119 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 46 | $107,927 | +91% | $9,117 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 45 | $266,224 | +96% | $21,228 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 44 | $589,379 | +101% | $40,509 |
| 393 Other Digestive System Diagnoses with MCC | 44 | $142,052 | +85% | $11,250 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 43 | $228,480 | +104% | $16,044 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 43 | $99,809 | +64% | $9,587 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 42 | $116,412 | +79% | $11,577 |
| 638 Diabetes with CC | 41 | $81,960 | +97% | $6,485 |
| 460 Spinal Fusion except Cervical without MCC | 40 | $695,913 | +309% | $25,230 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 40 | $89,411 | +110% | $6,293 |
| 305 Hypertension without MCC | 39 | $53,202 | +33% | $5,458 |
| 178 Respiratory Infections and Inflammations with CC | 38 | $69,030 | +52% | $6,983 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 37 | $518,814 | +124% | $29,411 |
Showing the 60 most frequent of 184 DRGs.
Outpatient services
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cjw Medical Center charged $175,397 on average, 169% more than the Virginia average of $65,235, and was paid $14,381 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Cjw Medical Center charged $97,218 on average, 138% more than the Virginia average of $40,795, and was paid $9,191 against a state average of $11,030. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Cjw Medical Center charged $446,722 on average, 146% more than the Virginia average of $181,540, and was paid $22,127 against a state average of $26,262. For Respiratory Infections and Inflammations with MCC (DRG 177), Cjw Medical Center charged $113,738 on average, 130% more than the Virginia average of $49,485, and was paid $11,957 against a state average of $13,709. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $290,537 was 246% above the state average of $83,920. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $70,717 was 122% above the state average of $31,869. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $514,039 was 207% above the state average of $167,325. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $43,062 was 211% above 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.