Sentara Halifax Regional Hospital: charges and Medicare payments

Sentara Halifax Regional Hospital reported 647 Medicare inpatient stays across 24 DRGs in 2024. Across them it charged 2.9 times what it was paid — among the lower ratios in Virginia, number 50 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: 143 stays at an average charge of $39,065, 57% below the national average. It also billed 513 outpatient services, charging 8.07 times what Medicare paid.

1Medicare inpatient stays 647
2Charge ÷ paid, inpatient 2.9×
3Rank in VA (highest ratio = 1) 50 of 66
4CMS price-transparency actions 0

Average charge per stay at Sentara Halifax Regional Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 24 DRGs that can be compared with the national average, Sentara Halifax Regional 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	143	$39,065	-57%	$14,877
291 Heart Failure and Shock with MCC	96	$25,899	-54%	$10,153
177 Respiratory Infections and Inflammations with MCC	35	$38,347	-46%	$12,816
190 Chronic Obstructive Pulmonary Disease with MCC	31	$23,034	-54%	$8,647
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	27	$24,073	-51%	$8,510
191 Chronic Obstructive Pulmonary Disease with CC	24	$22,930	-42%	$6,936
698 Other Kidney and Urinary Tract Diagnoses with MCC	24	$27,222	-63%	$12,148
309 Cardiac Arrhythmia and Conduction Disorders with CC	23	$28,401	-21%	$6,355
683 Renal Failure with CC	23	$21,490	-47%	$7,770
682 Renal Failure with MCC	21	$26,184	-60%	$11,265
690 Kidney and Urinary Tract Infections without MCC	21	$21,432	-43%	$6,637
689 Kidney and Urinary Tract Infections with MCC	19	$30,252	-41%	$9,074
308 Cardiac Arrhythmia and Conduction Disorders with MCC	18	$44,366	-22%	$10,308
202 Bronchitis and Asthma with CC/MCC	16	$28,056	-39%	$9,570
189 Pulmonary Edema and Respiratory Failure	15	$27,963	-51%	$9,724
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	15	$23,158	-38%	$6,368
193 Simple Pneumonia and Pleurisy with MCC	14	$26,334	-56%	$10,342
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	13	$21,535	-46%	$6,466
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	12	$39,460	-29%	$8,015
312 Syncope and Collapse	12	$23,933	-47%	$7,428
481 Hip and Femur Procedures except Major Joint with CC	12	$68,219	-32%	$15,131
378 Gastrointestinal Hemorrhage with CC	11	$27,227	-44%	$7,893
603 Cellulitis without MCC	11	$22,529	-40%	$7,550
811 Red Blood Cell Disorders with MCC	11	$34,180	-50%	$10,839

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	279	$16,949	$2,583
Level 2 Upper GI Procedures	59	$8,664	$1,786
Level 1 Endovascular Procedures	37	$19,413	$3,055
Level 2 Excision/ Biopsy/ Incision and Drainage	31	$8,123	$1,543
Level 1 Nerve Procedures	18	$17,722	$1,837
Level 4 Gynecologic Procedures	16	$22,312	$2,975
Level 3 Vascular Procedures	15	$25,690	$2,550
Level 1 Laparoscopy and Related Services	14	$35,175	$5,491
Level 3 Excision/ Biopsy/ Incision and Drainage	11	$24,223	$2,704
Level 2 Musculoskeletal Procedures	11	$11,181	$1,530
Level 3 Musculoskeletal Procedures	11	$21,753	$3,080
Level 5 Musculoskeletal Procedures	11	$53,278	$12,506

Against the Virginia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sentara Halifax Regional Hospital charged $39,065 on average, 40% less than the Virginia average of $65,235, and was paid $14,877 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Sentara Halifax Regional Hospital charged $25,899 on average, 37% less than the Virginia average of $40,795, and was paid $10,153 against a state average of $11,030. For Respiratory Infections and Inflammations with MCC (DRG 177), Sentara Halifax Regional Hospital charged $38,347 on average, 23% less than the Virginia average of $49,485, and was paid $12,816 against a state average of $13,709. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), Sentara Halifax Regional Hospital charged $23,034 on average, 34% less than the Virginia average of $34,775, and was paid $8,647 against a state average of $9,373. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,949 was 13% below the state average of $19,506. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $8,664 was 37% below the state average of $13,852. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $19,413 was 39% below the state average of $31,869. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,123 was 28% below the state average of $11,217.

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.