Virginia / Virginia Hospital Center

CMS certification 490050 · Arlington, VA · 1 entry in CMS's price-transparency list

Virginia Hospital Center: charges and Medicare payments

Virginia Hospital Center reported 3,448 Medicare inpatient stays across 104 DRGs in 2024. Across them it charged 3.43 times what it was paid — mid-range in Virginia, number 40 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: 568 stays at an average charge of $45,634, 49% below the national average. It also billed 4,335 outpatient services, charging 6.01 times what Medicare paid.

1Medicare inpatient stays 3,448
2Charge ÷ paid, inpatient 3.43×
3Rank in VA (highest ratio = 1) 40 of 66
4CMS price-transparency actions 1

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

Inpatient stays

For the 104 DRGs that can be compared with the national average, Virginia Hospital Center 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	568	$45,634	-49%	$15,337
291 Heart Failure and Shock with MCC	222	$29,923	-47%	$10,331
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	105	$24,650	-50%	$8,520
853 Infectious and Parasitic Diseases with O.R. Procedures with...	90	$116,841	-49%	$37,884
481 Hip and Femur Procedures except Major Joint with CC	70	$54,958	-45%	$16,030
177 Respiratory Infections and Inflammations with MCC	68	$39,344	-44%	$12,878
698 Other Kidney and Urinary Tract Diagnoses with MCC	67	$40,159	-45%	$13,308
378 Gastrointestinal Hemorrhage with CC	64	$26,061	-46%	$7,970
689 Kidney and Urinary Tract Infections with MCC	63	$24,645	-52%	$8,846
193 Simple Pneumonia and Pleurisy with MCC	60	$30,672	-49%	$10,505
682 Renal Failure with MCC	54	$33,843	-49%	$11,914
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	53	$25,310	-55%	$7,909
683 Renal Failure with CC	53	$21,182	-48%	$7,283
330 Major Small and Large Bowel Procedures with CC	51	$76,408	-36%	$18,156
552 Medical Back Problems without MCC	51	$30,421	-38%	$8,060
690 Kidney and Urinary Tract Infections without MCC	51	$20,553	-46%	$6,635
460 Spinal Fusion except Cervical without MCC	46	$114,211	-33%	$27,648
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	43	$30,658	-49%	$10,414
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	40	$40,673	-59%	$14,529
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	40	$66,666	-35%	$16,168
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	39	$22,011	-45%	$6,598
309 Cardiac Arrhythmia and Conduction Disorders with CC	38	$19,051	-47%	$6,257
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	38	$193,778	-5%	$36,679
603 Cellulitis without MCC	38	$18,940	-49%	$7,325
811 Red Blood Cell Disorders with MCC	36	$29,822	-56%	$11,350
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	35	$21,140	-43%	$6,475
189 Pulmonary Edema and Respiratory Failure	34	$25,549	-56%	$9,991
274 Percutaneous and Other Intracardiac Procedures without MCC	34	$136,255	-13%	$28,236
308 Cardiac Arrhythmia and Conduction Disorders with MCC	33	$24,060	-58%	$9,942
377 Gastrointestinal Hemorrhage with MCC	33	$43,820	-49%	$14,027
699 Other Kidney and Urinary Tract Diagnoses with CC	33	$19,282	-59%	$8,195
473 Cervical Spinal Fusion without CC/MCC	31	$77,199	-33%	$18,552
472 Cervical Spinal Fusion with CC	30	$97,944	-32%	$22,376
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	27	$38,766	-41%	$10,722
331 Major Small and Large Bowel Procedures without CC/MCC	26	$66,213	-23%	$13,313
389 Gastrointestinal Obstruction with CC	26	$26,363	-32%	$6,820
470 Major Hip and Knee Joint Replacement or Reattachment of...	26	$68,746	-26%	$15,328
812 Red Blood Cell Disorders without MCC	26	$22,802	-49%	$7,821
280 Acute Myocardial Infarction, Discharged Alive with MCC	25	$34,366	-55%	$12,357
286 Circulatory Disorders except AMI, with Cardiac...	24	$46,872	-58%	$16,809
178 Respiratory Infections and Inflammations with CC	23	$25,710	-43%	$7,800
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	23	$30,112	-51%	$10,309
643 Endocrine Disorders with MCC	22	$44,768	-40%	$12,905
870 Septicemia or Severe Sepsis with MV >96 Hours	22	$156,479	-52%	$52,352
236 Coronary Bypass without Cardiac Catheterization without MCC	21	$116,139	-45%	$30,950
314 Other Circulatory System Diagnoses with MCC	21	$54,402	-43%	$15,803
025 Craniotomy and Endovascular Intracranial Procedures with MCC	20	$95,539	-59%	$32,225
321 Percutaneous Cardiovascular Procedures with Intraluminal...	20	$93,291	-43%	$23,809
329 Major Small and Large Bowel Procedures with MCC	20	$120,585	-44%	$34,287
480 Hip and Femur Procedures except Major Joint with MCC	20	$77,819	-44%	$21,569
854 Infectious and Parasitic Diseases with O.R. Procedures with...	20	$61,355	-38%	$14,742
468 Revision of Hip or Knee Replacement without CC/MCC	19	$98,695	-20%	$21,332
202 Bronchitis and Asthma with CC/MCC	18	$26,263	-43%	$8,321
252 Other Vascular Procedures with MCC	18	$88,652	-48%	$24,477
521 Hip Replacement with Principal Diagnosis of Hip Fracture...	18	$79,960	-41%	$21,800
266 Endovascular Cardiac Valve Replacement and Supplement...	17	$331,252	+16%	$65,775
312 Syncope and Collapse	17	$23,778	-48%	$7,190
372 Major Gastrointestinal Disorders and Peritoneal Infections...	17	$30,478	-36%	$8,524
066 Intracranial Hemorrhage or Cerebral Infarction without...	16	$16,828	-60%	$5,816
184 Major Chest Trauma with CC	16	$28,373	-49%	$8,578

