Medical College of Virginia Hospitals: charges and Medicare payments

Medical College of Virginia Hospitals reported 5,426 Medicare inpatient stays across 172 DRGs in 2024. Across them it charged 4.03 times what it was paid — mid-range in Virginia, number 26 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: 339 stays at an average charge of $118,071, 31% above the national average. It also billed 6,455 outpatient services, charging 9.08 times what Medicare paid.

1Medicare inpatient stays 5,426
2Charge ÷ paid, inpatient 4.03×
3Rank in VA (highest ratio = 1) 26 of 66
4CMS price-transparency actions 0

Average charge per stay at Medical College of Virginia Hospitals, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 172 DRGs that can be compared with the national average, Medical College of Virginia Hospitals charged more than the national average in 135 (78%). 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	339	$118,071	+31%	$30,173
291 Heart Failure and Shock with MCC	230	$76,701	+36%	$22,298
274 Percutaneous and Other Intracardiac Procedures without MCC	138	$108,708	-31%	$31,739
698 Other Kidney and Urinary Tract Diagnoses with MCC	119	$80,852	+10%	$25,765
286 Circulatory Disorders except AMI, with Cardiac...	95	$164,636	+47%	$42,438
309 Cardiac Arrhythmia and Conduction Disorders with CC	93	$34,976	-3%	$11,657
193 Simple Pneumonia and Pleurisy with MCC	84	$66,030	+10%	$19,951
177 Respiratory Infections and Inflammations with MCC	76	$78,724	+12%	$24,732
330 Major Small and Large Bowel Procedures with CC	76	$136,015	+14%	$31,562
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	74	$47,986	+19%	$13,532
470 Major Hip and Knee Joint Replacement or Reattachment of...	74	$86,175	-8%	$20,543
699 Other Kidney and Urinary Tract Diagnoses with CC	74	$54,256	+14%	$16,070
812 Red Blood Cell Disorders without MCC	70	$42,056	-5%	$13,926
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	67	$116,976	+17%	$29,246
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	66	$95,898	+59%	$26,444
853 Infectious and Parasitic Diseases with O.R. Procedures with...	66	$379,092	+66%	$99,222
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	65	$52,016	+6%	$15,943
164 Major Chest Procedures with CC	64	$130,731	+3%	$30,026
267 Endovascular Cardiac Valve Replacement and Supplement...	61	$136,943	-38%	$43,704
650 Kidney Transplant with Hemodialysis with MCC	61	$464,544	+11%	$62,355
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	59	$26,573	-8%	$9,411
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	55	$71,658	+29%	$16,894
690 Kidney and Urinary Tract Infections without MCC	53	$43,630	+15%	$13,843
189 Pulmonary Edema and Respiratory Failure	52	$62,840	+9%	$18,392
280 Acute Myocardial Infarction, Discharged Alive with MCC	52	$114,940	+52%	$28,250
378 Gastrointestinal Hemorrhage with CC	51	$60,212	+24%	$14,089
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	51	$135,479	+57%	$33,409
314 Other Circulatory System Diagnoses with MCC	48	$110,793	+17%	$30,641
101 Seizures without MCC	46	$55,672	+14%	$15,505
652 Kidney Transplant	46	$370,706	+10%	$48,490
467 Revision of Hip or Knee Replacement with CC	44	$162,978	+3%	$36,889
312 Syncope and Collapse	43	$61,525	+35%	$15,026
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	43	$53,753	+45%	$13,960
834 Acute Leukemia with MCC	43	$314,670	+10%	$86,581
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	42	$105,846	+56%	$24,622
468 Revision of Hip or Knee Replacement without CC/MCC	40	$116,718	-6%	$29,123
682 Renal Failure with MCC	39	$79,489	+21%	$22,514
003 ECMO or Tracheostomy with MV >96 Hours or Principal...	38	$1,059,500	+1%	$291,781
481 Hip and Femur Procedures except Major Joint with CC	38	$146,494	+45%	$25,867
603 Cellulitis without MCC	38	$46,036	+23%	$16,865
683 Renal Failure with CC	38	$44,141	+8%	$14,010
689 Kidney and Urinary Tract Infections with MCC	38	$61,131	+19%	$18,248
025 Craniotomy and Endovascular Intracranial Procedures with MCC	37	$210,534	-9%	$51,164
023 Craniotomy with Major Device Implant or Acute Complex Cns...	35	$289,499	+3%	$76,745
163 Major Chest Procedures with MCC	35	$196,755	-7%	$63,094
552 Medical Back Problems without MCC	34	$53,586	+10%	$14,665
315 Other Circulatory System Diagnoses with CC	33	$59,184	+23%	$14,851
243 Permanent Cardiac Pacemaker Implant with CC	32	$97,667	-12%	$26,189
057 Degenerative Nervous System Disorders without MCC	31	$72,516	+28%	$26,039
811 Red Blood Cell Disorders with MCC	31	$77,299	+13%	$22,533
027 Craniotomy and Endovascular Intracranial Procedures without...	29	$145,574	+4%	$26,505
236 Coronary Bypass without Cardiac Catheterization without MCC	29	$247,357	+17%	$47,546
322 Percutaneous Cardiovascular Procedures with Intraluminal...	29	$141,352	+23%	$23,141
026 Craniotomy and Endovascular Intracranial Procedures with CC	28	$127,375	-23%	$29,695
184 Major Chest Trauma with CC	28	$84,495	+52%	$16,261
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	28	$448,032	+12%	$103,849
308 Cardiac Arrhythmia and Conduction Disorders with MCC	28	$64,641	+14%	$17,024
389 Gastrointestinal Obstruction with CC	28	$42,748	+10%	$13,261
460 Spinal Fusion except Cervical without MCC	28	$179,325	+5%	$42,524
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	28	$230,499	+7%	$63,207

