Virginia / Sentara Princess Anne Hospital

CMS certification 490119 · Virginia Beach, VA · 1 entry in CMS's price-transparency list

Sentara Princess Anne Hospital: charges and Medicare payments

Sentara Princess Anne Hospital reported 3,370 Medicare inpatient stays across 86 DRGs in 2024. Across them it charged 4.08 times what it was paid — mid-range in Virginia, number 24 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: 625 stays at an average charge of $59,915, 34% below the national average. It also billed 2,490 outpatient services, charging 7.24 times what Medicare paid.

1Medicare inpatient stays 3,370
2Charge ÷ paid, inpatient 4.08×
3Rank in VA (highest ratio = 1) 24 of 66
4CMS price-transparency actions 1

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

Inpatient stays

For the 86 DRGs that can be compared with the national average, Sentara Princess Anne Hospital charged more than the national average in 1 (1%). 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	625	$59,915	-34%	$14,583
291 Heart Failure and Shock with MCC	243	$36,727	-35%	$9,455
280 Acute Myocardial Infarction, Discharged Alive with MCC	142	$52,296	-31%	$11,744
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	142	$33,625	-31%	$8,055
698 Other Kidney and Urinary Tract Diagnoses with MCC	93	$41,490	-43%	$11,085
177 Respiratory Infections and Inflammations with MCC	80	$45,169	-36%	$11,876
853 Infectious and Parasitic Diseases with O.R. Procedures with...	78	$124,175	-46%	$32,539
689 Kidney and Urinary Tract Infections with MCC	75	$34,340	-33%	$8,395
378 Gastrointestinal Hemorrhage with CC	71	$35,134	-28%	$7,467
193 Simple Pneumonia and Pleurisy with MCC	68	$35,206	-41%	$9,424
682 Renal Failure with MCC	66	$44,230	-33%	$10,772
683 Renal Failure with CC	60	$30,772	-24%	$6,564
312 Syncope and Collapse	57	$32,724	-28%	$6,305
377 Gastrointestinal Hemorrhage with MCC	56	$58,981	-31%	$13,211
281 Acute Myocardial Infarction, Discharged Alive with CC	51	$38,246	-24%	$7,898
389 Gastrointestinal Obstruction with CC	47	$25,805	-34%	$6,077
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	46	$27,265	-32%	$6,010
190 Chronic Obstructive Pulmonary Disease with MCC	45	$30,150	-40%	$8,647
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	42	$43,373	-22%	$7,387
189 Pulmonary Edema and Respiratory Failure	40	$40,891	-29%	$8,776
690 Kidney and Urinary Tract Infections without MCC	40	$25,975	-31%	$6,075
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	38	$46,735	-22%	$10,068
460 Spinal Fusion except Cervical without MCC	35	$86,438	-49%	$28,515
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	32	$63,741	-36%	$14,527
069 Transient Ischemia without Thrombolytic	32	$36,270	-28%	$6,569
308 Cardiac Arrhythmia and Conduction Disorders with MCC	32	$40,844	-28%	$8,919
309 Cardiac Arrhythmia and Conduction Disorders with CC	32	$25,878	-28%	$6,155
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	30	$35,976	-41%	$9,571
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	30	$26,392	-29%	$6,052
481 Hip and Femur Procedures except Major Joint with CC	29	$62,954	-38%	$15,853
603 Cellulitis without MCC	29	$23,652	-37%	$6,821
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	28	$107,524	-47%	$32,715
854 Infectious and Parasitic Diseases with O.R. Procedures with...	28	$56,831	-42%	$14,173
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	27	$44,034	-35%	$9,785
812 Red Blood Cell Disorders without MCC	26	$28,785	-35%	$8,370
454 Combined Anterior and Posterior Spinal Fusion with CC	25	$128,116	-54%	$44,019
330 Major Small and Large Bowel Procedures with CC	24	$84,715	-29%	$17,466
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	24	$58,052	-43%	$17,713
394 Other Digestive System Diagnoses with CC	23	$27,603	-41%	$6,790
699 Other Kidney and Urinary Tract Diagnoses with CC	23	$29,220	-38%	$7,385
287 Circulatory Disorders except AMI, with Cardiac...	21	$54,340	-15%	$8,262
637 Diabetes with MCC	21	$36,647	-45%	$10,008
329 Major Small and Large Bowel Procedures with MCC	20	$122,471	-43%	$30,390
472 Cervical Spinal Fusion with CC	20	$72,409	-49%	$20,055
638 Diabetes with CC	20	$22,239	-47%	$7,040
643 Endocrine Disorders with MCC	20	$50,104	-32%	$12,254
552 Medical Back Problems without MCC	19	$30,582	-37%	$6,798
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	18	$56,416	-13%	$10,336
286 Circulatory Disorders except AMI, with Cardiac...	18	$69,707	-38%	$16,096
659 Kidney and Ureter Procedures for Non-Neoplasm with MCC	18	$54,588	-54%	$15,383
811 Red Blood Cell Disorders with MCC	18	$45,269	-34%	$9,900
313 Chest Pain	16	$35,537	-11%	$5,378
314 Other Circulatory System Diagnoses with MCC	16	$68,672	-28%	$15,458
521 Hip Replacement with Principal Diagnosis of Hip Fracture...	15	$74,076	-45%	$19,942
870 Septicemia or Severe Sepsis with MV >96 Hours	15	$230,863	-29%	$71,021
071 Other Cerebrovascular Disorders with CC	14	$45,063	-11%	$8,228
149 Dysequilibrium	14	$36,330	-18%	$6,112
388 Gastrointestinal Obstruction with MCC	14	$42,280	-38%	$10,318
390 Gastrointestinal Obstruction without CC/MCC	14	$22,051	-21%	$4,616
451 Single Level Spinal Fusion except Cervical without MCC	14	$114,444	-24%	$24,231

