Virginia / Uva Health Sciences Center

CMS certification 490009 · Charlottesville, VA

Uva Health Sciences Center: charges and Medicare payments

Uva Health Sciences Center reported 6,416 Medicare inpatient stays across 203 DRGs in 2024. Across them it charged 3.28 times what it was paid — among the lower ratios in Virginia, number 45 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: 332 stays at an average charge of $112,455, 25% above the national average. It also billed 12,170 outpatient services, charging 6.87 times what Medicare paid.

1234
  1. 1Medicare inpatient stays 6,416
  2. 2Charge ÷ paid, inpatient 3.28×
  3. 3Rank in VA (highest ratio = 1) 45 of 66
  4. 4CMS price-transparency actions 0
DRG 871$112,455DRG 291$66,105DRG 266$130,811DRG 330$89,508DRG 177$88,545DRG 699$52,296DRG 454$250,431DRG 065$58,223DRG 470$67,781DRG 025$228,519
Average charge per stay at Uva Health Sciences Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 203 DRGs that can be compared with the national average, Uva Health Sciences Center charged more than the national average in 93 (46%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC332$112,455+25%$33,235
291 Heart Failure and Shock with MCC269$66,105+17%$21,418
266 Endovascular Cardiac Valve Replacement and Supplement...127$130,811-54%$66,543
330 Major Small and Large Bowel Procedures with CC103$89,508-25%$32,714
177 Respiratory Infections and Inflammations with MCC98$88,545+25%$28,028
699 Other Kidney and Urinary Tract Diagnoses with CC95$52,296+10%$16,935
454 Combined Anterior and Posterior Spinal Fusion with CC83$250,431-10%$76,704
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...78$58,223+4%$15,615
470 Major Hip and Knee Joint Replacement or Reattachment of...74$67,781-27%$24,333
025 Craniotomy and Endovascular Intracranial Procedures with MCC71$228,519-1%$67,710
267 Endovascular Cardiac Valve Replacement and Supplement...70$117,184-47%$52,543
193 Simple Pneumonia and Pleurisy with MCC68$55,738-7%$19,874
698 Other Kidney and Urinary Tract Diagnoses with MCC66$70,556-4%$25,650
064 Intracranial Hemorrhage or Cerebral Infarction with MCC64$93,513-6%$28,084
189 Pulmonary Edema and Respiratory Failure62$73,605+28%$19,670
378 Gastrointestinal Hemorrhage with CC61$52,447+8%$15,729
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC60$46,420-5%$16,204
683 Renal Failure with CC59$43,282+6%$14,509
309 Cardiac Arrhythmia and Conduction Disorders with CC57$32,014-11%$12,270
329 Major Small and Large Bowel Procedures with MCC56$198,131-8%$75,191
481 Hip and Femur Procedures except Major Joint with CC56$89,606-11%$26,907
280 Acute Myocardial Infarction, Discharged Alive with MCC55$75,5020%$24,560
314 Other Circulatory System Diagnoses with MCC55$95,984+1%$32,981
652 Kidney Transplant55$208,676-38%$48,878
274 Percutaneous and Other Intracardiac Procedures without MCC54$79,656-49%$36,328
286 Circulatory Disorders except AMI, with Cardiac...54$139,373+24%$41,817
853 Infectious and Parasitic Diseases with O.R. Procedures with...54$262,852+15%$83,203
219 Cardiac Valve and Other Major Cardiothoracic Procedures...53$513,200+29%$129,400
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...53$36,405-9%$13,184
690 Kidney and Urinary Tract Infections without MCC52$36,975-2%$14,353
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...52$80,495+19%$20,963
460 Spinal Fusion except Cervical without MCC49$148,539-13%$44,752
308 Cardiac Arrhythmia and Conduction Disorders with MCC48$51,713-9%$18,287
552 Medical Back Problems without MCC47$51,128+5%$16,161
468 Revision of Hip or Knee Replacement without CC/MCC46$104,932-15%$31,992
483 Major Joint or Limb Reattachment Procedures of Upper...46$87,172-31%$31,014
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...46$49,276+33%$14,257
322 Percutaneous Cardiovascular Procedures with Intraluminal...45$95,258-17%$23,899
331 Major Small and Large Bowel Procedures without CC/MCC45$51,918-40%$22,628
394 Other Digestive System Diagnoses with CC45$42,637-9%$15,891
522 Hip Replacement with Principal Diagnosis of Hip Fracture...44$84,541-17%$27,179
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC42$163,102-20%$57,148
472 Cervical Spinal Fusion with CC42$112,929-21%$35,614
023 Craniotomy with Major Device Implant or Acute Complex Cns...40$208,670-26%$70,571
321 Percutaneous Cardiovascular Procedures with Intraluminal...40$154,126-6%$42,348
660 Kidney and Ureter Procedures for Non-Neoplasm with CC40$86,072+28%$23,987
194 Simple Pneumonia and Pleurisy with CC39$42,891+12%$13,977
164 Major Chest Procedures with CC37$92,573-27%$33,525
253 Other Vascular Procedures with CC37$122,962-7%$34,206
406 Pancreas, Liver and Shunt Procedures with CC37$116,840-28%$37,571
480 Hip and Femur Procedures except Major Joint with MCC37$129,581-7%$40,209
603 Cellulitis without MCC37$35,525-5%$14,261
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...37$80,839+34%$23,281
236 Coronary Bypass without Cardiac Catheterization without MCC35$327,864+56%$60,701
252 Other Vascular Procedures with MCC35$205,072+20%$51,490
327 Stomach, Esophageal and Duodenal Procedures with CC35$104,267-18%$31,806
377 Gastrointestinal Hemorrhage with MCC35$84,538-1%$27,809
638 Diabetes with CC35$44,843+8%$13,547
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale34$48,230-26%$19,078
178 Respiratory Infections and Inflammations with CC34$59,472+31%$19,341

Showing the 60 most frequent of 203 DRGs.

Outpatient services

Against the Virginia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Uva Health Sciences Center charged $112,455 on average, 72% more than the Virginia average of $65,235, and was paid $33,235 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Uva Health Sciences Center charged $66,105 on average, 62% more than the Virginia average of $40,795, and was paid $21,418 against a state average of $11,030. For Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC (DRG 266), Uva Health Sciences Center charged $130,811 on average, 41% less than the Virginia average of $222,959, and was paid $66,543 against a state average of $55,165. For Major Small and Large Bowel Procedures with CC (DRG 330), Uva Health Sciences Center charged $89,508 on average, 22% less than the Virginia average of $114,271, and was paid $32,714 against a state average of $21,398. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,004 was 24% below the state average of $2,642. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,059 was 28% below the state average of $11,217. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $7,060 was 43% below the state average of $12,403. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $44,958 was 46% below the state average of $83,920.

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.