Virginia / Sentara Leigh Hospital

CMS certification 490046 · Norfolk, VA · 3 entries in CMS's price-transparency list

Sentara Leigh Hospital: charges and Medicare payments

Sentara Leigh Hospital reported 4,228 Medicare inpatient stays across 98 DRGs in 2024. Across them it charged 4.07 times what it was paid — mid-range in Virginia, number 25 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: 712 stays at an average charge of $59,928, 34% below the national average. It also billed 4,937 outpatient services, charging 6.34 times what Medicare paid.

1Medicare inpatient stays 4,228
2Charge ÷ paid, inpatient 4.07×
3Rank in VA (highest ratio = 1) 25 of 66
4CMS price-transparency actions 3

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

Inpatient stays

For the 98 DRGs that can be compared with the national average, Sentara Leigh Hospital charged more than the national average in 2 (2%). 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	712	$59,928	-34%	$14,746
291 Heart Failure and Shock with MCC	280	$36,650	-35%	$9,875
280 Acute Myocardial Infarction, Discharged Alive with MCC	207	$49,584	-35%	$11,812
853 Infectious and Parasitic Diseases with O.R. Procedures with...	121	$135,916	-41%	$35,648
698 Other Kidney and Urinary Tract Diagnoses with MCC	115	$52,043	-29%	$11,896
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	110	$33,441	-32%	$8,145
193 Simple Pneumonia and Pleurisy with MCC	102	$39,093	-35%	$9,722
177 Respiratory Infections and Inflammations with MCC	100	$42,028	-40%	$12,492
377 Gastrointestinal Hemorrhage with MCC	88	$59,057	-31%	$13,578
689 Kidney and Urinary Tract Infections with MCC	85	$32,486	-37%	$9,326
683 Renal Failure with CC	74	$31,208	-23%	$7,347
378 Gastrointestinal Hemorrhage with CC	68	$35,014	-28%	$7,831
682 Renal Failure with MCC	68	$41,191	-38%	$10,628
281 Acute Myocardial Infarction, Discharged Alive with CC	65	$39,762	-21%	$6,952
690 Kidney and Urinary Tract Infections without MCC	63	$29,750	-21%	$6,330
870 Septicemia or Severe Sepsis with MV >96 Hours	61	$172,870	-47%	$47,294
190 Chronic Obstructive Pulmonary Disease with MCC	57	$39,142	-23%	$8,096
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	54	$38,257	-37%	$10,093
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	53	$43,680	-22%	$7,816
189 Pulmonary Edema and Respiratory Failure	53	$36,744	-36%	$9,025
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	52	$57,460	-42%	$14,365
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	51	$31,560	-21%	$6,634
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	47	$27,109	-27%	$6,125
481 Hip and Femur Procedures except Major Joint with CC	46	$61,086	-39%	$14,361
308 Cardiac Arrhythmia and Conduction Disorders with MCC	42	$39,968	-29%	$11,331
854 Infectious and Parasitic Diseases with O.R. Procedures with...	42	$61,312	-38%	$15,535
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	40	$47,213	-28%	$11,135
309 Cardiac Arrhythmia and Conduction Disorders with CC	39	$28,657	-21%	$6,755
470 Major Hip and Knee Joint Replacement or Reattachment of...	37	$54,979	-41%	$13,976
603 Cellulitis without MCC	36	$21,758	-42%	$7,122
467 Revision of Hip or Knee Replacement with CC	33	$76,712	-51%	$21,413
638 Diabetes with CC	33	$23,985	-42%	$6,853
312 Syncope and Collapse	32	$38,813	-15%	$7,356
468 Revision of Hip or Knee Replacement without CC/MCC	31	$68,192	-45%	$19,811
811 Red Blood Cell Disorders with MCC	31	$41,229	-40%	$11,248
286 Circulatory Disorders except AMI, with Cardiac...	30	$77,348	-31%	$15,468
314 Other Circulatory System Diagnoses with MCC	30	$53,560	-44%	$14,242
330 Major Small and Large Bowel Procedures with CC	29	$81,217	-32%	$16,833
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	29	$61,113	-40%	$14,005
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	28	$37,987	-38%	$9,523
480 Hip and Femur Procedures except Major Joint with MCC	28	$85,600	-38%	$22,009
329 Major Small and Large Bowel Procedures with MCC	27	$153,067	-29%	$37,914
322 Percutaneous Cardiovascular Procedures with Intraluminal...	26	$93,452	-18%	$13,970
637 Diabetes with MCC	26	$39,504	-41%	$11,377
617 Amputation of Lower Limb for Endocrine, Nutritional and...	25	$47,052	-46%	$14,335
069 Transient Ischemia without Thrombolytic	24	$34,104	-32%	$6,563
699 Other Kidney and Urinary Tract Diagnoses with CC	24	$26,969	-43%	$7,205
070 Other Cerebrovascular Disorders with MCC	23	$55,276	-27%	$12,700
389 Gastrointestinal Obstruction with CC	23	$29,618	-24%	$6,907
643 Endocrine Disorders with MCC	23	$41,591	-44%	$13,069
812 Red Blood Cell Disorders without MCC	22	$31,233	-30%	$6,915
164 Major Chest Procedures with CC	21	$85,245	-33%	$18,982
313 Chest Pain	21	$32,273	-19%	$6,117
393 Other Digestive System Diagnoses with MCC	21	$41,011	-47%	$12,747
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	20	$40,028	-8%	$5,621
659 Kidney and Ureter Procedures for Non-Neoplasm with MCC	20	$84,695	-29%	$21,181
194 Simple Pneumonia and Pleurisy with CC	19	$30,640	-20%	$6,792
287 Circulatory Disorders except AMI, with Cardiac...	19	$46,102	-28%	$9,290
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	19	$50,132	-26%	$12,798
176 Pulmonary Embolism without MCC	18	$32,864	-21%	$7,047

