CostGrade
D

33/100

#1,794 nationally

Medical College Of Virginia Hospitals

1250 East Marshall Street, Richmond, VA 23298 · (804) 828-9000

Charges far above the national norm

For every $1 of care Medicare actually paid for here, Medical College Of Virginia Hospitals billed $4.54 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
4.5x
volume-weighted across all its priced work
Procedures priced
224
inpatient and outpatient combined
Rank in VA
#49
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.

Inpatient charge markup 17.3/35

Better than 49% of U.S. hospitals.

Outpatient charge markup 8.2/25

Better than 33% of U.S. hospitals.

Price level vs national median 7.1/30

Better than 24% of U.S. hospitals.

Price consistency 0.3/10

Better than 3% 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
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

557 $27,796 $2,314 +43%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

523 $14,234 $1,384 +41%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

493 $32,044 $2,416 +81%
Level 2 Urology and Related Services

APC 5372 · Hospital outpatient visit

400 $2,605 $520 -17%
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

358 $28,690 $2,768 +14%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

339 $118,071 $30,173 +81%
Level 3 Electrophysiologic Procedures

APC 5213 · Hospital outpatient visit

329 $138,703 $20,197 +5%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

298 $20,193 $2,736 +6%
Level 2 Upper GI Procedures

APC 5302 · Hospital outpatient visit

282 $13,257 $1,590 +13%
Level 3 Urology and Related Services

APC 5373 · Hospital outpatient visit

276 $10,858 $1,485 -16%

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
Coagulation Disorders

MS-DRG 813 · Inpatient stay

$920,737 $315,081 +1,274%
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio

MS-DRG 809 · Inpatient stay

$146,269 $34,098 +166%
Allogeneic Bone Marrow Transplant

MS-DRG 014 · Inpatient stay

$1,151,606 $277,583 +132%
Traumatic Stupor and Coma >1 Hour with Complications

MS-DRG 083 · Inpatient stay

$133,418 $23,108 +123%
Infection Needing Surgery (severe)

MS-DRG 853 · Inpatient stay

$379,092 $99,222 +113%
Other Operating Room Procedures for Injuries with Major Complications

MS-DRG 907 · Inpatient stay

$365,540 $69,717 +112%
Kidney and Ureter Procedures for Non-neoplasm with Complications

MS-DRG 660 · Inpatient stay

$116,981 $24,813 +110%
Level 6 Gynecologic Procedures

APC 5416 · Hospital outpatient visit

$84,721 $6,517 +107%

Where it charges least relative to everyone else

Procedure Charged Actually paid vs national
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

$25,710 $7,333 -32%
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major

MS-DRG 267 · Inpatient stay

$136,943 $43,704 -28%
Level 4 Neurostimulator and Related Procedures

APC 5464 · Hospital outpatient visit

$62,123 $18,176 -23%
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio

MS-DRG 808 · Inpatient stay

$82,199 $28,360 -23%
Full Thickness Burn with Skin Graft or Inhalation Injury with Complications/mcc

MS-DRG 928 · Inpatient stay

$214,316 $72,448 -22%
Level 1 Nerve Procedures

APC 5431 · Hospital outpatient visit

$9,095 $1,666 -20%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

$92,200 $26,230 -18%
Ventricular Shunt Procedures with Complications

MS-DRG 032 · Inpatient stay

$83,125 $22,837 -18%

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.