Virginia / Sentara Northern Virginia Medical Center
CMS certification 490113 · Woodbridge, VA
Sentara Northern Virginia Medical Center: charges and Medicare payments
Sentara Northern Virginia Medical Center reported 1,831 Medicare inpatient stays across 51 DRGs in 2024. Across them it charged 3.8 times what it was paid — mid-range in Virginia, number 32 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: 336 stays at an average charge of $62,602, 31% below the national average. It also billed 1,439 outpatient services, charging 6.72 times what Medicare paid.
- 1Medicare inpatient stays 1,831
- 2Charge ÷ paid, inpatient 3.8×
- 3Rank in VA (highest ratio = 1) 32 of 66
- 4CMS price-transparency actions 0
Inpatient stays
For the 51 DRGs that can be compared with the national average, Sentara Northern Virginia Medical Center 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 | 336 | $62,602 | -31% | $15,854 |
| 291 Heart Failure and Shock with MCC | 175 | $38,925 | -31% | $11,344 |
| 177 Respiratory Infections and Inflammations with MCC | 77 | $42,944 | -39% | $13,137 |
| 193 Simple Pneumonia and Pleurisy with MCC | 75 | $39,255 | -34% | $11,242 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 64 | $34,357 | -30% | $9,077 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 59 | $45,081 | -39% | $13,029 |
| 689 Kidney and Urinary Tract Infections with MCC | 58 | $37,187 | -28% | $10,596 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 51 | $51,506 | -32% | $12,533 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 51 | $36,659 | -39% | $10,892 |
| 690 Kidney and Urinary Tract Infections without MCC | 51 | $26,411 | -30% | $7,322 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 45 | $137,237 | -40% | $37,335 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 41 | $59,044 | -41% | $15,659 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 33 | $37,259 | -26% | $10,030 |
| 378 Gastrointestinal Hemorrhage with CC | 33 | $40,418 | -17% | $8,468 |
| 312 Syncope and Collapse | 30 | $29,820 | -35% | $7,668 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 30 | $28,942 | -28% | $7,302 |
| 682 Renal Failure with MCC | 30 | $37,258 | -43% | $11,663 |
| 683 Renal Failure with CC | 30 | $32,041 | -21% | $8,041 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 29 | $38,673 | -31% | $8,528 |
| 377 Gastrointestinal Hemorrhage with MCC | 28 | $56,082 | -34% | $14,252 |
| 552 Medical Back Problems without MCC | 27 | $32,886 | -33% | $8,395 |
| 189 Pulmonary Edema and Respiratory Failure | 25 | $42,583 | -26% | $10,816 |
| 389 Gastrointestinal Obstruction with CC | 24 | $28,308 | -27% | $7,394 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 24 | $24,966 | -47% | $8,982 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 21 | $27,683 | -23% | $7,057 |
| 638 Diabetes with CC | 21 | $34,316 | -18% | $7,999 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 20 | $40,770 | -28% | $10,095 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 19 | $25,296 | -41% | $7,708 |
| 178 Respiratory Infections and Inflammations with CC | 18 | $30,342 | -33% | $8,716 |
| 194 Simple Pneumonia and Pleurisy with CC | 18 | $24,292 | -37% | $7,215 |
| 069 Transient Ischemia without Thrombolytic | 16 | $33,272 | -34% | $7,437 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 16 | $33,678 | -48% | $11,961 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 16 | $93,458 | -17% | $17,574 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $30,377 | -18% | $7,047 |
| 092 Other Disorders of Nervous System with CC | 15 | $35,349 | -31% | $8,330 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 15 | $60,548 | -5% | $9,558 |
| 603 Cellulitis without MCC | 15 | $30,783 | -17% | $7,852 |
| 811 Red Blood Cell Disorders with MCC | 15 | $42,890 | -37% | $11,492 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 14 | $18,935 | -34% | $5,450 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $151,097 | -8% | $55,608 |
| 481 Hip and Femur Procedures except Major Joint with CC | 14 | $64,689 | -36% | $16,225 |
| 637 Diabetes with MCC | 14 | $38,614 | -42% | $11,393 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 14 | $233,335 | -28% | $51,925 |
| 101 Seizures without MCC | 13 | $32,372 | -34% | $8,037 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $88,387 | -23% | $14,709 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 13 | $39,350 | -42% | $11,595 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 11 | $111,452 | -31% | $27,929 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $185,948 | -14% | $39,661 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $67,354 | -34% | $16,440 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $64,546 | -34% | $18,367 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 11 | $191,522 | -11% | $50,094 |
Outpatient services
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sentara Northern Virginia Medical Center charged $62,602 on average, 4% less than the Virginia average of $65,235, and was paid $15,854 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Sentara Northern Virginia Medical Center charged $38,925 on average, 5% less than the Virginia average of $40,795, and was paid $11,344 against a state average of $11,030. For Respiratory Infections and Inflammations with MCC (DRG 177), Sentara Northern Virginia Medical Center charged $42,944 on average, 13% less than the Virginia average of $49,485, and was paid $13,137 against a state average of $13,709. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Sentara Northern Virginia Medical Center charged $39,255 on average, 12% less than the Virginia average of $44,717, and was paid $11,242 against a state average of $11,065. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,909 was 17% above the state average of $19,506. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $35,374 was 11% above the state average of $31,869. For Level 6 Urology and Related Services (outpatient APC 5376), its average charge of $34,523 was 39% below the state average of $57,027. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,265 was 8% 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.