Showing the 60 most frequent of 104 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	644	$12,061	$2,554
Level 5 Musculoskeletal Procedures	447	$48,528	$12,159
Level 1 Intraocular Procedures	367	$10,615	$2,158
Level 3 Urology and Related Services	292	$8,723	$1,905
Level 2 Excision/ Biopsy/ Incision and Drainage	200	$8,792	$1,499
Level 5 Urology and Related Services	188	$22,205	$4,819
Level 1 Laparoscopy and Related Services	160	$30,353	$5,384
Level 4 Musculoskeletal Procedures	157	$32,150	$6,709
Level 1 Endovascular Procedures	157	$18,538	$3,047
Level 4 Urology and Related Services	152	$14,145	$3,244
Level 2 Upper GI Procedures	129	$10,010	$1,777
Level 3 Electrophysiologic Procedures	110	$151,032	$22,026
Level 3 Excision/ Biopsy/ Incision and Drainage	98	$14,944	$2,665
Level 3 Vascular Procedures	95	$16,435	$2,942
Level 2 Laparoscopy and Related Services	93	$48,034	$9,508
Level 3 Pacemaker and Similar Procedures	81	$50,566	$10,005
Level 2 Intraocular Procedures	68	$17,454	$3,768
Level 3 Musculoskeletal Procedures	66	$14,807	$3,035
Level 3 Endovascular Procedures	65	$65,981	$10,040
Level 3 Lower GI Procedures	56	$13,321	$2,632
Level 3 Airway Endoscopy	54	$8,338	$1,592
Level 4 Gynecologic Procedures	52	$17,275	$2,867
Level 4 Airway Endoscopy	50	$18,720	$3,512
Level 2 Musculoskeletal Procedures	45	$5,855	$1,507
Level 6 Musculoskeletal Procedures	45	$87,424	$17,437

Against the Virginia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Virginia Hospital Center charged $45,634 on average, 30% less than the Virginia average of $65,235, and was paid $15,337 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Virginia Hospital Center charged $29,923 on average, 27% less than the Virginia average of $40,795, and was paid $10,331 against a state average of $11,030. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Virginia Hospital Center charged $24,650 on average, 33% less than the Virginia average of $37,022, and was paid $8,520 against a state average of $8,962. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Virginia Hospital Center charged $116,841 on average, 34% less than the Virginia average of $177,241, and was paid $37,884 against a state average of $42,202. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,061 was 38% below the state average of $19,506. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $48,528 was 42% below the state average of $83,920. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,615 was 10% below the state average of $11,766. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $8,723 was 30% below the state average of $12,403.

Price-transparency record

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

Met Requirements — 2025-04-11 (CMS case 3793)

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.