Updated April 2026

Esophagitis, Gastroenteritis with MCC in Virginia

53 Virginia hospitals report Medicare totals for this DRG, averaging $14,095 (above the $12,448 national mean), with a 2× spread from $9,454 to $19,788. 1 carry an A grade, 0 carry an F.

The Digestive procedure Esophagitis, Gastroenteritis with MCC carries DRG code 392 in the CMS classification system. 3,052 hospitals in Virginia report payment data, averaging $12,448 per procedure — median $12,171, ranging from $4,333 to $29,763. The $4,333-to-$29,763 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 3,052 hospitals reporting this procedure span the full range of ownership types and hospital sizes. The state-specific average ($12,448) is shaped by which hospitals in the state see enough volume to report the DRG code at all. For patients with elective scheduling on Esophagitis, Gastroenteritis 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

Digestive system DRGs cover appendectomy, bowel surgery, gallbladder, GI bleed, and hepatobiliary procedures. Laparoscopic vs. open approach, case complexity, and complication rates explain most cost variation.

Esophagitis, Gastroenteritis with MCC is Medicare DRG 392 in the Digestive category. National Medicare average for this DRG is $12,448 across 3,052 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 Esophagitis, Gastroenteritis with MCC

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

#	Hospital	City	Payment	Quality	Grade
1	Warren Memorial Hospital Front Royal	Front Royal	$9,454	★★★☆☆	C
2	Salem Va Medical Center Salem	Salem	$9,940	★★★★★	B
3	Richmond Va Medical Center Richmond	Richmond	$9,958	★★★★★	B
4	Augusta Health Fishersville	Fishersville	$10,405	★★★★☆	C
5	Centra Health - Lynchburg Gen Hospital Lynchburg	Lynchburg	$10,470	★★★☆☆	C
6	Southside Community Hospital, Inc Farmville	Farmville	$10,595	★★★★☆	B
7	Western State Hospital Staunton	Staunton	$10,738	Not Rated	C
8	Bon Secours Southampton Memorial Hospital Franklin	Franklin	$10,763	★★★☆☆	C
9	Hiram W Davis Medical Center Petersburg	Petersburg	$10,944	Not Rated	C
10	Southwestern Virginia Mental Health Institute Marion	Marion	$10,945	Not Rated	C
11	Reston Hospital Center Reston	Reston	$11,057	★★★☆☆	C
12	Smyth County Community Hospital Marion	Marion	$11,356	★★★☆☆	C
13	Centra Bedford Memorial Hospital Bedford	Bedford	$11,373	★★★★☆	B
14	Riverside Doctors' Hospital Of Williamsburg Williamsburg	Williamsburg	$11,464	★★★★☆	B
15	Buchanan General Hospital Grundy	Grundy	$11,691	★★☆☆☆	C
16	Hampton Va Medical Center Hampton	Hampton	$11,736	★★★★☆	C
17	Inova Loudoun Hospital Leesburg	Leesburg	$11,882	★★★★★	B
18	Cumberland Hospital Llc New Kent	New Kent	$12,389	Not Rated	D
19	University Of Virginia Medical Center Charlottesville	Charlottesville	$12,531	★★★★☆	B
20	Johnston Memorial Hospital Abingdon	Abingdon	$12,596	★★★☆☆	C
21	Bon Secours St Francis Medical Center Midlothian	Midlothian	$12,597	★★★☆☆	C
22	Nmc Portsmouth Portsmouth	Portsmouth	$12,686	Not Rated	C
23	Page Memorial Hospital, Inc Luray	Luray	$12,772	Not Rated	C
24	Carilion Giles Community Hospital Pearisburg	Pearisburg	$13,205	★★★★☆	B
25	Vcu Health Tappahannock Hospital Tappahannock	Tappahannock	$13,314	★★★★☆	B
26	Inova Fairfax Hospital Falls Church	Falls Church	$14,136	★★★★★	A
27	Dickenson Community Hospital Clintwood	Clintwood	$14,173	Not Rated	C
28	Sentara Obici Hospital Suffolk	Suffolk	$14,199	★★★★☆	B
29	Community Memorial Hospital South Hill	South Hill	$14,295	★★★☆☆	C
30	Riverside Walter Reed Hospital Gloucester	Gloucester	$14,484	★★★★☆	B
31	Northern Virginia Mental Health Insti Falls Church	Falls Church	$14,612	Not Rated	C
32	Bon Secours Maryview Medical Center Portsmouth	Portsmouth	$14,643	★★★☆☆	C
33	Sentara Northern Virginia Medical Center Woodbridge	Woodbridge	$15,447	★★★☆☆	C
34	Shenandoah Memorial Hospital Woodstock	Woodstock	$15,566	★★★☆☆	C
35	Mary Washington Hospital Fredericksburg	Fredericksburg	$15,668	★★☆☆☆	D
36	Sentara Leigh Hospital Norfolk	Norfolk	$15,678	★★★★☆	C
37	Rappahannock General Hospital Kilmarnock	Kilmarnock	$15,753	★★★★☆	B
38	Winchester Medical Center Winchester	Winchester	$15,934	★★★★☆	B
39	Clinch Valley Medical Center Richlands	Richlands	$16,399	★★★☆☆	C
40	Lewisgale Hospital Pulaski Pulaski	Pulaski	$16,401	★★★☆☆	C
41	Sentara Princess Anne Hospital Virginia Beach	Virginia Beach	$16,437	★★★★☆	B
42	Uva Health Haymarket Medical Center Haymarket	Haymarket	$16,589	★★★★☆	C
43	Sentara Careplex Hospital Hampton	Hampton	$17,062	★★★★☆	B
44	Cjw Medical Center Richmond	Richmond	$17,106	★★★★☆	C
45	Sentara Virginia Beach General Hospital Virginia Beach	Virginia Beach	$17,550	★★★★☆	B
46	Sovah Health Danville Danville	Danville	$17,816	★★☆☆☆	C
47	Fauquier Hospital Warrenton	Warrenton	$17,913	★★★☆☆	C
48	Wythe County Community Hospital Wytheville	Wytheville	$17,915	★★★★☆	B
49	Virginia Beach Psychiatric Center Virginia Beach	Virginia Beach	$18,001	Not Rated	D
50	Stonesprings Hospital Center Dulles	Dulles	$18,150	★★★☆☆	C
51	Lee County Community Hospital Pennington Gap	Pennington Gap	$18,908	Not Rated	C
52	Dominion Hospital Falls Church	Falls Church	$19,548	Not Rated	C
53	Poplar Springs Hospital Petersburg	Petersburg	$19,788	Not Rated	C

Frequently Asked Questions

How much does esophagitis, gastroenteritis with mcc cost in Virginia?

Esophagitis, Gastroenteritis with MCC (DRG 392) averages $14,095 in total Medicare payment across 53 Virginia hospitals reporting this code. Within the state, payments span $9,454 to $19,788 — about 2× from cheapest to most expensive.

Is Esophagitis, Gastroenteritis with MCC more or less expensive in Virginia than nationally?

Virginia's state-level average of $14,095 sits above the national Medicare average of $12,448 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.