Winchester Medical Center: charges and Medicare payments

Winchester Medical Center reported 6,960 Medicare inpatient stays across 173 DRGs in 2024. Across them it charged 2.57 times what it was paid — among the lower ratios in Virginia, number 59 of 66 hospitals with at least 100 stays (state median 3.6×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 461 stays at an average charge of $21,078, 63% below the national average. It also billed 5,989 outpatient services, charging 4.78 times what Medicare paid.

1Medicare inpatient stays 6,960
2Charge ÷ paid, inpatient 2.57×
3Rank in VA (highest ratio = 1) 59 of 66
4CMS price-transparency actions 0

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

Inpatient stays

For the 173 DRGs that can be compared with the national average, Winchester 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
291 Heart Failure and Shock with MCC	461	$21,078	-63%	$10,478
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	279	$37,108	-59%	$16,324
193 Simple Pneumonia and Pleurisy with MCC	215	$24,550	-59%	$11,174
177 Respiratory Infections and Inflammations with MCC	181	$28,381	-60%	$13,498
690 Kidney and Urinary Tract Infections without MCC	158	$16,761	-56%	$6,489
378 Gastrointestinal Hemorrhage with CC	147	$20,091	-59%	$8,191
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	135	$18,160	-55%	$6,461
689 Kidney and Urinary Tract Infections with MCC	123	$22,852	-55%	$9,731
683 Renal Failure with CC	112	$16,753	-59%	$7,360
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	110	$26,009	-53%	$8,450
280 Acute Myocardial Infarction, Discharged Alive with MCC	106	$26,450	-65%	$13,060
309 Cardiac Arrhythmia and Conduction Disorders with CC	99	$14,267	-60%	$6,287
330 Major Small and Large Bowel Procedures with CC	96	$56,363	-53%	$20,162
189 Pulmonary Edema and Respiratory Failure	92	$25,180	-56%	$10,271
481 Hip and Femur Procedures except Major Joint with CC	90	$42,580	-58%	$17,127
603 Cellulitis without MCC	87	$17,392	-53%	$7,443
308 Cardiac Arrhythmia and Conduction Disorders with MCC	85	$23,258	-59%	$9,851
470 Major Hip and Knee Joint Replacement or Reattachment of...	85	$38,953	-58%	$15,714
312 Syncope and Collapse	84	$16,508	-64%	$7,201
377 Gastrointestinal Hemorrhage with MCC	82	$29,186	-66%	$14,281
682 Renal Failure with MCC	81	$27,719	-58%	$13,038
322 Percutaneous Cardiovascular Procedures with Intraluminal...	79	$93,791	-18%	$17,658
552 Medical Back Problems without MCC	79	$20,284	-58%	$7,760
286 Circulatory Disorders except AMI, with Cardiac...	76	$47,410	-58%	$18,309
267 Endovascular Cardiac Valve Replacement and Supplement...	74	$158,140	-29%	$41,073
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	70	$41,970	-58%	$16,747
638 Diabetes with CC	70	$19,439	-53%	$7,807
274 Percutaneous and Other Intracardiac Procedures without MCC	69	$89,385	-43%	$26,995
190 Chronic Obstructive Pulmonary Disease with MCC	66	$22,156	-56%	$8,929
698 Other Kidney and Urinary Tract Diagnoses with MCC	66	$28,666	-61%	$14,385
853 Infectious and Parasitic Diseases with O.R. Procedures with...	65	$106,870	-53%	$49,628
194 Simple Pneumonia and Pleurisy with CC	62	$16,364	-57%	$6,801
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	60	$16,042	-57%	$6,762
208 Respiratory System Diagnosis with Ventilator Support <=96...	54	$51,638	-62%	$22,113
313 Chest Pain	52	$17,499	-56%	$5,721
699 Other Kidney and Urinary Tract Diagnoses with CC	51	$18,765	-60%	$8,212
884 Organic Disturbances and Intellectual Disability	49	$29,199	-53%	$14,193
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	48	$41,032	-60%	$17,542
885 Psychoses	47	$13,141	-70%	$11,113
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	44	$27,196	-58%	$11,770
287 Circulatory Disorders except AMI, with Cardiac...	43	$32,412	-49%	$8,742
329 Major Small and Large Bowel Procedures with MCC	43	$78,340	-64%	$42,556
281 Acute Myocardial Infarction, Discharged Alive with CC	42	$25,170	-50%	$7,504
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	42	$13,496	-53%	$4,894
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	42	$24,974	-59%	$11,388
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	42	$33,117	-51%	$11,744
948 Signs and Symptoms without MCC	42	$17,931	-53%	$6,811
178 Respiratory Infections and Inflammations with CC	41	$20,551	-55%	$8,023
321 Percutaneous Cardiovascular Procedures with Intraluminal...	41	$114,204	-30%	$25,009
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	41	$25,559	-58%	$11,114
480 Hip and Femur Procedures except Major Joint with MCC	41	$61,051	-56%	$23,576
602 Cellulitis with MCC	41	$23,648	-61%	$12,368
101 Seizures without MCC	39	$21,634	-56%	$7,534
389 Gastrointestinal Obstruction with CC	38	$17,221	-56%	$6,871
419 Laparoscopic Cholecystectomy without C.D.E. without CC/MCC	38	$33,421	-57%	$11,683
394 Other Digestive System Diagnoses with CC	35	$16,449	-65%	$8,224
460 Spinal Fusion except Cervical without MCC	35	$83,380	-51%	$30,500
637 Diabetes with MCC	35	$31,660	-52%	$11,761
811 Red Blood Cell Disorders with MCC	34	$28,270	-59%	$11,328
418 Laparoscopic Cholecystectomy without C.D.E. with CC	33	$35,875	-62%	$13,163

