Virginia / Fauquier Hospital
CMS certification 490023 · Warrenton, VA · 1 entry in CMS's price-transparency list
Fauquier Hospital: charges and Medicare payments
Fauquier Hospital reported 545 Medicare inpatient stays across 25 DRGs in 2024. Across them it charged 6.36 times what it was paid — among the higher ratios in Virginia, number 7 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: 55 stays at an average charge of $79,916, 11% below the national average. It also billed 726 outpatient services, charging 10.83 times what Medicare paid.
- 1Medicare inpatient stays 545
- 2Charge ÷ paid, inpatient 6.36×
- 3Rank in VA (highest ratio = 1) 7 of 66
- 4CMS price-transparency actions 1
Inpatient stays
For the 25 DRGs that can be compared with the national average, Fauquier Hospital charged more than the national average in 9 (36%). 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 | 55 | $79,916 | -11% | $13,545 |
| 291 Heart Failure and Shock with MCC | 51 | $50,808 | -10% | $8,934 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 41 | $113,941 | +22% | $13,482 |
| 189 Pulmonary Edema and Respiratory Failure | 37 | $53,985 | -6% | $9,333 |
| 193 Simple Pneumonia and Pleurisy with MCC | 35 | $49,872 | -17% | $9,207 |
| 690 Kidney and Urinary Tract Infections without MCC | 28 | $34,898 | -8% | $5,871 |
| 177 Respiratory Infections and Inflammations with MCC | 22 | $78,654 | +11% | $11,443 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 20 | $48,697 | -4% | $8,044 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $41,069 | +2% | $5,875 |
| 683 Renal Failure with CC | 20 | $32,238 | -21% | $6,561 |
| 194 Simple Pneumonia and Pleurisy with CC | 19 | $40,305 | +5% | $6,153 |
| 682 Renal Failure with MCC | 19 | $76,271 | +16% | $10,573 |
| 689 Kidney and Urinary Tract Infections with MCC | 18 | $39,320 | -23% | $7,886 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 16 | $40,333 | -28% | $7,299 |
| 378 Gastrointestinal Hemorrhage with CC | 16 | $46,611 | -4% | $7,185 |
| 481 Hip and Femur Procedures except Major Joint with CC | 16 | $103,582 | +3% | $13,451 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $38,693 | -21% | $7,363 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $41,461 | +15% | $5,565 |
| 603 Cellulitis without MCC | 14 | $35,503 | -5% | $6,276 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 13 | $62,103 | +10% | $8,803 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $52,808 | -28% | $11,024 |
| 390 Gastrointestinal Obstruction without CC/MCC | 11 | $21,394 | -23% | $4,873 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $121,385 | +19% | $14,432 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $30,298 | -18% | $5,900 |
| 811 Red Blood Cell Disorders with MCC | 11 | $63,823 | -6% | $9,971 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 136 | $24,741 | $2,537 |
| Level 5 Musculoskeletal Procedures | 123 | $112,055 | $12,237 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 98 | $10,010 | $1,500 |
| Level 4 Urology and Related Services | 42 | $28,547 | $3,269 |
| Level 3 Musculoskeletal Procedures | 38 | $26,302 | $3,035 |
| Level 4 Musculoskeletal Procedures | 38 | $57,289 | $6,427 |
| Level 1 Laparoscopy and Related Services | 38 | $49,050 | $5,184 |
| Level 5 Urology and Related Services | 35 | $39,311 | $4,852 |
| Level 1 Nerve Procedures | 35 | $16,320 | $1,811 |
| Level 2 Musculoskeletal Procedures | 30 | $14,190 | $1,507 |
| Level 3 Vascular Procedures | 28 | $19,950 | $2,851 |
| Level 3 Urology and Related Services | 21 | $20,747 | $1,910 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 19 | $21,489 | $2,446 |
| Level 2 Vascular Procedures | 17 | $10,391 | $1,502 |
| Level 1 Endovascular Procedures | 17 | $24,506 | $2,931 |
| Level 4 Gynecologic Procedures | 11 | $21,903 | $2,719 |
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Fauquier Hospital charged $79,916 on average, 23% more than the Virginia average of $65,235, and was paid $13,545 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Fauquier Hospital charged $50,808 on average, 25% more than the Virginia average of $40,795, and was paid $8,934 against a state average of $11,030. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Fauquier Hospital charged $113,941 on average, 6% more than the Virginia average of $107,897, and was paid $13,482 against a state average of $15,677. For Pulmonary Edema and Respiratory Failure (DRG 189), Fauquier Hospital charged $53,985 on average, 9% more than the Virginia average of $49,409, and was paid $9,333 against a state average of $10,895. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,741 was 27% above the state average of $19,506. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $112,055 was 34% above the state average of $83,920. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,010 was 11% below the state average of $11,217. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $28,547 was 30% above the state average of $21,969.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Fauquier Hospital in Warrenton, VA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-14 (CMS case 3788)
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.