Showing the 60 most frequent of 98 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 5 Musculoskeletal Procedures	999	$42,320	$11,313
Comprehensive Observation Services	983	$22,958	$2,335
Level 2 Excision/ Biopsy/ Incision and Drainage	347	$13,337	$1,395
Level 1 Intraocular Procedures	345	$13,856	$1,996
Level 3 Musculoskeletal Procedures	208	$18,839	$2,795
Level 6 Musculoskeletal Procedures	199	$55,155	$15,963
Level 4 Musculoskeletal Procedures	172	$34,507	$6,196
Level 2 Musculoskeletal Procedures	163	$12,130	$1,351
Level 2 Upper GI Procedures	160	$8,663	$1,647
Level 3 Vascular Procedures	147	$17,147	$2,758
Level 1 Laparoscopy and Related Services	133	$33,726	$4,904
Level 3 Excision/ Biopsy/ Incision and Drainage	125	$23,942	$2,409
Level 1 Nerve Procedures	115	$13,929	$1,668
Level 1 Endovascular Procedures	95	$30,334	$2,775
Level 2 Breast/Lymphatic Surgery and Related Procedures	93	$31,147	$5,577
Level 1 Breast/Lymphatic Surgery and Related Procedures	91	$19,183	$3,259
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	70	$24,353	$3,010
Level 2 Vascular Procedures	60	$7,790	$1,375
Level 4 Gynecologic Procedures	60	$18,667	$2,613
Level 3 Extraocular, Repair, and Plastic Eye Procedures	50	$14,415	$2,001
Level 2 Intraocular Procedures	42	$20,426	$3,471
Level 3 Urology and Related Services	36	$14,372	$1,772
Level 4 Urology and Related Services	30	$21,397	$2,953
Level 5 Urology and Related Services	28	$28,736	$4,502
Level 6 Urology and Related Services	25	$47,071	$7,760

Against the Virginia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sentara Leigh Hospital charged $59,928 on average, 8% less than the Virginia average of $65,235, and was paid $14,746 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Sentara Leigh Hospital charged $36,650 on average, 10% less than the Virginia average of $40,795, and was paid $9,875 against a state average of $11,030. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Sentara Leigh Hospital charged $49,584 on average, 14% less than the Virginia average of $57,438, and was paid $11,812 against a state average of $13,197. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Sentara Leigh Hospital charged $135,916 on average, 23% less than the Virginia average of $177,241, and was paid $35,648 against a state average of $42,202. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $42,320 was 50% below the state average of $83,920. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,958 was 18% above the state average of $19,506. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,337 was 19% above the state average of $11,217. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $13,856 was 18% above the state average of $11,766.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Sentara Leigh Hospital in Norfolk, VA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2021-07-20 (CMS case 172)
CAP Request — 2022-01-12 (CMS case 172)
Closure Notice — 2022-03-09 (CMS case 172)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

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.