Virginia / Henrico Doctors' Hospital
CMS certification 490118 · Richmond, VA · 3 entries in CMS's price-transparency list
Henrico Doctors' Hospital: charges and Medicare payments
Henrico Doctors' Hospital reported 4,668 Medicare inpatient stays across 134 DRGs in 2024. Across them it charged 12.81 times what it was paid — among the higher ratios in Virginia, number 2 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: 274 stays at an average charge of $129,521, 43% above the national average. It also billed 4,074 outpatient services, charging 28.76 times what Medicare paid.
- 1Medicare inpatient stays 4,668
- 2Charge ÷ paid, inpatient 12.81×
- 3Rank in VA (highest ratio = 1) 2 of 66
- 4CMS price-transparency actions 3
Inpatient stays
For the 134 DRGs that can be compared with the national average, Henrico Doctors' Hospital charged more than the national average in 131 (98%). 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 | 274 | $129,521 | +43% | $13,824 |
| 291 Heart Failure and Shock with MCC | 209 | $79,950 | +42% | $9,932 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 159 | $388,161 | +148% | $22,326 |
| 193 Simple Pneumonia and Pleurisy with MCC | 142 | $93,279 | +56% | $9,888 |
| 177 Respiratory Infections and Inflammations with MCC | 116 | $93,669 | +33% | $12,349 |
| 189 Pulmonary Edema and Respiratory Failure | 102 | $75,650 | +31% | $9,479 |
| 682 Renal Failure with MCC | 97 | $99,597 | +51% | $11,106 |
| 690 Kidney and Urinary Tract Infections without MCC | 85 | $59,649 | +58% | $6,205 |
| 683 Renal Failure with CC | 82 | $54,132 | +33% | $6,930 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 81 | $116,927 | +54% | $11,387 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 75 | $65,762 | +64% | $6,103 |
| 481 Hip and Femur Procedures except Major Joint with CC | 74 | $239,218 | +137% | $15,158 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 73 | $110,879 | +51% | $11,769 |
| 378 Gastrointestinal Hemorrhage with CC | 67 | $79,151 | +63% | $7,798 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 66 | $593,059 | +168% | $33,622 |
| 552 Medical Back Problems without MCC | 66 | $60,960 | +25% | $7,331 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 65 | $50,428 | +40% | $6,174 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 60 | $73,161 | +21% | $9,810 |
| 689 Kidney and Urinary Tract Infections with MCC | 59 | $67,722 | +32% | $8,254 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 58 | $75,961 | +36% | $8,514 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 55 | $264,407 | +158% | $14,761 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 54 | $132,106 | +32% | $14,044 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 53 | $37,267 | +30% | $5,027 |
| 312 Syncope and Collapse | 53 | $51,903 | +14% | $6,524 |
| 330 Major Small and Large Bowel Procedures with CC | 51 | $332,002 | +179% | $19,161 |
| 811 Red Blood Cell Disorders with MCC | 50 | $109,887 | +61% | $10,624 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 50 | $460,263 | +101% | $35,010 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 48 | $89,893 | +83% | $8,723 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 46 | $106,739 | +67% | $9,091 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 45 | $220,998 | +63% | $19,466 |
| 377 Gastrointestinal Hemorrhage with MCC | 44 | $123,090 | +44% | $12,032 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 43 | $668,517 | +135% | $43,979 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 43 | $312,456 | +264% | $13,268 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 43 | $54,951 | +48% | $6,156 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 42 | $93,015 | +96% | $8,927 |
| 394 Other Digestive System Diagnoses with CC | 41 | $77,226 | +64% | $7,097 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 39 | $308,171 | +231% | $13,850 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 38 | $303,024 | +165% | $14,526 |
| 884 Organic Disturbances and Intellectual Disability | 37 | $56,804 | -9% | $12,027 |
| 329 Major Small and Large Bowel Procedures with MCC | 35 | $599,171 | +179% | $36,659 |
| 536 Fractures of Hip and Pelvis without MCC | 35 | $48,802 | +29% | $6,034 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 35 | $60,939 | +43% | $7,040 |
| 069 Transient Ischemia without Thrombolytic | 33 | $55,649 | +10% | $6,337 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 33 | $92,117 | +82% | $7,043 |
| 603 Cellulitis without MCC | 33 | $66,136 | +77% | $6,788 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 33 | $157,805 | +134% | $10,800 |
| 101 Seizures without MCC | 32 | $53,481 | +10% | $6,805 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 31 | $98,380 | +51% | $10,525 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 31 | $90,726 | +49% | $9,472 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 30 | $95,559 | +69% | $8,950 |
| 638 Diabetes with CC | 29 | $58,174 | +40% | $7,342 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 28 | $725,467 | +148% | $40,739 |
| 812 Red Blood Cell Disorders without MCC | 28 | $68,660 | +55% | $7,388 |
| 389 Gastrointestinal Obstruction with CC | 26 | $67,697 | +74% | $6,693 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 26 | $413,501 | +234% | $19,642 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 26 | $258,253 | +154% | $15,133 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $425,220 | +160% | $22,125 |
| 661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC | 25 | $201,244 | +255% | $8,255 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 24 | $197,531 | +101% | $15,757 |
| 194 Simple Pneumonia and Pleurisy with CC | 23 | $69,119 | +80% | $6,616 |
Showing the 60 most frequent of 134 DRGs.
Outpatient services
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Henrico Doctors' Hospital charged $129,521 on average, 99% more than the Virginia average of $65,235, and was paid $13,824 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Henrico Doctors' Hospital charged $79,950 on average, 96% more than the Virginia average of $40,795, and was paid $9,932 against a state average of $11,030. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Henrico Doctors' Hospital charged $388,161 on average, 114% more than the Virginia average of $181,540, and was paid $22,326 against a state average of $26,262. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Henrico Doctors' Hospital charged $93,279 on average, 109% more than the Virginia average of $44,717, and was paid $9,888 against a state average of $11,065. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $290,759 was 246% above the state average of $83,920. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $35,117 was 80% above the state average of $19,506. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $64,286 was 102% above the state average of $31,869. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $503,432 was 201% above the state average of $167,325.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Henrico Doctors' Hospital in Richmond, VA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-12-12 (CMS case 2020)
- Met Requirements — 2025-04-15 (CMS case 3803)
- Met Requirements — 2025-05-05 (CMS case 4270)
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.