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.
- 1Medicare inpatient stays 5,917
- 2Charge ÷ paid, inpatient 4.45×
- 3Rank in VA (highest ratio = 1) 17 of 66
- 4CMS price-transparency actions 0
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.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 755 | $62,194 | -31% | $15,545 |
| 291 Heart Failure and Shock with MCC | 374 | $40,755 | -28% | $10,531 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 172 | $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 CC | 132 | $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 MCC | 115 | $100,294 | -36% | $24,011 |
| 481 Hip and Femur Procedures except Major Joint with CC | 113 | $73,475 | -27% | $15,745 |
| 683 Renal Failure with CC | 101 | $32,558 | -20% | $7,125 |
| 177 Respiratory Infections and Inflammations with MCC | 91 | $38,282 | -46% | $12,571 |
| 689 Kidney and Urinary Tract Infections with MCC | 90 | $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 MCC | 84 | $68,793 | -31% | $15,688 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 80 | $95,942 | -16% | $15,735 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 76 | $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 MCC | 75 | $35,278 | -30% | $8,279 |
| 377 Gastrointestinal Hemorrhage with MCC | 72 | $62,245 | -27% | $14,533 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 71 | $22,270 | -38% | $5,820 |
| 682 Renal Failure with MCC | 70 | $52,262 | -21% | $11,580 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 70 | $47,526 | -35% | $12,736 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 68 | $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 CC | 57 | $41,379 | -18% | $7,463 |
| 193 Simple Pneumonia and Pleurisy with MCC | 56 | $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 Failure | 53 | $40,752 | -29% | $9,655 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 52 | $116,642 | -16% | $24,702 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 52 | $34,064 | -8% | $6,213 |
| 312 Syncope and Collapse | 51 | $32,779 | -28% | $6,649 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 47 | $125,500 | -23% | $22,692 |
| 690 Kidney and Urinary Tract Infections without MCC | 47 | $28,099 | -26% | $6,170 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 45 | $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 CC | 45 | $104,270 | -12% | $18,840 |
| 069 Transient Ischemia without Thrombolytic | 44 | $34,654 | -31% | $6,420 |
| 603 Cellulitis without MCC | 42 | $25,849 | -31% | $7,676 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 40 | $31,878 | -35% | $8,095 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 39 | $171,529 | +7% | $31,652 |
| 314 Other Circulatory System Diagnoses with MCC | 39 | $64,254 | -32% | $16,046 |
| 552 Medical Back Problems without MCC | 38 | $34,491 | -29% | $7,471 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 37 | $49,079 | -23% | $8,879 |
| 253 Other Vascular Procedures with CC | 35 | $95,457 | -28% | $20,641 |
| 092 Other Disorders of Nervous System with CC | 34 | $36,929 | -28% | $7,975 |
| 252 Other Vascular Procedures with MCC | 32 | $134,682 | -21% | $32,522 |
| 812 Red Blood Cell Disorders without MCC | 32 | $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 MCC | 30 | $137,220 | -36% | $34,313 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 30 | $39,119 | -36% | $9,989 |
| 811 Red Blood Cell Disorders with MCC | 30 | $52,792 | -23% | $13,085 |
| 101 Seizures without MCC | 29 | $36,198 | -26% | $7,393 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 29 | $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 CC | 28 | $61,006 | -17% | $12,393 |
| 202 Bronchitis and Asthma with CC/MCC | 28 | $40,980 | -11% | $8,061 |
| 100 Seizures with MCC | 27 | $64,804 | -31% | $15,357 |
| 948 Signs and Symptoms without MCC | 27 | $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.