Sentara Obici Hospital: charges and Medicare payments

Sentara Obici Hospital reported 2,642 Medicare inpatient stays across 69 DRGs in 2024. Across them it charged 4.27 times what it was paid — among the higher ratios in Virginia, number 21 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: 467 stays at an average charge of $57,477, 36% below the national average. It also billed 1,658 outpatient services, charging 8.12 times what Medicare paid.

1Medicare inpatient stays 2,642
2Charge ÷ paid, inpatient 4.27×
3Rank in VA (highest ratio = 1) 21 of 66
4CMS price-transparency actions 0

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

Inpatient stays

For the 69 DRGs that can be compared with the national average, Sentara Obici 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	467	$57,477	-36%	$14,580
291 Heart Failure and Shock with MCC	272	$37,497	-33%	$9,230
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	127	$33,304	-32%	$8,390
193 Simple Pneumonia and Pleurisy with MCC	73	$38,385	-36%	$9,680
280 Acute Myocardial Infarction, Discharged Alive with MCC	67	$53,680	-29%	$11,228
177 Respiratory Infections and Inflammations with MCC	64	$46,093	-35%	$11,322
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	63	$26,077	-35%	$6,108
853 Infectious and Parasitic Diseases with O.R. Procedures with...	62	$127,759	-44%	$30,574
309 Cardiac Arrhythmia and Conduction Disorders with CC	61	$23,813	-34%	$5,915
378 Gastrointestinal Hemorrhage with CC	60	$38,491	-21%	$8,130
683 Renal Failure with CC	56	$25,359	-38%	$6,848
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	50	$46,623	-16%	$8,005
698 Other Kidney and Urinary Tract Diagnoses with MCC	47	$41,055	-44%	$11,475
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	43	$26,868	-27%	$6,981
689 Kidney and Urinary Tract Infections with MCC	43	$31,668	-38%	$8,385
308 Cardiac Arrhythmia and Conduction Disorders with MCC	41	$36,178	-36%	$8,677
312 Syncope and Collapse	41	$32,328	-29%	$6,747
481 Hip and Femur Procedures except Major Joint with CC	40	$62,847	-38%	$14,266
190 Chronic Obstructive Pulmonary Disease with MCC	39	$33,787	-33%	$8,448
682 Renal Failure with MCC	38	$41,264	-37%	$10,410
377 Gastrointestinal Hemorrhage with MCC	37	$58,457	-32%	$14,653
286 Circulatory Disorders except AMI, with Cardiac...	35	$91,404	-19%	$15,850
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	34	$57,722	-42%	$12,707
189 Pulmonary Edema and Respiratory Failure	33	$43,437	-25%	$9,346
603 Cellulitis without MCC	33	$20,864	-44%	$6,488
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	30	$47,129	-22%	$9,848
281 Acute Myocardial Infarction, Discharged Alive with CC	29	$43,185	-14%	$6,667
812 Red Blood Cell Disorders without MCC	29	$33,043	-26%	$7,367
690 Kidney and Urinary Tract Infections without MCC	28	$25,949	-31%	$6,037
811 Red Blood Cell Disorders with MCC	27	$48,103	-29%	$9,644
287 Circulatory Disorders except AMI, with Cardiac...	23	$57,286	-10%	$10,077
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	22	$38,871	-40%	$9,718
313 Chest Pain	20	$33,006	-17%	$5,984
552 Medical Back Problems without MCC	20	$33,909	-31%	$7,104
101 Seizures without MCC	19	$32,162	-34%	$6,752
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	19	$22,652	-21%	$4,427
389 Gastrointestinal Obstruction with CC	19	$32,965	-15%	$6,462
066 Intracranial Hemorrhage or Cerebral Infarction without...	18	$37,193	-12%	$5,283
480 Hip and Femur Procedures except Major Joint with MCC	18	$84,185	-39%	$19,453
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	18	$63,574	-38%	$13,710
069 Transient Ischemia without Thrombolytic	17	$37,743	-25%	$5,989
329 Major Small and Large Bowel Procedures with MCC	16	$134,422	-37%	$29,026
470 Major Hip and Knee Joint Replacement or Reattachment of...	16	$61,180	-34%	$13,089
638 Diabetes with CC	16	$26,421	-37%	$8,233
194 Simple Pneumonia and Pleurisy with CC	15	$27,275	-29%	$5,921
637 Diabetes with MCC	15	$44,625	-33%	$9,181
100 Seizures with MCC	14	$58,460	-38%	$15,347
178 Respiratory Infections and Inflammations with CC	14	$33,069	-27%	$7,267
394 Other Digestive System Diagnoses with CC	14	$35,535	-24%	$6,792
854 Infectious and Parasitic Diseases with O.R. Procedures with...	14	$69,384	-29%	$14,384
870 Septicemia or Severe Sepsis with MV >96 Hours	14	$221,936	-31%	$50,890
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	13	$39,582	-9%	$6,121
305 Hypertension without MCC	13	$27,154	-32%	$5,725
330 Major Small and Large Bowel Procedures with CC	13	$89,240	-25%	$18,134
444 Disorders of The Biliary Tract with MCC	13	$48,062	-42%	$10,942
180 Respiratory Neoplasms with MCC	12	$60,343	-31%	$13,922
191 Chronic Obstructive Pulmonary Disease with CC	12	$27,601	-30%	$6,328
243 Permanent Cardiac Pacemaker Implant with CC	12	$89,493	-19%	$16,125
300 Peripheral Vascular Disorders with CC	12	$26,820	-46%	$7,801
314 Other Circulatory System Diagnoses with MCC	12	$67,846	-28%	$17,742

