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.

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  1. 1Medicare inpatient stays 6,414
  2. 2Charge ÷ paid, inpatient 2.8×
  3. 3Rank in VA (highest ratio = 1) 56 of 66
  4. 4CMS price-transparency actions 0
DRG 871$40,886DRG 291$21,250DRG 193$21,906DRG 177$28,254DRG 689$18,252DRG 274$99,431DRG 280$27,168DRG 885$29,984DRG 872$24,253DRG 682$22,924
Average charge per stay at Mary Washington Hospital, Inc, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

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.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC609$40,886-55%$14,972
291 Heart Failure and Shock with MCC356$21,250-62%$9,837
193 Simple Pneumonia and Pleurisy with MCC208$21,906-63%$10,329
177 Respiratory Infections and Inflammations with MCC203$28,254-60%$12,476
689 Kidney and Urinary Tract Infections with MCC152$18,252-64%$9,001
274 Percutaneous and Other Intracardiac Procedures without MCC143$99,431-37%$24,659
280 Acute Myocardial Infarction, Discharged Alive with MCC137$27,168-64%$12,044
885 Psychoses128$29,984-32%$11,179
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC115$24,253-51%$8,399
682 Renal Failure with MCC112$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 CC103$16,294-60%$7,067
603 Cellulitis without MCC99$15,915-57%$7,097
690 Kidney and Urinary Tract Infections without MCC95$14,613-61%$6,514
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...93$26,687-52%$7,963
378 Gastrointestinal Hemorrhage with CC92$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 MCC88$26,343-64%$12,158
312 Syncope and Collapse86$21,182-53%$7,016
064 Intracranial Hemorrhage or Cerebral Infarction with MCC83$35,639-64%$14,283
190 Chronic Obstructive Pulmonary Disease with MCC80$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 CC75$17,140-53%$6,026
189 Pulmonary Edema and Respiratory Failure74$28,147-51%$9,856
481 Hip and Femur Procedures except Major Joint with CC70$42,739-58%$15,287
377 Gastrointestinal Hemorrhage with MCC62$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 MCC54$24,543-57%$9,864
164 Major Chest Procedures with CC50$35,605-72%$19,020
194 Simple Pneumonia and Pleurisy with CC47$14,786-61%$6,954
281 Acute Myocardial Infarction, Discharged Alive with CC45$21,966-56%$7,215
552 Medical Back Problems without MCC45$19,563-60%$8,007
638 Diabetes with CC44$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 MCC42$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 MCC40$69,311-50%$22,391
313 Chest Pain39$19,643-51%$5,804
314 Other Circulatory System Diagnoses with MCC39$29,778-69%$15,167
267 Endovascular Cardiac Valve Replacement and Supplement...38$183,192-17%$38,631
394 Other Digestive System Diagnoses with CC38$21,211-55%$7,686
699 Other Kidney and Urinary Tract Diagnoses with CC38$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 MCC35$26,154-62%$10,806
813 Coagulation Disorders35$31,862-60%$11,295
243 Permanent Cardiac Pacemaker Implant with CC34$62,940-43%$18,556
643 Endocrine Disorders with MCC34$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 Pulmonale33$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 CC33$46,872-61%$19,512
178 Respiratory Infections and Inflammations with CC31$23,657-48%$7,545
242 Permanent Cardiac Pacemaker Implant with MCC31$92,489-42%$25,679
057 Degenerative Nervous System Disorders without MCC30$22,800-60%$9,642
305 Hypertension without MCC29$17,563-56%$6,500
329 Major Small and Large Bowel Procedures with MCC29$92,516-57%$35,836
602 Cellulitis with MCC28$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.