85/100
#186 nationally
Essentia Health Virginia
901 9Th Street North, Virginia, MN 55792 · (218) 741-3340
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Essentia Health Virginia billed $2.99 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
- 3.0x
- volume-weighted across all its priced work
- Procedures priced
- 30
- inpatient and outpatient combined
- Rank in MN
- #13
- 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 82% of U.S. hospitals.
Better than 88% of U.S. hospitals.
Better than 87% of U.S. hospitals.
Better than 77% 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 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
148 | $1,132 | $425 | -64% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
123 | $12,613 | $2,527 | -35% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
82 | $35,057 | $12,234 | -44% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
76 | $35,669 | $16,115 | -45% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
62 | $4,817 | $1,480 | -52% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
61 | $11,691 | $2,967 | -39% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
54 | $10,572 | $1,771 | -10% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
50 | $20,840 | $5,371 | -41% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
40 | $27,561 | $10,680 | -37% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
35 | $33,233 | $11,113 | -31% |
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 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$10,572 | $1,771 | -10% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$22,491 | $4,051 | -14% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$30,707 | $6,070 | -22% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$8,322 | $1,797 | -27% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$16,901 | $3,220 | -27% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$20,629 | $6,957 | -31% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$33,233 | $11,113 | -31% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$28,244 | $8,464 | -32% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$2,605 | $1,668 | -80% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$3,033 | $1,580 | -73% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$2,378 | $1,427 | -72% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$1,132 | $425 | -64% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$22,900 | $13,734 | -60% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$24,735 | $13,739 | -55% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$4,817 | $1,480 | -52% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$23,027 | $11,027 | -51% |
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.