5/100
#2,515 nationally
John Randolph Medical Center
411 West Randolph Road, Hopewell, VA 23860 · (804) 541-1600
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, John Randolph Medical Center billed $12.84 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
- 12.8x
- volume-weighted across all its priced work
- Procedures priced
- 43
- inpatient and outpatient combined
- Rank in VA
- #62
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 9% of U.S. hospitals.
Better than 0% of U.S. hospitals.
Better than 5% of U.S. hospitals.
Better than 0% 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 |
|---|---|---|---|---|
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
67 | $68,478 | $9,235 | +58% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
64 | $27,240 | $1,393 | +170% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
64 | $287,754 | $11,133 | +361% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
64 | $36,621 | $2,382 | +88% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
58 | $82,858 | $9,638 | +78% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
56 | $145,416 | $13,657 | +123% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
55 | $52,161 | $1,998 | +344% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
42 | $54,483 | $6,791 | +65% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
39 | $62,001 | $6,049 | +92% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
36 | $212,110 | $6,225 | +432% |
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 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$478,676 | $16,182 | +477% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$65,413 | $1,557 | +476% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$212,110 | $6,225 | +432% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$287,754 | $11,133 | +361% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$52,161 | $1,998 | +344% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$73,386 | $2,443 | +343% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$94,124 | $3,010 | +305% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$79,139 | $2,558 | +288% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
$42,073 | $6,316 | about average |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$62,161 | $10,199 | +9% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$46,884 | $8,277 | +15% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$57,855 | $11,486 | +16% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$78,156 | $11,198 | +27% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$62,232 | $9,091 | +29% |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
$43,285 | $5,827 | +29% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$75,034 | $10,051 | +33% |
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.