VI CMS Medicare PUF 2023 Avg payment #54 of 56

U.S. Virgin Islands procedure costs

2 hospitals · 24 Medicare providers · 517 procedure codes with U.S. Virgin Islands locality adjustments.

The short answer

U.S. Virgin Islands has 2 hospitals and 24 Medicare-billing providers across 517 procedure codes. The average Medicare payment per procedure is $87.13; the average submitted (billed) charge is $496.00.

Procedure codes
517
Providers per hospital
12.0
Billed-to-Medicare ratio
5.7x
Markup rank
#22 of 56

Source: CMS Medicare Physician & Other Practitioners, 2023.

About this dataset, nationwide

According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.

2
Hospitals
24
Providers
$87.13
Avg Medicare Payment
$496.00
Avg Billed Charge

U.S. Virgin Islands against every US state

Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions

$87 higher than 4% of 56 states

$75–$100: 3 states (5%). This entry sits in this band. $100–$125: 1 states (2%). Above this entry. $125–$150: 2 states (4%). Above this entry. $150–$175: 5 states (9%). Above this entry. $175–$200: 7 states (13%). Above this entry. $200–$225: 9 states (16%). Above this entry. $225–$250: 9 states (16%). Above this entry. $250–$275: 11 states (20%). Above this entry. $275–$300: 4 states (7%). Above this entry. $300–$325: 4 states (7%). Above this entry. $325–$350: 1 states (2%). Above this entry. This state $75 $350 every US state, bucketed by value

Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners, 2023

The priciest procedures in U.S. Virgin Islands

Highest average Medicare payment per procedure billed in U.S. Virgin Islands. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.

Top procedures by Medicare payment - U.S. Virgin Islands

Ambulance Service, Conventio…4241Replacement Of Knee Joint, B…2135Removal And/or Dissolving Of…1829Dilation Of Fluid Outflow Dr…1304Insertion Of Eye Fluid Drain…1249Repair Of Shoulder Rotator C…993Incision To Improve Eye Flui…913Insertion Of Needle And/or T…754
Top procedures by Medicare payment - U.S. Virgin Islands-Average Medicare payment per procedure (CMS 2023)

Top Procedures by Volume

Procedure Medicare Services
Fixed Wing Air Mileage, Per Statute Mile $12.03 116.7K
Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $18.23 19.7K
Established Patient Office Or Other Outpatient Visit, 30-39 Minutes $76.98 15.4K
Insertion Of Needle Into Vein For Collection Of Blood Sample $6.50 13.7K
Established Patient Office Or Other Outpatient Visit, 20-29 Minutes $52.86 11.5K
Ground Mileage, Per Statute Mile $6.67 9.3K
Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test And Automated Differential White Blood Cell Count $7.61 8.1K
Blood Test, Comprehensive Group Of Blood Chemicals $10.35 7.3K
Blood Test, Lipids (cholesterol And Triglycerides) $13.12 5.4K
Established Patient Office Or Other Outpatient Visit, 40-54 Minutes $118.96 5.3K
Therapy Procedure Using Manual Technique, Each 15 Minutes $15.91 4.8K
Therapy Procedure Using Functional Activities $24.63 4.6K
Blood Test, Thyroid Stimulating Hormone (tsh) $16.45 3.8K
Manual Urinalysis Test With Examination Using Microscope, Automated $3.11 3.8K
Therapy Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes $21.97 3.7K
Hemoglobin A1c Level $9.52 3.6K
Injection, Triamcinolone Acetonide, Not Otherwise Specified, 10 Mg $0.74 2.9K
Injection, Dexamethasone Sodium Phosphate, 1 Mg $0.10 2.9K
Routine Electrocardiogram (ecg) Using At Least 12 Leads With Interpretation And Report $9.23 2.7K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 35 Minutes $58.60 2.5K
Chiropractic Manipulative Treatment, 3-4 Spinal Regions $24.95 2.2K
Manual Urinalysis Test With Examination Using Microscope, Non-Automated $3.94 2.1K
New Patient Office Or Other Outpatient Visit, 30-44 Minutes $62.64 2.1K
Urine Microalbumin (protein) Level $5.66 2.0K
Blood Glucose (sugar) Test Performed By Hand-Held Instrument $3.20 1.9K
New Patient Office Or Other Outpatient Visit, 45-59 Minutes $96.93 1.8K
Measurement Of Antibody (ige) To Allergic Substance, Crude Allergen Extract, Each $4.97 1.7K
Ambulance Service, Advanced Life Support, Emergency Transport, Level 1 (als 1 - Emergency) $354.34 1.6K
Thyroxine (thyroid Chemical), Free $8.84 1.5K
Psa (prostate Specific Antigen) Measurement, Total $18.02 1.5K

U.S. Virgin Islands Healthcare Cost Landscape

CMS lists 2 hospitals in U.S. Virgin Islands across 2 cities. ST CROIX holds 1 (50%). The three densest cities together hold 100% of the state roster. Statewide that is 24 Medicare-billing providers, 12.0 per listed hospital.

2 hospitals carry a CMS overall star rating (0 five-star, 0 four-star, 0 three-star, 0 two-star, 2 one-star) ; five-star share among rated facilities is 0%.

Facility-type mix: Acute Care Hospitals 2 (100%).

Among the 30 highest-volume procedure codes billed in U.S. Virgin Islands, Medical Supplies leads with 126.0K services (47% of this top-volume slice) across 2 codes. Next is Office Visit at 14%.

Submitted charges average $496.00 against $87.13 Medicare payment (5.7x billed-to-Medicare). That ratio ranks #22 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #54 of 56.

Volume leaders are not the high-payment codes. Fixed Wing Air Mileage, Per Statute Mile is in the top volume slice but not the highest Medicare payments; Ambulance Service, Conventional Air Services, Transport, One Way (fixed Wing) is in the high-payment set without matching volume rank.

These are CMS roster and claims aggregates for U.S. Virgin Islands, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.

Where U.S. Virgin Islands hospitals sit

City of the CMS hospital roster, not a travel or care recommendation. 2 distinct cities appear on 2 listed facilities.

City Hospitals Share of state roster
ST CROIX 1 50%
ST THOMAS 1 50%

Nationwide states with similar hospital scale or Medicare payment

Two CMS-extract-derived peer sets for U.S. Virgin Islands: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.

Similar average Medicare payment

Nearest states with published averages ($87.13 here).

How U.S. Virgin Islands Compares Nationally

U.S. Virgin Islands's average Medicare payment is #54 of 56 in this extract. Submitted-over-Medicare markup ranks #22 of 56 (5.7x). Hospital-count peers are not listed at this roster size. Payment peers (nearest average Medicare payment to $87.13): Puerto Rico $114.18, Vermont $130.98, Maine $149.34, North Dakota $150.79.

Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for U.S. Virgin Islands, not an out-of-pocket quote.

Related registry pages

U.S. Virgin Islands averages sit on two maps: Medicare payment and submitted-over-Medicare markup.

Figures here are U.S. Virgin Islands CMS averages, not a quote for any patient, plan, or visit.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure  · Verify with CMS →

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.