Virginia / Community Memorial Hospital
CMS certification 490098 · South Hill, VA
Community Memorial Hospital: charges and Medicare payments
Community Memorial Hospital reported 519 Medicare inpatient stays across 17 DRGs in 2024. Across them it charged 3.59 times what it was paid — mid-range in Virginia, number 34 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: 130 stays at an average charge of $47,494, 47% below the national average. It also billed 630 outpatient services, charging 7.62 times what Medicare paid.
- 1Medicare inpatient stays 519
- 2Charge ÷ paid, inpatient 3.59×
- 3Rank in VA (highest ratio = 1) 34 of 66
- 4CMS price-transparency actions 0
Inpatient stays
For the 17 DRGs that can be compared with the national average, Community Memorial Hospital charged more than the national average in 1 (6%). 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 | 130 | $47,494 | -47% | $14,579 |
| 291 Heart Failure and Shock with MCC | 97 | $35,841 | -36% | $9,737 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 38 | $37,692 | -23% | $9,303 |
| 193 Simple Pneumonia and Pleurisy with MCC | 34 | $35,757 | -40% | $10,155 |
| 690 Kidney and Urinary Tract Infections without MCC | 29 | $26,164 | -31% | $6,364 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $43,924 | -38% | $13,262 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 21 | $39,202 | -30% | $7,842 |
| 689 Kidney and Urinary Tract Infections with MCC | 21 | $26,300 | -49% | $8,827 |
| 683 Renal Failure with CC | 19 | $27,638 | -32% | $7,089 |
| 389 Gastrointestinal Obstruction with CC | 16 | $23,547 | -40% | $6,349 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $50,454 | -16% | $12,203 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $27,985 | -24% | $6,216 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $29,172 | -42% | $9,008 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $24,149 | -40% | $6,321 |
| 884 Organic Disturbances and Intellectual Disability | 12 | $60,130 | -4% | $19,228 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $40,607 | +6% | $6,585 |
| 682 Renal Failure with MCC | 11 | $39,097 | -41% | $11,257 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 226 | $17,746 | $2,524 |
| Level 1 Intraocular Procedures | 196 | $12,488 | $2,154 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 36 | $9,047 | $1,511 |
| Level 4 Urology and Related Services | 34 | $16,462 | $3,249 |
| Level 3 Vascular Procedures | 28 | $19,407 | $2,970 |
| Level 1 Laparoscopy and Related Services | 24 | $32,519 | $5,377 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 23 | $19,116 | $3,112 |
| Level 5 Musculoskeletal Procedures | 19 | $60,336 | $12,247 |
| Level 5 Urology and Related Services | 17 | $23,058 | $4,596 |
| Level 1 Nerve Procedures | 16 | $10,615 | $1,743 |
| Level 4 Musculoskeletal Procedures | 11 | $45,440 | $6,667 |
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Community Memorial Hospital charged $47,494 on average, 27% less than the Virginia average of $65,235, and was paid $14,579 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Community Memorial Hospital charged $35,841 on average, 12% less than the Virginia average of $40,795, and was paid $9,737 against a state average of $11,030. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Community Memorial Hospital charged $37,692 on average, 2% more than the Virginia average of $37,022, and was paid $9,303 against a state average of $8,962. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Community Memorial Hospital charged $35,757 on average, 20% less than the Virginia average of $44,717, and was paid $10,155 against a state average of $11,065. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,746 was 9% below the state average of $19,506. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,488 was 6% above the state average of $11,766. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,047 was 19% below the state average of $11,217. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $16,462 was 25% below the state average of $21,969.
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.