62/100
#890 nationally
Sentara Halifax Regional Hospital
2204 Wilborn Avenue, South Boston, VA 24592 · (434) 517-3100
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Sentara Halifax Regional Hospital billed $3.50 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
- 3.5x
- volume-weighted across all its priced work
- Procedures priced
- 36
- inpatient and outpatient combined
- Rank in VA
- #23
- 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 74% of U.S. hospitals.
Better than 47% of U.S. hospitals.
Better than 65% of U.S. hospitals.
Better than 48% 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 |
279 | $16,949 | $2,583 | -13% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
143 | $39,065 | $14,877 | -40% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
96 | $25,899 | $10,153 | -40% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
59 | $8,664 | $1,786 | -26% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
37 | $19,413 | $3,055 | -23% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
35 | $38,347 | $12,816 | -30% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
31 | $23,034 | $8,647 | -45% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
31 | $8,123 | $1,543 | -19% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
27 | $24,073 | $8,510 | -39% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
24 | $27,222 | $12,148 | -52% |
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 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$17,722 | $1,837 | +56% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$24,223 | $2,704 | +37% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$25,690 | $2,550 | +34% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$22,312 | $2,975 | +23% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$21,753 | $3,080 | +7% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$35,175 | $5,491 | about average |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$11,181 | $1,530 | about average |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$44,366 | $10,308 | -6% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$27,222 | $12,148 | -52% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$26,184 | $11,265 | -51% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$23,034 | $8,647 | -45% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$26,334 | $10,342 | -43% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$27,963 | $9,724 | -42% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$25,899 | $10,153 | -40% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$39,065 | $14,877 | -40% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$34,180 | $10,839 | -39% |
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.