Updated April 2026

Respiratory System Diagnosis with Ventilator Support >96 Hours in Virginia

45 Virginia hospitals report Medicare totals for this DRG, averaging $58,689 (above the $53,417 national mean), with a 3× spread from $25,876 to $87,159. 2 carry an A grade, 0 carry an F.

Respiratory System Diagnosis with Ventilator Support >96 Hours (DRG 208) is a Respiratory procedure tracked in CMS Inpatient Payment files. Across Virginia, 2,717 hospitals report payment data for 566,489 total discharges, with an average Medicare payment of $53,417 (median $51,850). A $118,257 maximum and $15,600 minimum on the same DRG procedure is normal for the Medicare payment system — DRG codes bundle cases that may differ in complexity, and hospital wage-index adjustments alone can move payments by 30% across regions.

Within Virginia, the 2,717 hospitals reporting this procedure span the full range of ownership types and hospital sizes. The state-specific average ($53,417) is shaped by which hospitals in the state see enough volume to report the DRG code at all. For patients with elective scheduling on Respiratory System Diagnosis with Ventilator Support >96 Hours, 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

Respiratory DRGs include pneumonia, COPD, ventilator-supported respiratory failure, and chronic lung disease. Length of stay drives most of the cost spread, especially for ventilator cases that cross the 96-hour threshold.

Respiratory System Diagnosis with Ventilator Support >96 Hours is Medicare DRG 208 in the Respiratory category. National Medicare average for this DRG is $53,417 across 2,717 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 3× 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 Respiratory System Diagnosis with Ventilator Support >96 Hours

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

#	Hospital	City	Payment	Quality	Grade
1	Augusta Health Fishersville	Fishersville	$25,876	★★★★☆	C
2	Inova Alexandria Hospital Alexandria	Alexandria	$29,775	★★★★☆	B
3	Buchanan General Hospital Grundy	Grundy	$34,230	★★☆☆☆	C
4	Stonesprings Hospital Center Dulles	Dulles	$41,691	★★★☆☆	C
5	Community Memorial Hospital South Hill	South Hill	$44,626	★★★☆☆	C
6	Novant Prince William Medical Center Manassas	Manassas	$47,341	★★★★☆	C
7	Uva Health Culpeper Medical Center Culpeper	Culpeper	$49,278	★★★☆☆	C
8	Dickenson Community Hospital Clintwood	Clintwood	$49,552	Not Rated	C
9	Spotsylvania Regional Medical Center Fredericksburg	Fredericksburg	$52,991	★★★☆☆	D
10	Virginia Beach Psychiatric Center Virginia Beach	Virginia Beach	$53,348	Not Rated	D
11	Childrens Hospital Of The Kings Daughters Inc Norfolk	Norfolk	$53,365	Not Rated	D
12	Lewisgale Hospital Montgomery Blacksburg	Blacksburg	$54,492	★★★☆☆	C
13	Carilion Tazewell Community Hospital Tazewell	Tazewell	$55,293	Not Rated	C
14	Bath Community Hospital Hot Springs	Hot Springs	$55,425	Not Rated	C
15	Inova Fairfax Hospital Falls Church	Falls Church	$55,642	★★★★★	A
16	Virginia Hospital Center Arlington	Arlington	$55,920	★★★★★	A
17	Mary Washington Hospital Fredericksburg	Fredericksburg	$56,081	★★☆☆☆	D
18	Sentara Obici Hospital Suffolk	Suffolk	$56,101	★★★★☆	B
19	Nmc Portsmouth Portsmouth	Portsmouth	$58,538	Not Rated	C
20	Sentara Northern Virginia Medical Center Woodbridge	Woodbridge	$59,008	★★★☆☆	C
21	Inova Fair Oaks Hospital Fairfax	Fairfax	$59,105	★★★★★	B
22	Riverside Doctors' Hospital Of Williamsburg Williamsburg	Williamsburg	$59,366	★★★★☆	B
23	Inova Loudoun Hospital Leesburg	Leesburg	$59,700	★★★★★	B
24	Centra Health - Lynchburg Gen Hospital Lynchburg	Lynchburg	$59,814	★★★☆☆	C
25	Carilion Franklin Memorial Hospital Rocky Mount	Rocky Mount	$60,341	★★★★☆	C
26	Stafford Hospital, Llc Stafford	Stafford	$60,544	★★★☆☆	C
27	Sentara Virginia Beach General Hospital Virginia Beach	Virginia Beach	$61,129	★★★★☆	B
28	Cjw Medical Center Richmond	Richmond	$61,400	★★★★☆	C
29	Shenandoah Memorial Hospital Woodstock	Woodstock	$61,651	★★★☆☆	C
30	Richmond Va Medical Center Richmond	Richmond	$62,109	★★★★★	B
31	Inova Mount Vernon Hospital Alexandria	Alexandria	$62,304	★★★☆☆	C
32	Hiram W Davis Medical Center Petersburg	Petersburg	$62,353	Not Rated	C
33	Henrico Doctors' Hospital Richmond	Richmond	$62,792	★★★☆☆	C
34	Uva Health Haymarket Medical Center Haymarket	Haymarket	$63,602	★★★★☆	C
35	Western State Hospital Staunton	Staunton	$66,753	Not Rated	C
36	Bon Secours Richmond Community Hospital Richmond	Richmond	$67,109	Not Rated	C
37	Reston Hospital Center Reston	Reston	$67,925	★★★☆☆	C
38	Sentara Halifax Regional Hospital South Boston	South Boston	$68,452	★★★☆☆	C
39	Southside Community Hospital, Inc Farmville	Farmville	$68,901	★★★★☆	B
40	Clinch Valley Medical Center Richlands	Richlands	$69,315	★★★☆☆	C
41	Fort Belvoir Community Hospital Fort Belvoir	Fort Belvoir	$71,854	Not Rated	C
42	Warren Memorial Hospital Front Royal	Front Royal	$75,002	★★★☆☆	C
43	Sentara Leigh Hospital Norfolk	Norfolk	$75,164	★★★★☆	C
44	Bon Secours Maryview Medical Center Portsmouth	Portsmouth	$78,582	★★★☆☆	C
45	Bon Secours Southampton Memorial Hospital Franklin	Franklin	$87,159	★★★☆☆	C

Frequently Asked Questions

How much does respiratory system diagnosis with ventilator support >96 hours cost in Virginia?

Respiratory System Diagnosis with Ventilator Support >96 Hours (DRG 208) averages $58,689 in total Medicare payment across 45 Virginia hospitals reporting this code. Within the state, payments span $25,876 to $87,159 — about 3× from cheapest to most expensive.

Is Respiratory System Diagnosis with Ventilator Support >96 Hours more or less expensive in Virginia than nationally?

Virginia's state-level average of $58,689 sits above the national Medicare average of $53,417 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 3× 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.