Virginia / Bedford Memorial Hospital
CMS certification 490088 · Bedford, VA · 2 entries in CMS's price-transparency list
Bedford Memorial Hospital: charges and Medicare payments
Bedford Memorial Hospital reported 348 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 2.84 times what it was paid — among the lower ratios in Virginia, number 54 of 66 hospitals with at least 100 stays (state median 3.6×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 122 stays at an average charge of $36,788, 59% below the national average. It also billed 216 outpatient services, charging 10.59 times what Medicare paid.
- 1Medicare inpatient stays 348
- 2Charge ÷ paid, inpatient 2.84×
- 3Rank in VA (highest ratio = 1) 54 of 66
- 4CMS price-transparency actions 2
Inpatient stays
For the 13 DRGs that can be compared with the national average, Bedford Memorial Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 122 | $36,788 | -59% | $14,427 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 42 | $25,100 | -49% | $8,100 |
| 291 Heart Failure and Shock with MCC | 38 | $33,764 | -40% | $10,295 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 18 | $22,951 | -43% | $6,666 |
| 189 Pulmonary Edema and Respiratory Failure | 17 | $34,293 | -40% | $10,669 |
| 689 Kidney and Urinary Tract Infections with MCC | 17 | $30,187 | -41% | $9,471 |
| 177 Respiratory Infections and Inflammations with MCC | 15 | $45,479 | -36% | $12,957 |
| 683 Renal Failure with CC | 15 | $18,417 | -55% | $7,408 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $24,790 | -59% | $10,668 |
| 193 Simple Pneumonia and Pleurisy with MCC | 13 | $26,216 | -56% | $10,664 |
| 603 Cellulitis without MCC | 13 | $28,087 | -25% | $7,599 |
| 690 Kidney and Urinary Tract Infections without MCC | 12 | $25,174 | -33% | $6,451 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $30,003 | -59% | $12,524 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 123 | $18,094 | $2,341 |
| Level 2 Upper GI Procedures | 37 | $17,939 | $1,638 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 25 | $12,285 | $1,396 |
| Level 1 Laparoscopy and Related Services | 18 | $38,028 | $4,967 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 13 | $33,360 | $2,978 |
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Bedford Memorial Hospital charged $36,788 on average, 44% less than the Virginia average of $65,235, and was paid $14,427 against a state average of $16,367. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Bedford Memorial Hospital charged $25,100 on average, 32% less than the Virginia average of $37,022, and was paid $8,100 against a state average of $8,962. For Heart Failure and Shock with MCC (DRG 291), Bedford Memorial Hospital charged $33,764 on average, 17% less than the Virginia average of $40,795, and was paid $10,295 against a state average of $11,030. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Bedford Memorial Hospital charged $22,951 on average, 32% less than the Virginia average of $33,943, and was paid $6,666 against a state average of $7,129. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,094 was 7% below the state average of $19,506. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $17,939 was 30% above the state average of $13,852. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,285 was 10% above the state average of $11,217. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $38,028 was 16% below the state average of $45,021.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Bedford Memorial Hospital in Bedford, VA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-05-14 (CMS case 4549)
- Met Requirements — 2026-04-24 (CMS case 7613)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.