Showing the 60 most frequent of 172 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	557	$27,796	$2,314
Level 2 Excision/ Biopsy/ Incision and Drainage	523	$14,234	$1,384
Level 3 Excision/ Biopsy/ Incision and Drainage	493	$32,044	$2,416
Level 2 Urology and Related Services	400	$2,605	$520
Level 1 Endovascular Procedures	358	$28,690	$2,768
Level 3 Electrophysiologic Procedures	329	$138,703	$20,197
Level 3 Vascular Procedures	298	$20,193	$2,736
Level 2 Upper GI Procedures	282	$13,257	$1,590
Level 3 Urology and Related Services	276	$10,858	$1,485
Level 5 Musculoskeletal Procedures	223	$64,980	$11,161
Level 1 Nerve Procedures	163	$9,095	$1,666
Level 2 Vascular Procedures	146	$9,201	$1,316
Level 3 Pacemaker and Similar Procedures	146	$47,971	$9,153
Level 3 Airway Endoscopy	143	$10,035	$1,442
Level 2 Breast/Lymphatic Surgery and Related Procedures	133	$75,245	$5,590
Level 4 Vascular Procedures	129	$38,549	$4,611
Level 1 Intraocular Procedures	129	$19,466	$1,986
Level 1 Laparoscopy and Related Services	110	$54,837	$4,834
Level 3 Endovascular Procedures	108	$78,423	$9,341
Level 4 Musculoskeletal Procedures	103	$57,173	$5,899
Level 4 Airway Endoscopy	100	$30,963	$3,230
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	91	$26,164	$2,895
Level 5 ENT Procedures	88	$50,809	$5,006
Level 5 Airway Endoscopy	79	$57,647	$5,841
Level 1 Breast/Lymphatic Surgery and Related Procedures	74	$44,176	$3,218

Against the Virginia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Medical College of Virginia Hospitals charged $118,071 on average, 81% more than the Virginia average of $65,235, and was paid $30,173 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Medical College of Virginia Hospitals charged $76,701 on average, 88% more than the Virginia average of $40,795, and was paid $22,298 against a state average of $11,030. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Medical College of Virginia Hospitals charged $108,708 on average, 40% less than the Virginia average of $181,540, and was paid $31,739 against a state average of $26,262. For Other Kidney and Urinary Tract Diagnoses with MCC (DRG 698), Medical College of Virginia Hospitals charged $80,852 on average, 55% more than the Virginia average of $52,324, and was paid $25,765 against a state average of $14,153. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $27,796 was 42% above the state average of $19,506. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $14,234 was 27% above the state average of $11,217. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $32,044 was 40% above the state average of $22,901. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,605 was 1% below the state average of $2,642.

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.