Hospital Transparency

As part of VHHA’s continuing work to enhance public understanding of Virginia’s health care delivery system and beyond, this page provides links to certain health care costs and financial information for VHHA member hospitals. It
includes a listing of links to hospitals’ machine-readable files describing items and services, standard charges, and other information; a link to hospital price estimator tools, and a link list of hospitals’ 300 shoppable services files instead of a price
estimate tool. This page also links various Virginia hospitals’ financial assistance policies. Hospitals also provide this information on their website in accordance with applicable federal and state standards.

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Community Benefit

Virginia’s hospitals and health systems provided $3.1 billion in community benefit and other types of community support in the Commonwealth in 2021 according to the 2023 Annual Report on Community Benefit by the Virginia Hospital & Healthcare Association.

The data in this report are based on hospital costs, not charges, and includes acute-care and certain specialty hospitals in the state. “Community benefit” was defined using the Internal Revenue Service definition for Schedule H of Form 990. Please use the interactive tool below to learn more: 

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Medicaid

Medicaid provides coverage to eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities. While it is a federal program, it is administered by states and jointly funded by the state and federal government. One in five Americans are covered by the program, many through private managed care plans. On average, inpatient care is reimbursed at 78 percent of the cost of care.

Find more information about Medicaid here.

Provider Rates, DMAS Provider Bulletins, Data, Enrollment Data, Redetermination Dashboards

Medicare and Medicare Advantage

Medicare is the federal health insurance program for people 65 and older and some younger people with certain disabilities. “Original” Medicare includes Part A (hospital) and Part B (medical). Individuals can add a separate Part D plan for prescriptions and an optional Medigap policy to help with out-of-pocket costs. Medicare Advantage (Part C) is an alternative to Original Medicare offered by private insurance companies. Medicare Advantage must cover everything Original Medicare covers but can also offer additional benefits.  Medicare Advantage plans use provider networks, may require prior authorization for some services, and can set their own out-of-pocket expenses that differ from those in Original Medicare. Find more information about Medicare and Medicare Advantage here.

Managed Care / Payer Support

VHHA supports its members with matters pertaining to health plan policies and activities. This includes research and education on topics involving Medicaid, Medicare, and commercial insurance types.  Additionally, VHHA represents its members in various work groups and committees that focus on managed care. For any questions or requests related to these activities, please click the contact link below.