Virginia / Sentara Norfolk General Hospital
CMS certification 490007 · Norfolk, VA · 5 entries in CMS's price-transparency list
Sentara Norfolk General Hospital: charges and Medicare payments
Sentara Norfolk General Hospital reported 5,382 Medicare inpatient stays across 139 DRGs in 2024. Across them it charged 3.8 times what it was paid — mid-range in Virginia, number 31 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: 315 stays at an average charge of $87,872, 3% below the national average. It also billed 4,849 outpatient services, charging 6.84 times what Medicare paid.
- 1Medicare inpatient stays 5,382
- 2Charge ÷ paid, inpatient 3.8×
- 3Rank in VA (highest ratio = 1) 31 of 66
- 4CMS price-transparency actions 5
Inpatient stays
For the 139 DRGs that can be compared with the national average, Sentara Norfolk General Hospital charged more than the national average in 10 (7%). 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 | 315 | $87,872 | -3% | $21,522 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 303 | $70,024 | -55% | $27,465 |
| 291 Heart Failure and Shock with MCC | 251 | $50,754 | -10% | $14,058 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 201 | $120,378 | -46% | $39,611 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 191 | $159,796 | -44% | $52,066 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 165 | $74,027 | -2% | $18,134 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 117 | $216,726 | -26% | $56,568 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 92 | $112,084 | 0% | $24,373 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 91 | $163,736 | -22% | $39,795 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 87 | $84,430 | -15% | $19,426 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 85 | $307,867 | -23% | $73,550 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 85 | $96,102 | -16% | $19,537 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 79 | $39,490 | -19% | $11,972 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 77 | $24,920 | -31% | $8,998 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 75 | $211,503 | -8% | $51,105 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 73 | $140,413 | -14% | $30,811 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 73 | $82,263 | +12% | $19,755 |
| 312 Syncope and Collapse | 68 | $41,448 | -9% | $9,540 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 56 | $56,768 | -11% | $12,609 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 51 | $49,746 | -11% | $11,337 |
| 177 Respiratory Infections and Inflammations with MCC | 51 | $62,365 | -12% | $17,124 |
| 252 Other Vascular Procedures with MCC | 49 | $150,724 | -12% | $36,743 |
| 812 Red Blood Cell Disorders without MCC | 49 | $27,280 | -39% | $11,128 |
| 314 Other Circulatory System Diagnoses with MCC | 47 | $73,058 | -23% | $20,849 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 46 | $25,682 | -11% | $6,429 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 44 | $65,207 | +15% | $14,925 |
| 216 Cardiac Valve and Other Major Cardiothoracic Procedures with... | 43 | $366,091 | -26% | $81,516 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 43 | $40,835 | -19% | $10,492 |
| 683 Renal Failure with CC | 43 | $32,563 | -20% | $10,263 |
| 689 Kidney and Urinary Tract Infections with MCC | 42 | $42,291 | -18% | $12,233 |
| 481 Hip and Femur Procedures except Major Joint with CC | 41 | $95,218 | -5% | $20,732 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 40 | $149,940 | -35% | $40,391 |
| 378 Gastrointestinal Hemorrhage with CC | 40 | $41,446 | -15% | $10,416 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 39 | $780,636 | -26% | $215,746 |
| 184 Major Chest Trauma with CC | 39 | $37,221 | -33% | $11,189 |
| 193 Simple Pneumonia and Pleurisy with MCC | 39 | $54,010 | -10% | $14,566 |
| 319 Other Endovascular Cardiac Valve Procedures with MCC | 38 | $144,545 | -39% | $41,727 |
| 377 Gastrointestinal Hemorrhage with MCC | 38 | $71,287 | -17% | $18,262 |
| 682 Renal Failure with MCC | 38 | $50,637 | -23% | $15,191 |
| 189 Pulmonary Edema and Respiratory Failure | 37 | $60,757 | +6% | $14,500 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 37 | $255,357 | -34% | $73,337 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 36 | $198,338 | -29% | $50,583 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 36 | $42,617 | -10% | $11,642 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 36 | $166,723 | -23% | $41,725 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 33 | $139,309 | -13% | $32,003 |
| 270 Other Major Cardiovascular Procedures with MCC | 33 | $175,442 | -32% | $47,494 |
| 271 Other Major Cardiovascular Procedures with CC | 33 | $126,623 | -27% | $37,263 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 33 | $49,870 | -17% | $13,274 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 32 | $205,785 | -25% | $45,133 |
| 069 Transient Ischemia without Thrombolytic | 31 | $36,979 | -27% | $8,433 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 31 | $36,852 | -8% | $9,527 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 31 | $37,154 | 0% | $8,574 |
| 690 Kidney and Urinary Tract Infections without MCC | 31 | $27,760 | -27% | $8,744 |
| 164 Major Chest Procedures with CC | 29 | $93,809 | -26% | $28,167 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 29 | $59,008 | -9% | $16,437 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 28 | $81,682 | -26% | $21,335 |
| 324 Coronary Intravascular Lithotripsy with Intraluminal Device... | 28 | $128,797 | -26% | $31,466 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 28 | $176,471 | -37% | $50,880 |
| 552 Medical Back Problems without MCC | 28 | $43,163 | -12% | $11,204 |
| 638 Diabetes with CC | 28 | $37,879 | -9% | $9,606 |
Showing the 60 most frequent of 139 DRGs.
Outpatient services
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sentara Norfolk General Hospital charged $87,872 on average, 35% more than the Virginia average of $65,235, and was paid $21,522 against a state average of $16,367. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Sentara Norfolk General Hospital charged $70,024 on average, 61% less than the Virginia average of $181,540, and was paid $27,465 against a state average of $26,262. For Heart Failure and Shock with MCC (DRG 291), Sentara Norfolk General Hospital charged $50,754 on average, 24% more than the Virginia average of $40,795, and was paid $14,058 against a state average of $11,030. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Sentara Norfolk General Hospital charged $120,378 on average, 43% less than the Virginia average of $211,119, and was paid $39,611 against a state average of $39,829. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $31,169 was 2% below the state average of $31,869. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $89,697 was 46% below the state average of $167,325. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $15,572 was 39% above the state average of $11,217. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $63,558 was 22% below the state average of $81,535.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Sentara Norfolk General 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 382)
- CAP Request — 2022-01-12 (CMS case 382)
- Closure Notice — 2022-03-23 (CMS case 382)
- Met Requirements — 2024-03-11 (CMS case 1599)
- Met Requirements — 2025-03-24 (CMS case 3380)
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.