Virginia / Centra Health, Inc

CMS certification 490021 · Lynchburg, VA

Centra Health, Inc: charges and Medicare payments

Centra Health, Inc reported 5,917 Medicare inpatient stays across 145 DRGs in 2024. Across them it charged 4.45 times what it was paid — among the higher ratios in Virginia, number 17 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: 755 stays at an average charge of $62,194, 31% below the national average. It also billed 4,967 outpatient services, charging 8.12 times what Medicare paid.

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  1. 1Medicare inpatient stays 5,917
  2. 2Charge ÷ paid, inpatient 4.45×
  3. 3Rank in VA (highest ratio = 1) 17 of 66
  4. 4CMS price-transparency actions 0
DRG 871$62,194DRG 291$40,755DRG 872$31,324DRG 853$142,025DRG 378$38,279DRG 065$44,578DRG 274$100,294DRG 481$73,475DRG 683$32,558DRG 177$38,282
Average charge per stay at Centra Health, Inc, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 145 DRGs that can be compared with the national average, Centra Health, Inc charged more than the national average in 10 (7%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC755$62,194-31%$15,545
291 Heart Failure and Shock with MCC374$40,755-28%$10,531
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC172$31,324-36%$8,175
853 Infectious and Parasitic Diseases with O.R. Procedures with...136$142,025-38%$41,024
378 Gastrointestinal Hemorrhage with CC132$38,279-21%$7,589
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...121$44,578-20%$8,025
274 Percutaneous and Other Intracardiac Procedures without MCC115$100,294-36%$24,011
481 Hip and Femur Procedures except Major Joint with CC113$73,475-27%$15,745
683 Renal Failure with CC101$32,558-20%$7,125
177 Respiratory Infections and Inflammations with MCC91$38,282-46%$12,571
689 Kidney and Urinary Tract Infections with MCC90$39,834-22%$9,218
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...85$47,704-21%$10,797
064 Intracranial Hemorrhage or Cerebral Infarction with MCC84$68,793-31%$15,688
322 Percutaneous Cardiovascular Procedures with Intraluminal...80$95,942-16%$15,735
308 Cardiac Arrhythmia and Conduction Disorders with MCC76$47,126-17%$9,728
522 Hip Replacement with Principal Diagnosis of Hip Fracture...76$74,841-27%$16,258
190 Chronic Obstructive Pulmonary Disease with MCC75$35,278-30%$8,279
377 Gastrointestinal Hemorrhage with MCC72$62,245-27%$14,533
309 Cardiac Arrhythmia and Conduction Disorders with CC71$22,270-38%$5,820
682 Renal Failure with MCC70$52,262-21%$11,580
698 Other Kidney and Urinary Tract Diagnoses with MCC70$47,526-35%$12,736
280 Acute Myocardial Infarction, Discharged Alive with MCC68$52,089-31%$12,618
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...62$27,364-32%$6,440
470 Major Hip and Knee Joint Replacement or Reattachment of...59$83,842-10%$14,924
281 Acute Myocardial Infarction, Discharged Alive with CC57$41,379-18%$7,463
193 Simple Pneumonia and Pleurisy with MCC56$37,812-37%$9,597
854 Infectious and Parasitic Diseases with O.R. Procedures with...56$68,311-30%$16,995
189 Pulmonary Edema and Respiratory Failure53$40,752-29%$9,655
480 Hip and Femur Procedures except Major Joint with MCC52$116,642-16%$24,702
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...52$34,064-8%$6,213
312 Syncope and Collapse51$32,779-28%$6,649
321 Percutaneous Cardiovascular Procedures with Intraluminal...47$125,500-23%$22,692
690 Kidney and Urinary Tract Infections without MCC47$28,099-26%$6,170
243 Permanent Cardiac Pacemaker Implant with CC45$100,673-9%$17,178
286 Circulatory Disorders except AMI, with Cardiac...45$88,335-21%$15,728
330 Major Small and Large Bowel Procedures with CC45$104,270-12%$18,840
069 Transient Ischemia without Thrombolytic44$34,654-31%$6,420
603 Cellulitis without MCC42$25,849-31%$7,676
543 Pathological Fractures and Musculoskeletal and Connective...40$31,878-35%$8,095
242 Permanent Cardiac Pacemaker Implant with MCC39$171,529+7%$31,652
314 Other Circulatory System Diagnoses with MCC39$64,254-32%$16,046
552 Medical Back Problems without MCC38$34,491-29%$7,471
287 Circulatory Disorders except AMI, with Cardiac...37$49,079-23%$8,879
253 Other Vascular Procedures with CC35$95,457-28%$20,641
092 Other Disorders of Nervous System with CC34$36,929-28%$7,975
252 Other Vascular Procedures with MCC32$134,682-21%$32,522
812 Red Blood Cell Disorders without MCC32$38,863-12%$7,464
208 Respiratory System Diagnosis with Ventilator Support <=96...30$118,326-13%$25,805
329 Major Small and Large Bowel Procedures with MCC30$137,220-36%$34,313
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...30$39,119-36%$9,989
811 Red Blood Cell Disorders with MCC30$52,792-23%$13,085
101 Seizures without MCC29$36,198-26%$7,393
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale29$56,656-13%$13,052
267 Endovascular Cardiac Valve Replacement and Supplement...29$126,139-43%$35,300
083 Traumatic Stupor and Coma >1 Hour with CC28$61,006-17%$12,393
202 Bronchitis and Asthma with CC/MCC28$40,980-11%$8,061
100 Seizures with MCC27$64,804-31%$15,357
948 Signs and Symptoms without MCC27$36,525-4%$6,336
023 Craniotomy with Major Device Implant or Acute Complex Cns...26$177,120-37%$40,732
493 Lower Extremity and Humerus Procedures except Hip, Foot and...26$86,455-27%$19,681

Showing the 60 most frequent of 145 DRGs.

Outpatient services

Against the Virginia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Centra Health, Inc charged $62,194 on average, 5% less than the Virginia average of $65,235, and was paid $15,545 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Centra Health, Inc charged $40,755 on average, 0% less than the Virginia average of $40,795, and was paid $10,531 against a state average of $11,030. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Centra Health, Inc charged $31,324 on average, 15% less than the Virginia average of $37,022, and was paid $8,175 against a state average of $8,962. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Centra Health, Inc charged $142,025 on average, 20% less than the Virginia average of $177,241, and was paid $41,024 against a state average of $42,202. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,082 was 8% above the state average of $19,506. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $162,128 was 3% below the state average of $167,325. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,128 was 1% below the state average of $11,217. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $63,116 was 25% below the state average of $83,920.

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.