Virginia / Inova Mount Vernon Hospital
CMS certification 490122 · Alexandria, VA · 2 entries in CMS's price-transparency list
Inova Mount Vernon Hospital: charges and Medicare payments
Inova Mount Vernon Hospital reported 1,207 Medicare inpatient stays across 40 DRGs in 2024. Across them it charged 3.42 times what it was paid — mid-range in Virginia, number 41 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: 230 stays at an average charge of $56,129, 38% below the national average. It also billed 2,135 outpatient services, charging 4.78 times what Medicare paid.
- 1Medicare inpatient stays 1,207
- 2Charge ÷ paid, inpatient 3.42×
- 3Rank in VA (highest ratio = 1) 41 of 66
- 4CMS price-transparency actions 2
Inpatient stays
For the 40 DRGs that can be compared with the national average, Inova Mount Vernon Hospital charged more than the national average in 0 (0%). 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 | 230 | $56,129 | -38% | $16,539 |
| 291 Heart Failure and Shock with MCC | 82 | $41,553 | -26% | $10,875 |
| 177 Respiratory Infections and Inflammations with MCC | 59 | $41,908 | -41% | $13,817 |
| 193 Simple Pneumonia and Pleurisy with MCC | 52 | $41,106 | -31% | $11,733 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 51 | $93,864 | -24% | $23,609 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 45 | $33,641 | -31% | $10,499 |
| 467 Revision of Hip or Knee Replacement with CC | 43 | $96,498 | -39% | $28,942 |
| 689 Kidney and Urinary Tract Infections with MCC | 36 | $30,914 | -40% | $9,399 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 32 | $69,164 | -32% | $16,176 |
| 189 Pulmonary Edema and Respiratory Failure | 30 | $47,350 | -18% | $12,112 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 29 | $37,741 | -49% | $14,303 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 28 | $37,102 | -38% | $11,798 |
| 690 Kidney and Urinary Tract Infections without MCC | 27 | $24,362 | -36% | $7,410 |
| 378 Gastrointestinal Hemorrhage with CC | 26 | $31,263 | -36% | $8,351 |
| 389 Gastrointestinal Obstruction with CC | 26 | $22,861 | -41% | $7,243 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 25 | $37,867 | -33% | $10,297 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 25 | $99,357 | -57% | $35,921 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 23 | $41,977 | -25% | $8,830 |
| 683 Renal Failure with CC | 23 | $28,313 | -30% | $7,689 |
| 603 Cellulitis without MCC | 22 | $21,301 | -43% | $7,543 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 20 | $49,709 | -50% | $16,201 |
| 312 Syncope and Collapse | 20 | $29,715 | -35% | $10,267 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 20 | $66,190 | -29% | $15,385 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 19 | $29,647 | -26% | $8,423 |
| 377 Gastrointestinal Hemorrhage with MCC | 17 | $52,758 | -38% | $14,747 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 16 | $35,319 | -30% | $9,367 |
| 481 Hip and Femur Procedures except Major Joint with CC | 16 | $63,172 | -37% | $15,823 |
| 682 Renal Failure with MCC | 16 | $38,732 | -41% | $11,468 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 16 | $87,338 | -60% | $32,126 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 15 | $42,991 | -43% | $12,483 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $28,669 | -21% | $6,554 |
| 602 Cellulitis with MCC | 13 | $33,597 | -44% | $11,977 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $24,266 | -35% | $7,593 |
| 552 Medical Back Problems without MCC | 12 | $31,885 | -35% | $7,636 |
| 637 Diabetes with MCC | 12 | $49,186 | -26% | $13,467 |
| 180 Respiratory Neoplasms with MCC | 11 | $39,291 | -55% | $15,981 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 11 | $45,590 | -62% | $17,153 |
| 643 Endocrine Disorders with MCC | 11 | $46,970 | -37% | $14,792 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $27,602 | -42% | $8,459 |
| 811 Red Blood Cell Disorders with MCC | 11 | $50,897 | -25% | $11,438 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 706 | $41,684 | $12,158 |
| Comprehensive Observation Services | 648 | $20,349 | $2,545 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 268 | $5,557 | $1,503 |
| Level 6 Musculoskeletal Procedures | 122 | $53,736 | $17,178 |
| Level 1 Laparoscopy and Related Services | 58 | $36,573 | $5,411 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 52 | $14,804 | $2,665 |
| Level 3 Vascular Procedures | 47 | $11,481 | $2,989 |
| Level 4 Musculoskeletal Procedures | 36 | $28,957 | $6,708 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 35 | $14,880 | $3,170 |
| Level 3 Lower GI Procedures | 33 | $5,978 | $2,632 |
| Level 2 Musculoskeletal Procedures | 29 | $10,200 | $1,507 |
| Level 3 Musculoskeletal Procedures | 23 | $15,036 | $3,035 |
| Level 2 Upper GI Procedures | 23 | $6,114 | $1,722 |
| Level 2 Vascular Procedures | 21 | $6,843 | $1,502 |
| Level 1 Nerve Procedures | 12 | $9,290 | $1,811 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 11 | $18,174 | $3,315 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 11 | $30,631 | $6,115 |
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Inova Mount Vernon Hospital charged $56,129 on average, 14% less than the Virginia average of $65,235, and was paid $16,539 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Inova Mount Vernon Hospital charged $41,553 on average, 2% more than the Virginia average of $40,795, and was paid $10,875 against a state average of $11,030. For Respiratory Infections and Inflammations with MCC (DRG 177), Inova Mount Vernon Hospital charged $41,908 on average, 15% less than the Virginia average of $49,485, and was paid $13,817 against a state average of $13,709. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Inova Mount Vernon Hospital charged $41,106 on average, 8% less than the Virginia average of $44,717, and was paid $11,733 against a state average of $11,065. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $41,684 was 50% below the state average of $83,920. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,349 was 4% above the state average of $19,506. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,557 was 50% below the state average of $11,217. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $53,736 was 53% below the state average of $113,861.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Inova Mount Vernon 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 754)
- Closure Notice — 2022-04-12 (CMS case 754)
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.