Virginia / Sentara Williamsburg Regional Medical Center
CMS certification 490066 · Williamsburg, VA
Sentara Williamsburg Regional Medical Center: charges and Medicare payments
Sentara Williamsburg Regional Medical Center reported 1,940 Medicare inpatient stays across 55 DRGs in 2024. Across them it charged 4.36 times what it was paid — among the higher ratios in Virginia, number 20 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: 427 stays at an average charge of $52,719, 42% below the national average. It also billed 2,091 outpatient services, charging 8.21 times what Medicare paid.
- 1Medicare inpatient stays 1,940
- 2Charge ÷ paid, inpatient 4.36×
- 3Rank in VA (highest ratio = 1) 20 of 66
- 4CMS price-transparency actions 0
Inpatient stays
For the 55 DRGs that can be compared with the national average, Sentara Williamsburg Regional 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 | 427 | $52,719 | -42% | $13,413 |
| 291 Heart Failure and Shock with MCC | 119 | $38,054 | -33% | $8,592 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 97 | $48,262 | -36% | $10,500 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 85 | $34,062 | -31% | $8,169 |
| 177 Respiratory Infections and Inflammations with MCC | 56 | $37,876 | -46% | $11,202 |
| 378 Gastrointestinal Hemorrhage with CC | 47 | $35,175 | -28% | $7,690 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 45 | $40,872 | -44% | $10,795 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 44 | $37,310 | -33% | $6,607 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 43 | $105,954 | -54% | $29,919 |
| 377 Gastrointestinal Hemorrhage with MCC | 42 | $74,703 | -13% | $13,539 |
| 193 Simple Pneumonia and Pleurisy with MCC | 40 | $42,080 | -30% | $9,094 |
| 690 Kidney and Urinary Tract Infections without MCC | 38 | $26,871 | -29% | $5,748 |
| 481 Hip and Femur Procedures except Major Joint with CC | 36 | $70,124 | -30% | $13,499 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 35 | $49,647 | -22% | $7,888 |
| 682 Renal Failure with MCC | 34 | $56,439 | -14% | $12,717 |
| 689 Kidney and Urinary Tract Infections with MCC | 34 | $29,443 | -43% | $7,754 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 33 | $44,850 | -21% | $8,402 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 33 | $27,910 | -31% | $5,828 |
| 683 Renal Failure with CC | 31 | $26,330 | -35% | $7,180 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 30 | $38,218 | -24% | $7,649 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 30 | $75,160 | -34% | $13,693 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 29 | $27,548 | -24% | $7,185 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 28 | $51,259 | -49% | $12,748 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 28 | $40,360 | -20% | $6,449 |
| 603 Cellulitis without MCC | 28 | $24,923 | -33% | $6,079 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 28 | $41,514 | -31% | $9,111 |
| 312 Syncope and Collapse | 26 | $39,688 | -13% | $6,221 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 24 | $63,817 | -38% | $13,692 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $49,812 | -13% | $8,459 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $27,277 | -26% | $6,367 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $34,563 | -43% | $8,915 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 18 | $52,734 | -43% | $16,577 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 17 | $115,535 | -29% | $22,531 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 17 | $53,116 | -57% | $17,850 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 17 | $83,371 | -40% | $18,048 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 15 | $38,922 | -10% | $5,261 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 14 | $27,161 | -5% | $4,218 |
| 330 Major Small and Large Bowel Procedures with CC | 14 | $85,444 | -28% | $17,824 |
| 389 Gastrointestinal Obstruction with CC | 14 | $24,340 | -37% | $5,768 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 13 | $45,847 | -30% | $9,486 |
| 394 Other Digestive System Diagnoses with CC | 13 | $30,837 | -34% | $6,662 |
| 069 Transient Ischemia without Thrombolytic | 12 | $39,753 | -21% | $5,782 |
| 314 Other Circulatory System Diagnoses with MCC | 12 | $56,767 | -40% | $13,474 |
| 536 Fractures of Hip and Pelvis without MCC | 12 | $26,183 | -31% | $5,690 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 12 | $23,487 | -45% | $6,401 |
| 637 Diabetes with MCC | 12 | $51,612 | -22% | $10,082 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 12 | $42,779 | -37% | $9,347 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 12 | $28,432 | -40% | $6,759 |
| 100 Seizures with MCC | 11 | $72,765 | -23% | $15,878 |
| 149 Dysequilibrium | 11 | $35,096 | -21% | $5,425 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $141,411 | -34% | $29,266 |
| 467 Revision of Hip or Knee Replacement with CC | 11 | $93,315 | -41% | $22,165 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 11 | $72,597 | -39% | $14,221 |
| 552 Medical Back Problems without MCC | 11 | $31,708 | -35% | $8,527 |
| 811 Red Blood Cell Disorders with MCC | 11 | $44,578 | -35% | $11,016 |
Outpatient services
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sentara Williamsburg Regional Medical Center charged $52,719 on average, 19% less than the Virginia average of $65,235, and was paid $13,413 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Sentara Williamsburg Regional Medical Center charged $38,054 on average, 7% less than the Virginia average of $40,795, and was paid $8,592 against a state average of $11,030. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Sentara Williamsburg Regional Medical Center charged $48,262 on average, 16% less than the Virginia average of $57,438, and was paid $10,500 against a state average of $13,197. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Sentara Williamsburg Regional Medical Center charged $34,062 on average, 8% less than the Virginia average of $37,022, and was paid $8,169 against a state average of $8,962. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,311 was 25% above the state average of $19,506. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,348 was 10% above the state average of $11,217. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $10,233 was 26% below the state average of $13,852. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $24,656 was 26% below the state average of $33,253.
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.