Virginia / Clinch Valley Medical Center
CMS certification 490060 · Richlands, VA · 2 entries in CMS's price-transparency list
Clinch Valley Medical Center: charges and Medicare payments
Clinch Valley Medical Center reported 261 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 6.01 times what it was paid — among the higher ratios in Virginia, number 8 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: 67 stays at an average charge of $94,480, 5% above the national average. It also billed 428 outpatient services, charging 16.55 times what Medicare paid.
- 1Medicare inpatient stays 261
- 2Charge ÷ paid, inpatient 6.01×
- 3Rank in VA (highest ratio = 1) 8 of 66
- 4CMS price-transparency actions 2
Inpatient stays
For the 10 DRGs that can be compared with the national average, Clinch Valley Medical Center charged more than the national average in 7 (70%). 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 | 67 | $94,480 | +5% | $14,324 |
| 193 Simple Pneumonia and Pleurisy with MCC | 52 | $64,945 | +9% | $10,604 |
| 291 Heart Failure and Shock with MCC | 50 | $49,632 | -12% | $9,512 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $52,810 | +8% | $10,175 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $40,410 | +1% | $6,112 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $39,809 | +5% | $6,947 |
| 177 Respiratory Infections and Inflammations with MCC | 13 | $59,898 | -15% | $12,023 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 12 | $43,144 | -34% | $10,841 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $65,480 | +14% | $9,134 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $54,673 | +42% | $6,742 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 124 | $35,819 | $2,322 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 55 | $17,773 | $1,396 |
| Level 3 Vascular Procedures | 45 | $27,242 | $2,744 |
| Level 3 Urology and Related Services | 36 | $22,247 | $1,676 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 30 | $39,229 | $2,446 |
| Level 2 Upper GI Procedures | 29 | $23,114 | $1,593 |
| Level 4 Urology and Related Services | 22 | $45,877 | $2,675 |
| Level 1 Intraocular Procedures | 22 | $18,518 | $2,006 |
| Level 3 Musculoskeletal Procedures | 16 | $30,152 | $2,521 |
| Level 5 Musculoskeletal Procedures | 13 | $107,348 | $10,572 |
| Level 1 Endovascular Procedures | 13 | $31,204 | $2,810 |
| Level 1 Laparoscopy and Related Services | 12 | $69,283 | $4,967 |
| Level 2 Vascular Procedures | 11 | $12,538 | $1,287 |
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Clinch Valley Medical Center charged $94,480 on average, 45% more than the Virginia average of $65,235, and was paid $14,324 against a state average of $16,367. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Clinch Valley Medical Center charged $64,945 on average, 45% more than the Virginia average of $44,717, and was paid $10,604 against a state average of $11,065. For Heart Failure and Shock with MCC (DRG 291), Clinch Valley Medical Center charged $49,632 on average, 22% more than the Virginia average of $40,795, and was paid $9,512 against a state average of $11,030. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Clinch Valley Medical Center charged $52,810 on average, 43% more than the Virginia average of $37,022, and was paid $10,175 against a state average of $8,962. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $35,819 was 84% above the state average of $19,506. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $17,773 was 58% above the state average of $11,217. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $27,242 was 40% above the state average of $19,434. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $22,247 was 79% above the state average of $12,403.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Clinch Valley Medical Center in Richlands, VA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-14 (CMS case 3790)
- Met Requirements — 2025-07-07 (CMS case 5275)
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.