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HCHospitalCostData

Updated April 2026

Cardiac Arrhythmia and Conduction Disorders with MCC in Virginia

43 Virginia hospitals report Medicare totals for this DRG, averaging $12,925 (above the $11,768 national mean), with a 2× spread from $7,932 to $18,326. 3 carry an A grade, 0 carry an F.

Cardiac Arrhythmia and Conduction Disorders with MCC (DRG 308) is a Cardiac procedure tracked in CMS Inpatient Payment files. Across Virginia, 2,745 hospitals report payment data for 565,015 total discharges, with an average Medicare payment of $11,768 (median $11,444). The $4,039-to-$25,428 payment range is wide: the same DRG code can attract very different reimbursements across hospitals, reflecting differences in cost structure, patient complexity within the DRG, and regional pricing dynamics. The Medicare DRG system bundles cases by diagnosis-and-procedure groupings, so payment differences within a single DRG mostly track hospital-specific factors rather than case-mix.

Within Virginia, the 2,745 hospitals reporting this procedure span the full range of ownership types and hospital sizes. The state-specific average ($11,768) is shaped by which hospitals in the state see enough volume to report the DRG code at all. For patients with elective scheduling on Cardiac Arrhythmia and Conduction Disorders with MCC, the cost-comparison logic is straightforward: the per-procedure payment range is meaningfully wide, so the hospital chosen affects total cost. For patients in an emergency, the choice is functionally fixed — but the listed prices still matter for insurance-coverage and out-of-pocket planning.

About This Procedure

Cardiovascular DRGs cover heart attack, coronary bypass, valve replacement, vascular surgery, and arrhythmia management. These procedures combine high implant costs with intensive perioperative monitoring, which is why they consistently rank among the most expensive Medicare DRGs.

Cardiac Arrhythmia and Conduction Disorders with MCC is Medicare DRG 308 in the Cardiac category. National Medicare average for this DRG is $11,768 across 2,745 reporting hospitals. The state-level view here filters that universe down to Virginia only.

Cost Picture in Virginia

Virginia's average for this DRG sits above the national Medicare mean. State-level differences are explained primarily by the regional Medicare wage index — the multiplier CMS applies to standardize DRG payments to local labor costs — alongside hospital case mix and the concentration of academic referral centers in the state's larger metros.

Within the state, the 2× spread between the lowest- and highest-reporting facility usually reflects length-of-stay differences, complication adjustments for sicker patients, teaching-status add-ons, and outlier payments for unusually long stays. Two hospitals reporting the same DRG can post meaningfully different totals without anything “wrong” happening at either site. For non-Medicare patients, the more relevant figure is the negotiated commercial rate published in each hospital's machine-readable file under the CMS Hospital Price Transparency Rule.

Quality Alongside Price

For a planned admission, the most useful complement to the cost view is the hospital-specific quality data on CMS Care Compare. The site publishes risk-adjusted measures of mortality, readmission, complication, infection, and patient experience for every Medicare-participating hospital. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators feed many of these CMS measures.

For complex procedures, hospital-level case volume correlates with outcomes in published research, even after risk adjustment. CMS publishes case counts on Care Compare alongside outcome measures.

Hospitals in Virginia Reporting Cardiac Arrhythmia and Conduction Disorders with MCC

Sorted lowest to highest Medicare total payment. Pricing is informational and should be considered alongside CMS quality measures.