Showing the 60 most frequent of 69 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	489	$22,275	$2,314
Level 2 Excision/ Biopsy/ Incision and Drainage	193	$12,647	$1,374
Level 5 Musculoskeletal Procedures	181	$45,772	$11,067
Level 3 Vascular Procedures	95	$17,706	$2,675
Level 3 Excision/ Biopsy/ Incision and Drainage	94	$26,754	$2,374
Level 1 Endovascular Procedures	88	$35,455	$2,764
Level 1 Laparoscopy and Related Services	81	$38,574	$4,724
Level 4 Musculoskeletal Procedures	46	$34,246	$5,625
Level 2 Vascular Procedures	43	$9,244	$1,379
Level 2 Upper GI Procedures	41	$9,975	$1,575
Level 6 Musculoskeletal Procedures	40	$59,463	$15,658
Level 2 Breast/Lymphatic Surgery and Related Procedures	32	$30,030	$5,370
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	31	$23,354	$2,921
Level 3 Musculoskeletal Procedures	29	$20,526	$2,480
Level 4 Vascular Procedures	27	$24,443	$4,731
Level 2 Musculoskeletal Procedures	23	$9,753	$1,275
Level 2 Endovascular Procedures	23	$31,360	$4,921
Level 3 Airway Endoscopy	22	$9,400	$1,461
Level 3 Pacemaker and Similar Procedures	17	$41,208	$9,189
Level 3 Endovascular Procedures	16	$69,152	$8,487
Level 1 Breast/Lymphatic Surgery and Related Procedures	12	$22,856	$3,145
Level 3 Lower GI Procedures	12	$20,629	$2,418
Level 2 Laparoscopy and Related Services	12	$49,339	$7,655
Level 4 Gynecologic Procedures	11	$19,373	$2,692

Against the Virginia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sentara Obici Hospital charged $57,477 on average, 12% less than the Virginia average of $65,235, and was paid $14,580 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Sentara Obici Hospital charged $37,497 on average, 8% less than the Virginia average of $40,795, and was paid $9,230 against a state average of $11,030. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Sentara Obici Hospital charged $33,304 on average, 10% less than the Virginia average of $37,022, and was paid $8,390 against a state average of $8,962. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Sentara Obici Hospital charged $38,385 on average, 14% less than the Virginia average of $44,717, and was paid $9,680 against a state average of $11,065. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,275 was 14% above the state average of $19,506. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,647 was 13% above the state average of $11,217. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $45,772 was 45% below the state average of $83,920. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $17,706 was 9% below the state average of $19,434.

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.