Virginia / Riverside Walter Reed Hospital
CMS certification 490130 · Gloucester, VA
Riverside Walter Reed Hospital: charges and Medicare payments
Riverside Walter Reed Hospital reported 489 Medicare inpatient stays across 14 DRGs in 2024. Across them it charged 2.82 times what it was paid — among the lower ratios in Virginia, number 55 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: 190 stays at an average charge of $32,686, 64% below the national average. It also billed 1,463 outpatient services, charging 5.44 times what Medicare paid.
- 1Medicare inpatient stays 489
- 2Charge ÷ paid, inpatient 2.82×
- 3Rank in VA (highest ratio = 1) 55 of 66
- 4CMS price-transparency actions 0
Inpatient stays
For the 14 DRGs that can be compared with the national average, Riverside Walter Reed 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 | 190 | $32,686 | -64% | $12,996 |
| 291 Heart Failure and Shock with MCC | 65 | $26,616 | -53% | $8,729 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 54 | $23,844 | -51% | $6,993 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 29 | $41,246 | -56% | $12,729 |
| 378 Gastrointestinal Hemorrhage with CC | 25 | $21,966 | -55% | $6,097 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $21,757 | -62% | $9,401 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 16 | $17,440 | -52% | $5,187 |
| 683 Renal Failure with CC | 15 | $20,025 | -51% | $5,796 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 14 | $29,346 | -47% | $6,329 |
| 193 Simple Pneumonia and Pleurisy with MCC | 13 | $20,669 | -65% | $8,693 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $24,873 | -67% | $9,221 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $29,659 | -65% | $11,353 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $25,556 | -58% | $8,637 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $18,840 | -49% | $5,613 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 2 Urology and Related Services | 286 | $1,953 | $588 |
| Comprehensive Observation Services | 235 | $14,452 | $2,313 |
| Level 1 Intraocular Procedures | 227 | $10,625 | $2,006 |
| Level 5 Musculoskeletal Procedures | 97 | $37,719 | $11,318 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 96 | $5,397 | $1,382 |
| Level 3 Urology and Related Services | 88 | $5,355 | $1,754 |
| Level 4 Urology and Related Services | 75 | $13,336 | $2,874 |
| Level 5 Urology and Related Services | 64 | $20,003 | $4,400 |
| Level 3 Vascular Procedures | 57 | $16,412 | $2,581 |
| Level 1 Laparoscopy and Related Services | 52 | $19,277 | $4,740 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 45 | $14,690 | $2,979 |
| Level 4 Musculoskeletal Procedures | 35 | $28,199 | $5,879 |
| Level 2 Musculoskeletal Procedures | 23 | $8,958 | $1,384 |
| Level 3 Intraocular Procedures | 22 | $14,409 | $4,500 |
| Level 2 Vascular Procedures | 21 | $5,772 | $1,379 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 16 | $23,731 | $5,615 |
| Level 6 Musculoskeletal Procedures | 13 | $66,097 | $16,013 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 11 | $13,428 | $3,282 |
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Riverside Walter Reed Hospital charged $32,686 on average, 50% less than the Virginia average of $65,235, and was paid $12,996 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Riverside Walter Reed Hospital charged $26,616 on average, 35% less than the Virginia average of $40,795, and was paid $8,729 against a state average of $11,030. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Riverside Walter Reed Hospital charged $23,844 on average, 36% less than the Virginia average of $37,022, and was paid $6,993 against a state average of $8,962. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Riverside Walter Reed Hospital charged $41,246 on average, 62% less than the Virginia average of $107,897, and was paid $12,729 against a state average of $15,677. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,953 was 26% below the state average of $2,642. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,452 was 26% below the state average of $19,506. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,625 was 10% below the state average of $11,766. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $37,719 was 55% below the state average of $83,920.
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.