Virginia / Sentara Virginia Beach General Hospital

CMS certification 490057 · Virginia Beach, VA · 4 entries in CMS's price-transparency list

Sentara Virginia Beach General Hospital: charges and Medicare payments

Sentara Virginia Beach General Hospital reported 4,389 Medicare inpatient stays across 110 DRGs in 2024. Across them it charged 4.73 times what it was paid — among the higher ratios in Virginia, number 15 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: 584 stays at an average charge of $64,308, 29% below the national average. It also billed 2,948 outpatient services, charging 6.53 times what Medicare paid.

1Medicare inpatient stays 4,389
2Charge ÷ paid, inpatient 4.73×
3Rank in VA (highest ratio = 1) 15 of 66
4CMS price-transparency actions 4

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

Inpatient stays

For the 110 DRGs that can be compared with the national average, Sentara Virginia Beach General 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	584	$64,308	-29%	$14,071
291 Heart Failure and Shock with MCC	334	$40,769	-28%	$9,256
280 Acute Myocardial Infarction, Discharged Alive with MCC	138	$54,655	-28%	$11,590
177 Respiratory Infections and Inflammations with MCC	114	$44,928	-36%	$11,782
193 Simple Pneumonia and Pleurisy with MCC	97	$40,320	-33%	$9,316
312 Syncope and Collapse	91	$31,968	-30%	$6,444
698 Other Kidney and Urinary Tract Diagnoses with MCC	90	$58,637	-20%	$12,441
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	89	$34,967	-29%	$7,706
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	87	$76,439	-23%	$14,785
309 Cardiac Arrhythmia and Conduction Disorders with CC	87	$28,088	-22%	$5,942
689 Kidney and Urinary Tract Infections with MCC	78	$34,630	-33%	$8,401
690 Kidney and Urinary Tract Infections without MCC	73	$27,454	-27%	$6,091
308 Cardiac Arrhythmia and Conduction Disorders with MCC	71	$49,602	-12%	$9,908
683 Renal Failure with CC	70	$30,450	-25%	$6,589
853 Infectious and Parasitic Diseases with O.R. Procedures with...	66	$142,205	-38%	$34,020
682 Renal Failure with MCC	65	$42,749	-35%	$11,340
281 Acute Myocardial Infarction, Discharged Alive with CC	61	$40,826	-19%	$7,382
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	56	$41,447	-26%	$7,607
322 Percutaneous Cardiovascular Procedures with Intraluminal...	56	$83,584	-27%	$13,814
378 Gastrointestinal Hemorrhage with CC	55	$35,707	-26%	$7,397
190 Chronic Obstructive Pulmonary Disease with MCC	54	$34,403	-32%	$8,281
069 Transient Ischemia without Thrombolytic	53	$36,965	-27%	$6,013
481 Hip and Femur Procedures except Major Joint with CC	53	$78,796	-22%	$14,337
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	52	$29,262	-27%	$6,634
603 Cellulitis without MCC	48	$23,760	-36%	$6,499
377 Gastrointestinal Hemorrhage with MCC	45	$61,952	-27%	$12,322
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	44	$29,398	-21%	$6,658
389 Gastrointestinal Obstruction with CC	42	$33,213	-15%	$7,355
287 Circulatory Disorders except AMI, with Cardiac...	40	$53,313	-17%	$7,778
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	40	$55,829	-7%	$9,784
321 Percutaneous Cardiovascular Procedures with Intraluminal...	39	$107,012	-35%	$23,588
025 Craniotomy and Endovascular Intracranial Procedures with MCC	36	$140,070	-39%	$32,655
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	34	$73,232	-28%	$14,548
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	33	$47,725	-27%	$10,697
189 Pulmonary Edema and Respiratory Failure	33	$49,929	-13%	$8,853
286 Circulatory Disorders except AMI, with Cardiac...	33	$80,544	-28%	$16,009
329 Major Small and Large Bowel Procedures with MCC	33	$174,563	-19%	$31,825
480 Hip and Femur Procedures except Major Joint with MCC	33	$116,851	-16%	$22,170
699 Other Kidney and Urinary Tract Diagnoses with CC	33	$28,795	-39%	$7,989
330 Major Small and Large Bowel Procedures with CC	30	$81,671	-31%	$16,243
552 Medical Back Problems without MCC	28	$38,535	-21%	$7,099
390 Gastrointestinal Obstruction without CC/MCC	27	$26,248	-6%	$4,412
394 Other Digestive System Diagnoses with CC	27	$25,726	-45%	$6,911
854 Infectious and Parasitic Diseases with O.R. Procedures with...	27	$69,536	-29%	$14,698
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	26	$91,215	-23%	$18,407
100 Seizures with MCC	25	$66,985	-29%	$14,526
242 Permanent Cardiac Pacemaker Implant with MCC	25	$133,252	-17%	$24,804
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	25	$23,044	-20%	$4,402
313 Chest Pain	25	$29,890	-25%	$5,486
314 Other Circulatory System Diagnoses with MCC	25	$58,490	-38%	$13,695
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	25	$51,967	-15%	$9,203
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	25	$134,961	-38%	$31,477
470 Major Hip and Knee Joint Replacement or Reattachment of...	24	$67,784	-27%	$13,000
176 Pulmonary Embolism without MCC	23	$33,577	-19%	$6,108
543 Pathological Fractures and Musculoskeletal and Connective...	23	$34,933	-29%	$7,741
638 Diabetes with CC	23	$30,147	-28%	$7,608
243 Permanent Cardiac Pacemaker Implant with CC	22	$80,991	-27%	$16,504
659 Kidney and Ureter Procedures for Non-Neoplasm with MCC	22	$70,792	-41%	$20,598
811 Red Blood Cell Disorders with MCC	21	$43,364	-36%	$9,982
070 Other Cerebrovascular Disorders with MCC	20	$52,187	-31%	$12,182

