58/100
#1,019 nationally
Sentara Careplex Hospital
3000 Coliseum Drive, Hampton, VA 23666 · (757) 827-2545
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Sentara Careplex Hospital billed $4.50 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
- 70
- inpatient and outpatient combined
- Rank in VA
- #26
- 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 53% of U.S. hospitals.
Better than 60% of U.S. hospitals.
Better than 59% of U.S. hospitals.
Better than 70% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
385 | $57,346 | $15,277 | -12% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
247 | $12,222 | $1,381 | +21% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
237 | $31,251 | $2,798 | +24% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
210 | $22,940 | $2,314 | +18% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
179 | $90,106 | $20,190 | -32% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
169 | $42,040 | $11,322 | -33% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
121 | $16,639 | $2,755 | -13% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
109 | $54,934 | $11,938 | -10% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
109 | $13,654 | $1,655 | +20% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
106 | $39,073 | $10,628 | -10% |
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 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$27,095 | $2,401 | +53% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$31,251 | $2,798 | +24% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$15,705 | $1,756 | +22% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$12,222 | $1,381 | +21% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$13,654 | $1,655 | +20% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$22,940 | $2,314 | +18% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$13,415 | $2,002 | +14% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$12,893 | $1,655 | +10% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$41,621 | $16,478 | -47% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
$47,549 | $14,844 | -43% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
$55,030 | $14,837 | -36% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$27,265 | $9,452 | -35% |
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$97,464 | $28,542 | -34% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
$95,281 | $25,309 | -34% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$32,251 | $10,289 | -34% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$58,743 | $14,124 | -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.