Virginia / Carilion Franklin Memorial Hospital
CMS certification 490089 · Rocky Mount, VA
Carilion Franklin Memorial Hospital: charges and Medicare payments
Carilion Franklin Memorial Hospital reported 370 Medicare inpatient stays across 15 DRGs in 2024. Across them it charged 2.85 times what it was paid — among the lower ratios in Virginia, number 52 of 66 hospitals with at least 100 stays (state median 3.6×, national 4.15×). Its most frequent stay was DRG 177, Respiratory Infections and Inflammations with MCC: 57 stays at an average charge of $38,346, 46% below the national average. It also billed 219 outpatient services, charging 9.9 times what Medicare paid.
- 1Medicare inpatient stays 370
- 2Charge ÷ paid, inpatient 2.85×
- 3Rank in VA (highest ratio = 1) 52 of 66
- 4CMS price-transparency actions 0
Inpatient stays
For the 15 DRGs that can be compared with the national average, Carilion Franklin 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 |
|---|---|---|---|---|
| 177 Respiratory Infections and Inflammations with MCC | 57 | $38,346 | -46% | $13,727 |
| 291 Heart Failure and Shock with MCC | 57 | $29,263 | -48% | $10,948 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 51 | $45,765 | -49% | $17,533 |
| 194 Simple Pneumonia and Pleurisy with CC | 24 | $24,615 | -36% | $7,497 |
| 193 Simple Pneumonia and Pleurisy with MCC | 22 | $30,155 | -50% | $10,957 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $24,341 | -39% | $8,235 |
| 690 Kidney and Urinary Tract Infections without MCC | 21 | $23,789 | -37% | $7,407 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 19 | $34,046 | -31% | $9,096 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 16 | $24,369 | -52% | $9,644 |
| 682 Renal Failure with MCC | 16 | $39,327 | -40% | $13,377 |
| 683 Renal Failure with CC | 14 | $23,140 | -43% | $8,060 |
| 689 Kidney and Urinary Tract Infections with MCC | 14 | $24,186 | -53% | $10,043 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 13 | $35,832 | -36% | $8,985 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $22,215 | -40% | $6,989 |
| 178 Respiratory Infections and Inflammations with CC | 12 | $26,313 | -42% | $8,782 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 107 | $15,539 | $2,347 |
| Level 1 Laparoscopy and Related Services | 59 | $43,272 | $4,900 |
| Level 3 Musculoskeletal Procedures | 19 | $23,543 | $2,787 |
| Level 5 ENT Procedures | 12 | $40,068 | $5,041 |
| Level 2 Musculoskeletal Procedures | 11 | $8,908 | $1,384 |
| Level 4 Gynecologic Procedures | 11 | $23,081 | $2,691 |
Against the Virginia average
For Respiratory Infections and Inflammations with MCC (DRG 177), Carilion Franklin Memorial Hospital charged $38,346 on average, 23% less than the Virginia average of $49,485, and was paid $13,727 against a state average of $13,709. For Heart Failure and Shock with MCC (DRG 291), Carilion Franklin Memorial Hospital charged $29,263 on average, 28% less than the Virginia average of $40,795, and was paid $10,948 against a state average of $11,030. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Carilion Franklin Memorial Hospital charged $45,765 on average, 30% less than the Virginia average of $65,235, and was paid $17,533 against a state average of $16,367. For Simple Pneumonia and Pleurisy with CC (DRG 194), Carilion Franklin Memorial Hospital charged $24,615 on average, 16% less than the Virginia average of $29,342, and was paid $7,497 against a state average of $7,299. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,539 was 20% below the state average of $19,506. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $43,272 was 4% below the state average of $45,021. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $23,543 was 17% below the state average of $28,468. For Level 5 ENT Procedures (outpatient APC 5165), its average charge of $40,068 was 4% below the state average of $41,550.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.