Showing the 60 most frequent of 173 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	1,116	$12,085	$2,610
Level 2 Excision/ Biopsy/ Incision and Drainage	497	$7,396	$1,553
Level 1 Endovascular Procedures	393	$16,753	$3,124
Level 2 Upper GI Procedures	293	$4,983	$1,856
Level 3 Urology and Related Services	292	$6,601	$1,987
Level 5 Musculoskeletal Procedures	267	$34,167	$12,584
Level 3 Electrophysiologic Procedures	265	$102,871	$22,885
Level 3 Vascular Procedures	243	$10,510	$3,032
Level 1 Laparoscopy and Related Services	226	$21,248	$5,595
Level 1 Intraocular Procedures	206	$6,340	$2,283
Level 3 Excision/ Biopsy/ Incision and Drainage	178	$7,744	$2,719
Level 5 Urology and Related Services	151	$20,569	$5,062
Level 4 Musculoskeletal Procedures	150	$20,800	$6,961
Level 3 Endovascular Procedures	136	$61,544	$10,538
Level 4 Urology and Related Services	132	$11,925	$3,333
Level 2 Endovascular Procedures	120	$21,294	$5,546
Level 2 Intraocular Procedures	119	$16,434	$3,891
Level 2 Vascular Procedures	117	$3,577	$1,564
Level 1 Breast/Lymphatic Surgery and Related Procedures	105	$15,738	$3,692
Level 2 Laparoscopy and Related Services	104	$36,069	$9,543
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	87	$11,395	$3,371
Level 2 Breast/Lymphatic Surgery and Related Procedures	79	$21,755	$6,348
Level 3 Pacemaker and Similar Procedures	76	$51,823	$10,374
Level 6 Musculoskeletal Procedures	64	$52,964	$18,024
Level 3 Musculoskeletal Procedures	60	$11,882	$3,141

Against the Virginia average

For Heart Failure and Shock with MCC (DRG 291), Winchester Medical Center charged $21,078 on average, 48% less than the Virginia average of $40,795, and was paid $10,478 against a state average of $11,030. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Winchester Medical Center charged $37,108 on average, 43% less than the Virginia average of $65,235, and was paid $16,324 against a state average of $16,367. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Winchester Medical Center charged $24,550 on average, 45% less than the Virginia average of $44,717, and was paid $11,174 against a state average of $11,065. For Respiratory Infections and Inflammations with MCC (DRG 177), Winchester Medical Center charged $28,381 on average, 43% less than the Virginia average of $49,485, and was paid $13,498 against a state average of $13,709. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,085 was 38% below the state average of $19,506. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,396 was 34% below the state average of $11,217. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $16,753 was 47% below the state average of $31,869. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $4,983 was 64% below the state average of $13,852.

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.