1/100
#2,607 nationally
Cjw Medical Center
7101 Jahnke Road, Richmond, VA 23225 · (804) 483-0000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Cjw Medical Center billed $16.97 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 17.0x
- volume-weighted across all its priced work
- Procedures priced
- 232
- inpatient and outpatient combined
- Rank in VA
- #64
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 0% of U.S. hospitals.
Better than 0% of U.S. hospitals.
Better than 3% of U.S. hospitals.
Better than 1% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
633 | $290,537 | $11,256 | +365% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
597 | $175,397 | $14,381 | +169% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
521 | $70,717 | $2,783 | +180% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
433 | $514,039 | $20,269 | +288% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
415 | $43,062 | $1,625 | +266% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
358 | $26,379 | $1,380 | +162% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
332 | $35,593 | $2,340 | +83% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
287 | $97,218 | $9,191 | +124% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
253 | $128,425 | $4,842 | +266% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
198 | $446,722 | $22,127 | +259% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$30,218 | $588 | +863% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$1,448,082 | $67,004 | +552% |
|
Level 6 Gynecologic Procedures
APC 5416 · Hospital outpatient visit |
$246,790 | $6,508 | +504% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$462,582 | $16,011 | +457% |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$210,001 | $7,314 | +455% |
|
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications
MS-DRG 269 · Inpatient stay |
$833,975 | $31,271 | +405% |
|
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with
MS-DRG 427 · Inpatient stay |
$1,524,683 | $59,962 | +394% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
$147,071 | $4,906 | +390% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Endocrine Disorders without Complications/mcc
MS-DRG 645 · Inpatient stay |
$44,210 | $5,422 | about average |
|
Neurological Eye Disorders
MS-DRG 123 · Inpatient stay |
$53,753 | $6,351 | +9% |
|
Urinary Stones without Major Complications
MS-DRG 694 · Inpatient stay |
$45,799 | $6,907 | +20% |
|
Level 3 Neurostimulator and Related Procedures
APC 5463 · Hospital outpatient visit |
$73,468 | $11,559 | +26% |
|
Rehabilitation with Complications/mcc
MS-DRG 945 · Inpatient stay |
$104,290 | $10,069 | +35% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$68,935 | $10,884 | +38% |
|
Dysequilibrium
MS-DRG 149 · Inpatient stay |
$55,033 | $5,405 | +40% |
|
Bone Diseases and Arthropathies without Major Complications
MS-DRG 554 · Inpatient stay |
$45,295 | $5,909 | +41% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.