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Inpatient stay · MS-DRG 176

Pulmonary embolism without MCC

In 2024, Medicare and patients paid an average of $8,293 per stay at 515 hospitals. Half of hospitals averaged between $6,587 and $9,217.

National figures, 2024

Average payment per case
$8,293
Typical range (middle half of hospitals)
$6,587–$9,217
Medicare’s share
$5,97972% of the payment
Average billed charge
$41,798
Hospitals reporting
5159,457 stays

Hospitals in Virginia

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Virginia
Specific hospitals up to 10
Average payment across these 22 hospitals
$7,868National $8,293 · Virginia $7,868
Median hospital
$7,278
Lowest to highest
$6,108–$13,357
Medicare stays
385

22 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Pulmonary embolism without MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 49005723$6,10826% below the national average$5,024$33,577
CJW Medical CenterRichmond, VA · CCN 49011233$6,23325% below the national average$4,617$62,855
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 49002116$6,27424% below the national average$4,743$35,111
Bon Secours St Marys HospitalRichmond, VA · CCN 49005920$6,39223% below the national average$4,943$36,962
Mary Washington HospitalFredericksburg, VA · CCN 49002224$6,55521% below the national average$5,061$18,801
Sentara Princess Anne HospitalVirginia Beach, VA · CCN 49011913$6,58221% below the national average$4,575$34,569
Virginia Hospital CenterArlington, VA · CCN 49005011$6,81618% below the national average$4,823$16,186
Winchester Medical CenterWinchester, VA · CCN 49000529$6,84717% below the national average$4,995$17,815
Sentara Leigh HospitalNorfolk, VA · CCN 49004618$7,04715% below the national average$4,455$32,864
Reston Hospital CenterReston, VA · CCN 49010711$7,17114% below the national average$4,534$46,030
Bon Secours St Francis Medical CenterMidlothian, VA · CCN 49013615$7,27412% below the national average$4,960$37,505
Riverside Regional Medical CenterNewport News, VA · CCN 49005214$7,28212% below the national average$4,705$21,883
Augusta HealthFishersville, VA · CCN 49001812$7,468About average$4,428$24,471
Inova Loudoun HospitalLeesburg, VA · CCN 49004314$7,825About average$4,303$34,389
Inova Alexandria HospitalAlexandria, VA · CCN 49004012$7,861About average$4,975$35,545
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 49006922$7,917About average$5,527$45,509
Lewisgale Medical CenterSalem, VA · CCN 49004812$7,953About average$5,425$70,574
Carilion Medical CenterRoanoke, VA · CCN 49002420$9,13110% above the national average$4,539$31,016
Inova Fairfax HospitalFalls Church, VA · CCN 49006317$9,45214% above the national average$5,393$29,688
Sentara Norfolk General HospitalNorfolk, VA · CCN 49000715$11,06033% above the national average$5,277$41,036
University Of Virginia Medical CenterCharlottesville, VA · CCN 49000916$13,05257% above the national average$8,078$40,594
Medical College Of Virginia HospitalsRichmond, VA · CCN 49003218$13,35761% above the national average$8,363$55,864

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 13,932 stays at 714 hospitals · 2021: 12,596 stays at 666 hospitals · 2022: 9,891 stays at 542 hospitals · 2023: 10,016 stays at 550 hospitals · 2024: 9,457 stays at 515 hospitals
View data as a table
National average payment and billed charge for Pulmonary embolism without MCC
Year of careAverage paymentAverage billed charge
2020$7,548$33K
2021$8,048$35K
2022$8,131$38K
2023$8,019$39K
2024$8,293$42K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 46 states
Average payment by state for Pulmonary embolism without MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont122$5,383$5,383–$5,383
Arkansas336$5,763$5,501–$6,079
Iowa457$5,987$5,951–$6,010
Mississippi462$6,285$6,323–$6,728
Montana112$6,314$6,314–$6,314
Kentucky9190$6,322$5,898–$6,813
Kansas586$6,370$5,585–$7,155
Colorado355$6,637$6,588–$6,808
Indiana13198$6,980$6,130–$7,128
Missouri16246$7,006$5,898–$7,445
Alabama7114$7,041$6,090–$6,931
North Dakota231$7,131$7,055–$7,218
Arizona17305$7,196$6,357–$7,117
Ohio27428$7,304$6,149–$7,684
South Dakota116$7,345$7,345–$7,345
Louisiana675$7,356$5,700–$7,944
South Carolina12198$7,397$6,788–$7,613
Wisconsin343$7,410$6,452–$8,073
Florida40863$7,418$6,272–$7,885
West Virginia463$7,538$6,919–$7,969
Idaho338$7,574$7,328–$7,819
Nebraska591$7,650$6,673–$8,723
Pennsylvania35616$7,713$6,125–$8,447
Tennessee16255$7,721$6,403–$8,308
Delaware3113$7,759$7,364–$8,397
Oklahoma452$7,805$6,763–$8,428
Michigan11206$7,840$7,374–$8,329
Virginia22385$7,868$6,641–$7,944
New Hampshire565$7,912$6,428–$9,879
Texas20341$7,945$6,601–$9,647
Illinois28556$8,201$6,696–$9,394
North Carolina22424$8,217$6,785–$8,306
Minnesota7130$8,274$6,625–$8,483
Washington571$8,284$7,507–$8,537
Nevada463$8,311$8,133–$8,544
New Jersey21399$8,334$7,641–$9,088
Massachusetts19391$8,689$7,114–$9,872
Utah232$8,855$7,988–$9,530
Georgia15274$9,190$7,334–$9,693
Rhode Island352$9,813$9,597–$9,900
District of Columbia337$9,822$9,063–$11,144
New York32680$10,116$7,950–$11,043
California26463$10,201$8,826–$10,769
Connecticut383$10,618$9,524–$11,423
New Mexico113$10,881$10,881–$10,881
Maryland22527$11,951$9,027–$13,236

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.