Showing the 60 most frequent of 110 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	444	$23,450	$2,351
Level 2 Upper GI Procedures	236	$9,288	$1,639
Level 3 Electrophysiologic Procedures	211	$88,090	$20,344
Level 5 Musculoskeletal Procedures	208	$48,831	$11,343
Level 2 Laparoscopy and Related Services	179	$58,122	$8,749
Level 1 Endovascular Procedures	174	$33,463	$2,816
Level 2 Excision/ Biopsy/ Incision and Drainage	159	$13,141	$1,390
Level 1 Laparoscopy and Related Services	130	$36,456	$4,867
Level 1 Nerve Procedures	87	$11,568	$1,680
Level 3 Vascular Procedures	85	$14,558	$2,773
Level 3 Urology and Related Services	80	$12,948	$1,772
Level 4 Urology and Related Services	71	$19,276	$2,999
Level 3 Pacemaker and Similar Procedures	70	$42,834	$9,286
Level 3 Excision/ Biopsy/ Incision and Drainage	61	$27,384	$2,440
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	60	$22,384	$2,973
Level 3 Endovascular Procedures	59	$64,817	$9,566
Level 2 Endovascular Procedures	57	$46,879	$4,973
Level 4 Musculoskeletal Procedures	54	$36,342	$6,133
Level 2 Intraocular Procedures	50	$26,134	$3,538
Level 4 Vascular Procedures	39	$21,086	$4,684
Level 5 Gynecologic Procedures	38	$33,278	$3,874
Level 1 Intraocular Procedures	36	$16,778	$1,943
Level 2 ICD and Similar Procedures	31	$80,712	$28,542
Level 4 Gynecologic Procedures	31	$18,507	$2,720
Level 6 Musculoskeletal Procedures	30	$63,539	$15,212

Against the Virginia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sentara Virginia Beach General Hospital charged $64,308 on average, 1% less than the Virginia average of $65,235, and was paid $14,071 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Sentara Virginia Beach General Hospital charged $40,769 on average, 0% less than the Virginia average of $40,795, and was paid $9,256 against a state average of $11,030. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Sentara Virginia Beach General Hospital charged $54,655 on average, 5% less than the Virginia average of $57,438, and was paid $11,590 against a state average of $13,197. For Respiratory Infections and Inflammations with MCC (DRG 177), Sentara Virginia Beach General Hospital charged $44,928 on average, 9% less than the Virginia average of $49,485, and was paid $11,782 against a state average of $13,709. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,450 was 20% above the state average of $19,506. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $9,288 was 33% below the state average of $13,852. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $88,090 was 47% below the state average of $167,325. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $48,831 was 42% below the state average of $83,920.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Sentara Virginia Beach General 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:

Warning Notice — 2021-12-01 (CMS case 47)
Closure Notice — 2023-02-22 (CMS case 47)
Warning Notice — 2025-04-23 (CMS case 3966)
Closure Notice — 2025-07-29 (CMS case 3966)

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.