Virginia / Carilion Roanoke Memorial Hospital
CMS certification 490024 · Roanoke, VA · 5 entries in CMS's price-transparency list
Carilion Roanoke Memorial Hospital: charges and Medicare payments
Carilion Roanoke Memorial Hospital reported 7,548 Medicare inpatient stays across 192 DRGs in 2024. Across them it charged 4.39 times what it was paid — among the higher ratios in Virginia, number 19 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: 711 stays at an average charge of $68,644, 24% below the national average. It also billed 6,840 outpatient services, charging 7.88 times what Medicare paid.
- 1Medicare inpatient stays 7,548
- 2Charge ÷ paid, inpatient 4.39×
- 3Rank in VA (highest ratio = 1) 19 of 66
- 4CMS price-transparency actions 5
Inpatient stays
For the 192 DRGs that can be compared with the national average, Carilion Roanoke Memorial Hospital charged more than the national average in 15 (8%). 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 | 711 | $68,644 | -24% | $17,258 |
| 291 Heart Failure and Shock with MCC | 334 | $40,585 | -28% | $11,612 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 200 | $53,039 | -30% | $13,395 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 162 | $189,701 | -17% | $42,406 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 151 | $114,512 | -27% | $25,137 |
| 481 Hip and Femur Procedures except Major Joint with CC | 148 | $80,070 | -21% | $16,730 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 142 | $79,575 | -20% | $18,284 |
| 177 Respiratory Infections and Inflammations with MCC | 125 | $46,624 | -34% | $14,329 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 124 | $42,625 | -24% | $9,526 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 108 | $168,105 | -24% | $36,774 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 107 | $41,851 | -15% | $9,694 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 99 | $83,133 | -19% | $16,484 |
| 378 Gastrointestinal Hemorrhage with CC | 81 | $38,896 | -20% | $8,718 |
| 682 Renal Failure with MCC | 81 | $43,957 | -33% | $12,341 |
| 193 Simple Pneumonia and Pleurisy with MCC | 79 | $42,836 | -28% | $11,402 |
| 189 Pulmonary Edema and Respiratory Failure | 78 | $48,452 | -16% | $11,817 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 77 | $148,628 | +30% | $17,928 |
| 377 Gastrointestinal Hemorrhage with MCC | 76 | $55,361 | -35% | $15,283 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 75 | $39,642 | -21% | $8,867 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 75 | $26,481 | -27% | $7,401 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 75 | $44,556 | -26% | $11,728 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 70 | $199,865 | -30% | $50,170 |
| 689 Kidney and Urinary Tract Infections with MCC | 69 | $39,036 | -24% | $10,562 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 69 | $53,823 | -27% | $13,776 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 62 | $27,205 | -45% | $9,187 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 60 | $209,799 | -25% | $49,078 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 60 | $30,222 | -18% | $7,171 |
| 683 Renal Failure with CC | 60 | $28,808 | -29% | $7,998 |
| 690 Kidney and Urinary Tract Infections without MCC | 60 | $29,317 | -22% | $7,511 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 59 | $36,818 | -35% | $10,110 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 56 | $173,447 | +6% | $27,895 |
| 603 Cellulitis without MCC | 54 | $25,626 | -31% | $8,260 |
| 039 Extracranial Procedures without CC/MCC | 53 | $67,523 | +6% | $10,122 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 53 | $20,316 | -29% | $5,458 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 52 | $30,801 | -23% | $7,627 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 48 | $102,818 | -7% | $19,643 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 47 | $173,817 | -25% | $34,958 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 47 | $98,417 | -27% | $24,798 |
| 329 Major Small and Large Bowel Procedures with MCC | 45 | $187,032 | -13% | $40,592 |
| 552 Medical Back Problems without MCC | 45 | $33,430 | -32% | $9,217 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 44 | $178,453 | -36% | $44,233 |
| 164 Major Chest Procedures with CC | 44 | $110,811 | -13% | $21,084 |
| 057 Degenerative Nervous System Disorders without MCC | 43 | $44,426 | -22% | $13,012 |
| 330 Major Small and Large Bowel Procedures with CC | 43 | $109,924 | -8% | $20,574 |
| 472 Cervical Spinal Fusion with CC | 43 | $128,238 | -10% | $26,647 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 42 | $107,091 | -33% | $26,875 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 42 | $124,092 | -11% | $23,134 |
| 812 Red Blood Cell Disorders without MCC | 42 | $34,266 | -23% | $8,918 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 41 | $24,644 | -48% | $8,668 |
| 101 Seizures without MCC | 40 | $42,545 | -13% | $8,539 |
| 312 Syncope and Collapse | 39 | $32,331 | -29% | $7,860 |
| 070 Other Cerebrovascular Disorders with MCC | 38 | $43,990 | -42% | $14,071 |
| 071 Other Cerebrovascular Disorders with CC | 38 | $44,290 | -12% | $9,848 |
| 253 Other Vascular Procedures with CC | 38 | $104,433 | -21% | $22,541 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 37 | $44,961 | -31% | $11,762 |
| 269 Aortic and Heart Assist Procedures except Pulsation Balloon... | 37 | $187,262 | -3% | $33,901 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 37 | $237,147 | -27% | $51,051 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 36 | $89,430 | -22% | $18,749 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 36 | $43,483 | -41% | $11,482 |
| 460 Spinal Fusion except Cervical without MCC | 36 | $178,040 | +5% | $33,934 |
Showing the 60 most frequent of 192 DRGs.
Outpatient services
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Carilion Roanoke Memorial Hospital charged $68,644 on average, 5% more than the Virginia average of $65,235, and was paid $17,258 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Carilion Roanoke Memorial Hospital charged $40,585 on average, 1% less than the Virginia average of $40,795, and was paid $11,612 against a state average of $11,030. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Carilion Roanoke Memorial Hospital charged $53,039 on average, 8% less than the Virginia average of $57,438, and was paid $13,395 against a state average of $13,197. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Carilion Roanoke Memorial Hospital charged $189,701 on average, 7% more than the Virginia average of $177,241, and was paid $42,406 against a state average of $42,202. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,957 was 23% below the state average of $19,506. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $73,197 was 13% below the state average of $83,920. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,727 was 31% below the state average of $11,217. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $6,576 was 46% below the state average of $12,264.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Carilion Roanoke Memorial Hospital in Roanoke, VA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-09-29 (CMS case 1009)
- Closure Notice — 2022-05-16 (CMS case 1009)
- Met Requirements — 2025-03-21 (CMS case 3348)
- Warning Notice — 2026-04-13 (CMS case 7442)
- Closure Notice — 2026-07-16 (CMS case 7442)
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.