Showing the 60 most frequent of 86 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	527	$23,464	$2,311
Level 5 Musculoskeletal Procedures	294	$43,593	$11,275
Level 2 Excision/ Biopsy/ Incision and Drainage	175	$12,592	$1,411
Level 4 Musculoskeletal Procedures	145	$36,844	$6,088
Level 1 Laparoscopy and Related Services	119	$33,320	$4,987
Level 2 Upper GI Procedures	104	$9,770	$1,630
Level 6 Musculoskeletal Procedures	100	$62,096	$15,896
Level 5 Urology and Related Services	95	$35,992	$4,396
Level 3 Excision/ Biopsy/ Incision and Drainage	88	$26,291	$2,450
Level 3 Vascular Procedures	83	$16,800	$2,720
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	77	$20,639	$3,010
Level 1 Nerve Procedures	74	$10,701	$1,644
Level 4 Urology and Related Services	72	$19,098	$3,000
Level 1 Endovascular Procedures	64	$35,352	$2,808
Level 2 Breast/Lymphatic Surgery and Related Procedures	49	$31,564	$5,490
Level 4 Airway Endoscopy	43	$21,907	$3,198
Level 3 Urology and Related Services	42	$13,706	$1,772
Level 5 Airway Endoscopy	40	$32,486	$5,955
Level 2 Vascular Procedures	37	$8,064	$1,334
Level 1 Breast/Lymphatic Surgery and Related Procedures	35	$21,470	$3,317
Level 3 Musculoskeletal Procedures	35	$21,633	$2,816
Level 2 Musculoskeletal Procedures	27	$13,278	$1,399
Level 3 Lower GI Procedures	25	$17,121	$2,443
Level 4 Gynecologic Procedures	25	$22,344	$2,720
Level 5 Gynecologic Procedures	25	$34,553	$4,328

Against the Virginia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sentara Princess Anne Hospital charged $59,915 on average, 8% less than the Virginia average of $65,235, and was paid $14,583 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Sentara Princess Anne Hospital charged $36,727 on average, 10% less than the Virginia average of $40,795, and was paid $9,455 against a state average of $11,030. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Sentara Princess Anne Hospital charged $52,296 on average, 9% less than the Virginia average of $57,438, and was paid $11,744 against a state average of $13,197. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Sentara Princess Anne Hospital charged $33,625 on average, 9% less than the Virginia average of $37,022, and was paid $8,055 against a state average of $8,962. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,464 was 20% above the state average of $19,506. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $43,593 was 48% below the state average of $83,920. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,592 was 12% above the state average of $11,217. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $36,844 was 31% below the state average of $53,311.

Price-transparency record

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

Met Requirements — 2025-04-21 (CMS case 3967)

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.