Virginia / Carilion New River Valley Medical Center
CMS certification 490042 · Christiansburg, VA · 3 entries in CMS's price-transparency list
Carilion New River Valley Medical Center: charges and Medicare payments
Carilion New River Valley Medical Center reported 1,342 Medicare inpatient stays across 45 DRGs in 2024. Across them it charged 4.25 times what it was paid — among the higher ratios in Virginia, number 22 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: 175 stays at an average charge of $63,893, 29% below the national average. It also billed 1,936 outpatient services, charging 10.4 times what Medicare paid.
- 1Medicare inpatient stays 1,342
- 2Charge ÷ paid, inpatient 4.25×
- 3Rank in VA (highest ratio = 1) 22 of 66
- 4CMS price-transparency actions 3
Inpatient stays
For the 45 DRGs that can be compared with the national average, Carilion New River Valley Medical Center charged more than the national average in 3 (7%). 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 | 175 | $63,893 | -29% | $16,897 |
| 291 Heart Failure and Shock with MCC | 151 | $42,686 | -24% | $11,001 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 78 | $54,126 | -29% | $13,163 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 53 | $33,163 | -32% | $9,345 |
| 177 Respiratory Infections and Inflammations with MCC | 52 | $43,885 | -38% | $12,714 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 37 | $28,702 | -21% | $6,581 |
| 682 Renal Failure with MCC | 37 | $50,971 | -23% | $11,502 |
| 690 Kidney and Urinary Tract Infections without MCC | 33 | $25,424 | -33% | $7,188 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 32 | $38,976 | -23% | $7,983 |
| 689 Kidney and Urinary Tract Infections with MCC | 32 | $36,545 | -29% | $9,348 |
| 036 Carotid Artery Stent Procedures without CC/MCC | 31 | $95,108 | +8% | $13,407 |
| 189 Pulmonary Edema and Respiratory Failure | 30 | $42,511 | -26% | $11,827 |
| 683 Renal Failure with CC | 29 | $27,226 | -33% | $6,822 |
| 378 Gastrointestinal Hemorrhage with CC | 27 | $36,150 | -26% | $10,704 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 26 | $34,285 | -15% | $6,453 |
| 481 Hip and Femur Procedures except Major Joint with CC | 26 | $89,527 | -11% | $17,720 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $42,801 | -29% | $11,461 |
| 193 Simple Pneumonia and Pleurisy with MCC | 24 | $39,361 | -34% | $10,631 |
| 194 Simple Pneumonia and Pleurisy with CC | 24 | $25,632 | -33% | $7,862 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $24,445 | -34% | $6,406 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 22 | $177,677 | +9% | $27,046 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 21 | $33,113 | -42% | $10,614 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 21 | $163,605 | -29% | $45,678 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 20 | $31,356 | -38% | $8,574 |
| 035 Carotid Artery Stent Procedures with CC | 19 | $98,156 | -14% | $17,715 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 19 | $63,214 | -1% | $8,653 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $137,168 | +20% | $18,816 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 19 | $65,027 | -4% | $15,077 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 17 | $110,117 | -2% | $18,351 |
| 377 Gastrointestinal Hemorrhage with MCC | 17 | $71,529 | -16% | $18,323 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $76,054 | -23% | $16,066 |
| 330 Major Small and Large Bowel Procedures with CC | 16 | $100,830 | -15% | $25,377 |
| 178 Respiratory Infections and Inflammations with CC | 15 | $38,711 | -15% | $7,869 |
| 603 Cellulitis without MCC | 15 | $23,219 | -38% | $7,199 |
| 638 Diabetes with CC | 15 | $25,738 | -38% | $7,270 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 14 | $39,834 | -8% | $10,401 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 14 | $26,090 | -9% | $5,262 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $89,710 | -12% | $20,145 |
| 389 Gastrointestinal Obstruction with CC | 13 | $21,180 | -46% | $7,286 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 13 | $54,129 | -26% | $11,594 |
| 390 Gastrointestinal Obstruction without CC/MCC | 12 | $17,644 | -37% | $4,765 |
| 394 Other Digestive System Diagnoses with CC | 12 | $30,284 | -36% | $9,122 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $31,428 | -44% | $7,994 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $134,877 | -37% | $34,654 |
| 661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC | 11 | $42,000 | -26% | $10,222 |
Outpatient services
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Carilion New River Valley Medical Center charged $63,893 on average, 2% less than the Virginia average of $65,235, and was paid $16,897 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Carilion New River Valley Medical Center charged $42,686 on average, 5% more than the Virginia average of $40,795, and was paid $11,001 against a state average of $11,030. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Carilion New River Valley Medical Center charged $54,126 on average, 6% less than the Virginia average of $57,438, and was paid $13,163 against a state average of $13,197. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Carilion New River Valley Medical Center charged $33,163 on average, 10% less than the Virginia average of $37,022, and was paid $9,345 against a state average of $8,962. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,776 was 14% below the state average of $19,506. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $11,706 was 6% below the state average of $12,403. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,021 was 28% below the state average of $11,217. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $28,139 was 28% above the state average of $21,969.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Carilion New River Valley Medical Center in Christiansburg, VA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-11-19 (CMS case 2934)
- CAP Request — 2025-02-24 (CMS case 2934)
- Closure Notice — 2025-03-31 (CMS case 2934)
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.