Virginia / Mary Washington Hospital, Inc
CMS certification 490022 · Fredericksburg, VA
Mary Washington Hospital, Inc: charges and Medicare payments
Mary Washington Hospital, Inc reported 6,414 Medicare inpatient stays across 142 DRGs in 2024. Across them it charged 2.8 times what it was paid — among the lower ratios in Virginia, number 56 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: 609 stays at an average charge of $40,886, 55% below the national average. It also billed 4,757 outpatient services, charging 5.05 times what Medicare paid.
- 1Medicare inpatient stays 6,414
- 2Charge ÷ paid, inpatient 2.8×
- 3Rank in VA (highest ratio = 1) 56 of 66
- 4CMS price-transparency actions 0
Inpatient stays
For the 142 DRGs that can be compared with the national average, Mary Washington Hospital, Inc 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 | 609 | $40,886 | -55% | $14,972 |
| 291 Heart Failure and Shock with MCC | 356 | $21,250 | -62% | $9,837 |
| 193 Simple Pneumonia and Pleurisy with MCC | 208 | $21,906 | -63% | $10,329 |
| 177 Respiratory Infections and Inflammations with MCC | 203 | $28,254 | -60% | $12,476 |
| 689 Kidney and Urinary Tract Infections with MCC | 152 | $18,252 | -64% | $9,001 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 143 | $99,431 | -37% | $24,659 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 137 | $27,168 | -64% | $12,044 |
| 885 Psychoses | 128 | $29,984 | -32% | $11,179 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 115 | $24,253 | -51% | $8,399 |
| 682 Renal Failure with MCC | 112 | $22,924 | -65% | $11,193 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 107 | $116,885 | -49% | $38,606 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 105 | $17,486 | -56% | $6,620 |
| 683 Renal Failure with CC | 103 | $16,294 | -60% | $7,067 |
| 603 Cellulitis without MCC | 99 | $15,915 | -57% | $7,097 |
| 690 Kidney and Urinary Tract Infections without MCC | 95 | $14,613 | -61% | $6,514 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 93 | $26,687 | -52% | $7,963 |
| 378 Gastrointestinal Hemorrhage with CC | 92 | $23,993 | -51% | $7,846 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 89 | $21,031 | -65% | $10,070 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 88 | $26,343 | -64% | $12,158 |
| 312 Syncope and Collapse | 86 | $21,182 | -53% | $7,016 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 83 | $35,639 | -64% | $14,283 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 80 | $21,403 | -58% | $9,081 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 79 | $14,531 | -61% | $6,378 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 75 | $17,140 | -53% | $6,026 |
| 189 Pulmonary Edema and Respiratory Failure | 74 | $28,147 | -51% | $9,856 |
| 481 Hip and Femur Procedures except Major Joint with CC | 70 | $42,739 | -58% | $15,287 |
| 377 Gastrointestinal Hemorrhage with MCC | 62 | $45,033 | -47% | $14,184 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 61 | $72,579 | -37% | $15,016 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 56 | $81,186 | -50% | $21,847 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 54 | $24,543 | -57% | $9,864 |
| 164 Major Chest Procedures with CC | 50 | $35,605 | -72% | $19,020 |
| 194 Simple Pneumonia and Pleurisy with CC | 47 | $14,786 | -61% | $6,954 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 45 | $21,966 | -56% | $7,215 |
| 552 Medical Back Problems without MCC | 45 | $19,563 | -60% | $8,007 |
| 638 Diabetes with CC | 44 | $16,194 | -61% | $7,413 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 43 | $41,488 | -59% | $16,118 |
| 163 Major Chest Procedures with MCC | 42 | $89,097 | -58% | $37,203 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 41 | $20,431 | -67% | $10,483 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 40 | $69,311 | -50% | $22,391 |
| 313 Chest Pain | 39 | $19,643 | -51% | $5,804 |
| 314 Other Circulatory System Diagnoses with MCC | 39 | $29,778 | -69% | $15,167 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 38 | $183,192 | -17% | $38,631 |
| 394 Other Digestive System Diagnoses with CC | 38 | $21,211 | -55% | $7,686 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 38 | $15,483 | -67% | $7,780 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 37 | $180,807 | -37% | $47,578 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 35 | $47,291 | -58% | $16,000 |
| 811 Red Blood Cell Disorders with MCC | 35 | $26,154 | -62% | $10,806 |
| 813 Coagulation Disorders | 35 | $31,862 | -60% | $11,295 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 34 | $62,940 | -43% | $18,556 |
| 643 Endocrine Disorders with MCC | 34 | $22,739 | -69% | $12,854 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 34 | $110,582 | -49% | $35,051 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 33 | $31,687 | -51% | $10,966 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 33 | $36,600 | -43% | $9,385 |
| 330 Major Small and Large Bowel Procedures with CC | 33 | $46,872 | -61% | $19,512 |
| 178 Respiratory Infections and Inflammations with CC | 31 | $23,657 | -48% | $7,545 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 31 | $92,489 | -42% | $25,679 |
| 057 Degenerative Nervous System Disorders without MCC | 30 | $22,800 | -60% | $9,642 |
| 305 Hypertension without MCC | 29 | $17,563 | -56% | $6,500 |
| 329 Major Small and Large Bowel Procedures with MCC | 29 | $92,516 | -57% | $35,836 |
| 602 Cellulitis with MCC | 28 | $22,440 | -63% | $11,304 |
Showing the 60 most frequent of 142 DRGs.
Outpatient services
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mary Washington Hospital, Inc charged $40,886 on average, 37% less than the Virginia average of $65,235, and was paid $14,972 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Mary Washington Hospital, Inc charged $21,250 on average, 48% less than the Virginia average of $40,795, and was paid $9,837 against a state average of $11,030. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mary Washington Hospital, Inc charged $21,906 on average, 51% less than the Virginia average of $44,717, and was paid $10,329 against a state average of $11,065. For Respiratory Infections and Inflammations with MCC (DRG 177), Mary Washington Hospital, Inc charged $28,254 on average, 43% less than the Virginia average of $49,485, and was paid $12,476 against a state average of $13,709. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,647 was 35% below the state average of $19,506. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $31,906 was 62% below the state average of $83,920. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $17,050 was 46% below the state average of $31,869. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $54,296 was 33% below the state average of $81,535.
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.