#HospitalPaymentGrade
1Lewisgale Hospital Pulaski
Pulaski
$7,932C
2Southwestern Virginia Mental Health Institute
Marion
$8,976C
3Lonesome Pine Hospital
Big Stone Gap
$9,086C
4Vcu Health Tappahannock Hospital
Tappahannock
$10,466B
5Inova Alexandria Hospital
Alexandria
$10,631B
6Sentara Virginia Beach General Hospital
Virginia Beach
$10,802B
7Johnston Memorial Hospital
Abingdon
$11,057C
8Page Memorial Hospital, Inc
Luray
$11,720C
9Carilion Stonewall Jackson Hospital
Lexington
$11,747C
10Virginia Hospital Center
Arlington
$11,760A
11Virginia Beach Psychiatric Center
Virginia Beach
$11,794D
12Western State Hospital
Staunton
$11,912C
13Riverside Shore Memorial Hospital
Onancock
$12,186C
14Uva Health Culpeper Medical Center
Culpeper
$12,253C
15Southern Virginia Mental Health Institute
Danville
$12,266C
16Riverside Regional Medical Center
Newport News
$12,338C
17Bon Secours Southampton Memorial Hospital
Franklin
$12,377C
18Sentara Princess Anne Hospital
Virginia Beach
$12,423B
19Cjw Medical Center
Richmond
$12,597C
20Lewisgale Medical Center
Salem
$12,602C
21Bon Secours Southern Virginia Medical Center
Emporia
$12,846C
22Inova Fairfax Hospital
Falls Church
$12,906A
23Rappahannock General Hospital
Kilmarnock
$12,928B
24Inova Loudoun Hospital
Leesburg
$12,936B
25Sentara Northern Virginia Medical Center
Woodbridge
$13,281C
26Dominion Hospital
Falls Church
$13,312C
27Spotsylvania Regional Medical Center
Fredericksburg
$13,324D
28Childrens Hospital Of The Kings Daughters Inc
Norfolk
$13,349D
29Catawba Hospital
Catawba
$13,483C
30Clinch Valley Medical Center
Richlands
$13,745C
31Lewisgale Hospital Montgomery
Blacksburg
$13,756C
32Sentara Martha Jefferson Hospital
Charlottesville
$14,029A
33Bon Secours St Francis Medical Center
Midlothian
$14,106C
34Stafford Hospital, Llc
Stafford
$14,280C
35Carilion New River Valley Medical Center
Christiansburg
$14,281B
36Centra Health - Lynchburg Gen Hospital
Lynchburg
$14,448C
37Bon Secours Southside Medical Center
Petersburg
$14,638D
38Fauquier Hospital
Warrenton
$14,911C
39Stonesprings Hospital Center
Dulles
$14,989C
40Sentara Obici Hospital
Suffolk
$15,321B
41Lewisgale Hospital Alleghany
Low Moor
$15,323C
42Bon Secours Richmond Community Hospital
Richmond
$18,315C
43Salem Va Medical Center
Salem
$18,326B

Frequently Asked Questions

How much does cardiac arrhythmia and conduction disorders with mcc cost in Virginia?

Cardiac Arrhythmia and Conduction Disorders with MCC (DRG 308) averages $12,925 in total Medicare payment across 43 Virginia hospitals reporting this code. Within the state, payments span $7,932 to $18,326 — about 2× from cheapest to most expensive.

Is Cardiac Arrhythmia and Conduction Disorders with MCC more or less expensive in Virginia than nationally?

Virginia's state-level average of $12,925 sits above the national Medicare average of $11,768 for this DRG. State differences are driven primarily by the regional Medicare wage index, case mix, and the share of high-acuity referral hospitals.

Why is the spread between hospitals so wide?

Variation within a state runs 2× because the same DRG can come with different lengths of stay, complication adjustments, teaching-status add-ons, and outlier payments. The CMS Hospital Price Transparency Rule publishes machine-readable rate files that allow direct comparisons against negotiated commercial rates, which often differ from Medicare totals.

Are these the prices a privately insured patient would pay?

No. Figures here are Medicare DRG payments. Privately insured patients are billed under their plan's negotiated network rate, published in each hospital's price-transparency file. Uninsured patients should ask the hospital for the cash-pay rate, also disclosed under federal price-transparency rules.

Should I choose a hospital based only on price?

No. HospitalCostData is informational. Surgeon experience, hospital volume for the procedure, complication rates, and your specific clinical situation matter at least as much as price. Always discuss options with your physician and review CMS Care Compare quality data alongside any pricing benchmark.

See the methodology page for DRG sourcing and Medicare wage-index context.

Sources & Citations

  • CMS Medicare Inpatient Hospital Payments (IPPS). DRG-level average covered charges, total payments, and Medicare payments per facility. data.cms.gov
  • CMS Hospital Compare (Care Compare). Star ratings, mortality, readmission, safety-of-care, and patient-experience measures. medicare.gov/care-compare
  • CMS Hospital Price Transparency Rule. Standard charge files required from every Medicare-participating hospital. cms.gov/hospital-price-transparency
  • Agency for Healthcare Research and Quality (AHRQ). National benchmarks, quality indicators, and clinical context for hospital outcome measures. ahrq.gov

Dataset last refreshed: April 2026. Underlying CMS files are public domain. Suggested citation: “HospitalCostData, hospitalcostdata.com, accessed May 24, 2026.”

This page is informational only and does not constitute medical, legal, or financial advice. Care decisions should be made with a licensed physician.

Source: CMS Hospital Price Transparency, 2026.