Virginia / Inova Alexandria Hospital
CMS certification 490040 · Alexandria, VA · 3 entries in CMS's price-transparency list
Inova Alexandria Hospital: charges and Medicare payments
Inova Alexandria Hospital reported 3,074 Medicare inpatient stays across 93 DRGs in 2024. Across them it charged 3.34 times what it was paid — mid-range in Virginia, number 43 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: 390 stays at an average charge of $49,744, 45% below the national average. It also billed 3,361 outpatient services, charging 5.97 times what Medicare paid.
- 1Medicare inpatient stays 3,074
- 2Charge ÷ paid, inpatient 3.34×
- 3Rank in VA (highest ratio = 1) 43 of 66
- 4CMS price-transparency actions 3
Inpatient stays
For the 93 DRGs that can be compared with the national average, Inova Alexandria Hospital charged more than the national average in 1 (1%). 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 | 390 | $49,744 | -45% | $15,620 |
| 291 Heart Failure and Shock with MCC | 213 | $38,095 | -32% | $10,582 |
| 177 Respiratory Infections and Inflammations with MCC | 109 | $43,625 | -38% | $13,303 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 86 | $57,179 | -43% | $17,234 |
| 193 Simple Pneumonia and Pleurisy with MCC | 83 | $35,639 | -40% | $11,168 |
| 689 Kidney and Urinary Tract Infections with MCC | 78 | $30,778 | -40% | $9,563 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 65 | $36,926 | -39% | $10,635 |
| 690 Kidney and Urinary Tract Infections without MCC | 65 | $24,008 | -37% | $6,968 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 63 | $34,849 | -53% | $12,974 |
| 378 Gastrointestinal Hemorrhage with CC | 61 | $29,208 | -40% | $8,830 |
| 682 Renal Failure with MCC | 61 | $39,541 | -40% | $12,162 |
| 683 Renal Failure with CC | 61 | $26,948 | -34% | $8,039 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 59 | $48,313 | -36% | $12,640 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 57 | $35,083 | -37% | $8,545 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 55 | $100,699 | -56% | $39,387 |
| 189 Pulmonary Edema and Respiratory Failure | 44 | $39,502 | -31% | $11,064 |
| 377 Gastrointestinal Hemorrhage with MCC | 43 | $58,697 | -31% | $15,304 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 43 | $23,000 | -43% | $7,124 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 42 | $23,473 | -52% | $9,030 |
| 552 Medical Back Problems without MCC | 41 | $24,963 | -49% | $8,321 |
| 603 Cellulitis without MCC | 39 | $18,239 | -51% | $7,594 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 37 | $37,101 | -27% | $9,862 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 37 | $88,857 | -21% | $20,304 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 37 | $45,150 | -20% | $10,304 |
| 312 Syncope and Collapse | 37 | $27,075 | -41% | $7,734 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 35 | $22,502 | -39% | $6,756 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 34 | $52,181 | -44% | $15,691 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 31 | $39,844 | -21% | $8,199 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 30 | $92,755 | -19% | $19,268 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 28 | $25,362 | -30% | $7,520 |
| 812 Red Blood Cell Disorders without MCC | 26 | $29,267 | -34% | $8,476 |
| 329 Major Small and Large Bowel Procedures with MCC | 25 | $101,163 | -53% | $37,037 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 25 | $144,838 | -55% | $47,348 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 24 | $58,493 | -49% | $17,891 |
| 100 Seizures with MCC | 23 | $58,454 | -38% | $17,696 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 23 | $41,345 | -37% | $11,321 |
| 314 Other Circulatory System Diagnoses with MCC | 23 | $42,568 | -55% | $18,053 |
| 101 Seizures without MCC | 22 | $22,841 | -53% | $8,188 |
| 202 Bronchitis and Asthma with CC/MCC | 22 | $29,880 | -35% | $9,122 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 22 | $59,083 | -42% | $16,492 |
| 637 Diabetes with MCC | 22 | $33,142 | -50% | $12,110 |
| 811 Red Blood Cell Disorders with MCC | 22 | $38,385 | -44% | $11,066 |
| 481 Hip and Femur Procedures except Major Joint with CC | 21 | $47,613 | -53% | $17,155 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 21 | $28,420 | -40% | $9,106 |
| 389 Gastrointestinal Obstruction with CC | 20 | $22,394 | -42% | $7,767 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 19 | $41,314 | -35% | $10,082 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $32,944 | -46% | $11,198 |
| 551 Medical Back Problems with MCC | 19 | $46,092 | -41% | $12,942 |
| 085 Traumatic Stupor and Coma <1 Hour with MCC | 18 | $47,087 | -57% | $16,884 |
| 178 Respiratory Infections and Inflammations with CC | 18 | $28,509 | -37% | $8,193 |
| 194 Simple Pneumonia and Pleurisy with CC | 18 | $22,814 | -41% | $7,139 |
| 393 Other Digestive System Diagnoses with MCC | 18 | $40,230 | -48% | $13,338 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 17 | $82,160 | -39% | $23,851 |
| 445 Disorders of The Biliary Tract with CC | 17 | $30,052 | -48% | $9,173 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 17 | $155,894 | -44% | $47,492 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 17 | $30,552 | -28% | $7,436 |
| 472 Cervical Spinal Fusion with CC | 16 | $106,532 | -26% | $22,521 |
| 057 Degenerative Nervous System Disorders without MCC | 15 | $24,357 | -57% | $10,229 |
| 196 Interstitial Lung Disease with MCC | 15 | $34,322 | -60% | $13,806 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $47,477 | -52% | $14,620 |
Showing the 60 most frequent of 93 DRGs.
Outpatient services
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Inova Alexandria Hospital charged $49,744 on average, 24% less than the Virginia average of $65,235, and was paid $15,620 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Inova Alexandria Hospital charged $38,095 on average, 7% less than the Virginia average of $40,795, and was paid $10,582 against a state average of $11,030. For Respiratory Infections and Inflammations with MCC (DRG 177), Inova Alexandria Hospital charged $43,625 on average, 12% less than the Virginia average of $49,485, and was paid $13,303 against a state average of $13,709. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), Inova Alexandria Hospital charged $57,179 on average, 18% less than the Virginia average of $69,397, and was paid $17,234 against a state average of $16,713. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,564 was 0% below the state average of $19,506. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $41,400 was 51% below the state average of $83,920. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $5,858 was 58% below the state average of $13,852. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $32,967 was 1% below the state average of $33,253.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Inova Alexandria Hospital in Alexandria, VA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-08-25 (CMS case 752)
- Closure Notice — 2022-04-11 (CMS case 752)
- Met Requirements — 2025-04-14 (CMS case 3783)
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.