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Inpatient stay · MS-DRG 637

Diabetes with MCC

In 2024, Medicare and patients paid an average of $14,037 per stay at 1,057 hospitals. Half of hospitals averaged between $11,078 and $15,136.

National figures, 2024

Average payment per case
$14,037
Typical range (middle half of hospitals)
$11,078–$15,136
Medicare’s share
$11,46482% of the payment
Average billed charge
$69,906
Hospitals reporting
1,05720,859 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 32 hospitals
$13,061National $14,037 · Virginia $13,061
Median hospital
$11,453
Lowest to highest
$9,181–$37,388
Medicare stays
646

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

Medicare payments per case for Diabetes with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Sentara Obici HospitalSuffolk, VA · CCN 49004415$9,18135% below the national average$8,291$44,625
Sentara Princess Anne HospitalVirginia Beach, VA · CCN 49011921$10,00829% below the national average$9,290$36,647
John Randolph Medical CenterHopewell, VA · CCN 49002018$10,05128% below the national average$9,101$75,034
Sentara Williamsburg Regional Medical CenterWilliamsburg, VA · CCN 49006612$10,08228% below the national average$8,722$51,612
CJW Medical CenterRichmond, VA · CCN 49011250$10,49625% below the national average$8,723$99,218
Henrico Doctors' HospitalRichmond, VA · CCN 49011822$10,54225% below the national average$9,007$91,254
Bon Secours St Marys HospitalRichmond, VA · CCN 49005914$10,61724% below the national average$9,264$44,476
Bon Secours Southside Medical CenterPetersburg, VA · CCN 49006725$10,66724% below the national average$9,225$122,153
Mary Washington HospitalFredericksburg, VA · CCN 49002228$10,72224% below the national average$9,574$22,405
Chesapeake General HospitalChesapeake, VA · CCN 49012020$10,91522% below the national average$9,936$35,634
Reston Hospital CenterReston, VA · CCN 49010711$10,93222% below the national average$9,743$68,124
Sentara Careplex HospitalHampton, VA · CCN 49009311$10,98522% below the national average$9,801$40,077
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 49002116$11,09421% below the national average$9,479$40,683
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 49005719$11,18020% below the national average$8,797$44,504
Sentara Leigh HospitalNorfolk, VA · CCN 49004626$11,37719% below the national average$9,090$39,504
Sentara Northern Virginia Medical CenterWoodbridge, VA · CCN 49011314$11,39319% below the national average$10,461$38,614
Inova Loudoun HospitalLeesburg, VA · CCN 49004313$11,51218% below the national average$9,581$39,194
Winchester Medical CenterWinchester, VA · CCN 49000535$11,76116% below the national average$10,880$31,660
Riverside Regional Medical CenterNewport News, VA · CCN 49005212$11,98515% below the national average$10,078$28,390
Inova Alexandria HospitalAlexandria, VA · CCN 49004022$12,11014% below the national average$9,948$33,142
Sovah Health DanvilleDanville, VA · CCN 49007517$12,26813% below the national average$9,902$72,239
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 49006931$12,42611% below the national average$8,525$50,905
Sentara RMH Medical CenterHarrisonburg, VA · CCN 49000419$12,46111% below the national average$10,656$27,723
Lewisgale Medical CenterSalem, VA · CCN 49004818$13,093About average$10,506$70,640
Carilion Medical CenterRoanoke, VA · CCN 49002420$13,285About average$9,724$54,843
Inova Mount Vernon HospitalAlexandria, VA · CCN 49012212$13,467About average$12,229$49,187
Lewisgale Hospital MontgomeryBlacksburg, VA · CCN 49011014$14,640About average$10,324$50,775
Sentara Norfolk General HospitalNorfolk, VA · CCN 49000714$15,223About average$10,187$46,643
Virginia Hospital CenterArlington, VA · CCN 49005013$15,315About average$13,610$56,387
Inova Fairfax HospitalFalls Church, VA · CCN 49006344$15,94914% above the national average$11,813$44,418
Medical College Of Virginia HospitalsRichmond, VA · CCN 49003218$22,44860% above the national average$9,573$86,580
University Of Virginia Medical CenterCharlottesville, VA · CCN 49000922$37,388166% above the national average$12,838$94,588

National trend

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

  • Average payment
  • Average billed charge
2020: 25,245 stays at 1,180 hospitals · 2021: 23,396 stays at 1,131 hospitals · 2022: 23,255 stays at 1,129 hospitals · 2023: 21,445 stays at 1,077 hospitals · 2024: 20,859 stays at 1,057 hospitals
View data as a table
National average payment and billed charge for Diabetes with MCC
Year of careAverage paymentAverage billed charge
2020$12K$52K
2021$13K$57K
2022$13K$61K
2023$13K$65K
2024$14K$70K

By state, 2024

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

Show all 51 states
Average payment by state for Diabetes with MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Arkansas13258$10,387$9,458–$10,836
Louisiana10178$10,710$9,580–$11,663
Mississippi13278$10,806$10,109–$10,823
Kentucky10199$10,945$10,003–$11,861
Montana334$11,321$11,022–$11,535
Indiana21361$11,409$10,606–$11,610
Oklahoma14312$11,469$10,073–$11,627
Iowa6103$11,476$10,164–$12,000
Kansas11179$11,490$10,779–$11,932
Tennessee25498$11,516$10,157–$11,554
Alabama15247$11,575$9,751–$11,695
Vermont230$11,641$11,407–$11,741
West Virginia10144$11,699$9,978–$11,983
Idaho240$12,030$11,633–$12,515
Florida921,974$12,129$10,485–$12,418
South Carolina18355$12,173$9,739–$13,088
Colorado9155$12,389$11,201–$12,409
Texas851,703$12,396$10,830–$13,072
Arizona15238$12,493$10,998–$12,645
South Dakota356$12,583$12,031–$12,919
Nebraska571$12,603$10,651–$14,378
Missouri23443$12,672$10,724–$12,417
Ohio39689$12,772$10,438–$13,416
North Dakota112$12,795$12,795–$12,795
North Carolina28613$12,903$11,227–$12,924
Michigan35657$12,973$11,582–$13,401
Illinois49936$13,016$11,444–$13,527
Virginia32646$13,061$10,708–$13,141
Nevada13300$13,117$11,934–$13,620
Pennsylvania40768$13,208$11,398–$14,335
New Hampshire6103$13,372$11,251–$13,227
Delaware4123$13,436$12,316–$13,765
Wisconsin11202$13,564$11,790–$14,027
Utah574$13,675$12,378–$14,230
New Mexico6106$13,779$11,815–$14,955
Georgia40718$14,000$11,384–$14,904
Washington20322$14,352$12,686–$14,117
New Jersey40830$14,432$12,244–$15,691
Minnesota15287$14,746$11,154–$16,360
Massachusetts31814$14,848$11,650–$16,037
Oregon8126$15,238$14,388–$15,788
Wyoming125$15,261$15,261–$15,261
Hawaii118$15,417$15,417–$15,417
Alaska234$15,993$15,093–$17,132
Rhode Island354$16,217$15,770–$16,510
California1192,205$16,938$14,697–$17,107
Connecticut9222$17,178$15,103–$16,700
Maine243$18,505$14,716–$19,439
New York611,452$19,844$13,878–$22,642
District of Columbia485$20,553$16,907–$23,798
Maryland27539$20,965$17,443–$24,000

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.