Virginia / Lewisgale Hospital Alleghany
CMS certification 490126 · Low Moor, VA · 2 entries in CMS's price-transparency list
Lewisgale Hospital Alleghany: charges and Medicare payments
Lewisgale Hospital Alleghany reported 248 Medicare inpatient stays across 9 DRGs in 2024. Across them it charged 3.92 times what it was paid — mid-range in Virginia, number 28 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: 78 stays at an average charge of $59,500, 34% below the national average. It also billed 438 outpatient services, charging 11.77 times what Medicare paid.
- 1Medicare inpatient stays 248
- 2Charge ÷ paid, inpatient 3.92×
- 3Rank in VA (highest ratio = 1) 28 of 66
- 4CMS price-transparency actions 2
Inpatient stays
For the 9 DRGs that can be compared with the national average, Lewisgale Hospital Alleghany charged more than the national average in 1 (11%). 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 | 78 | $59,500 | -34% | $16,683 |
| 291 Heart Failure and Shock with MCC | 57 | $40,475 | -28% | $10,959 |
| 177 Respiratory Infections and Inflammations with MCC | 20 | $61,091 | -13% | $13,974 |
| 193 Simple Pneumonia and Pleurisy with MCC | 19 | $60,088 | +1% | $11,085 |
| 682 Renal Failure with MCC | 19 | $50,849 | -23% | $12,469 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $40,935 | -17% | $9,039 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $41,999 | -30% | $10,976 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $30,257 | -18% | $6,569 |
| 683 Renal Failure with CC | 12 | $32,855 | -19% | $8,338 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 192 | $19,284 | $2,513 |
| Level 1 Intraocular Procedures | 104 | $20,998 | $2,138 |
| Level 5 Musculoskeletal Procedures | 40 | $126,237 | $12,118 |
| Level 3 Musculoskeletal Procedures | 29 | $32,048 | $2,827 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 20 | $19,393 | $1,495 |
| Level 2 Musculoskeletal Procedures | 16 | $18,406 | $1,408 |
| Level 1 Nerve Procedures | 15 | $22,863 | $1,780 |
| Level 4 Musculoskeletal Procedures | 11 | $67,227 | $6,596 |
| Level 3 Vascular Procedures | 11 | $34,579 | $2,939 |
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lewisgale Hospital Alleghany charged $59,500 on average, 9% less than the Virginia average of $65,235, and was paid $16,683 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Lewisgale Hospital Alleghany charged $40,475 on average, 1% less than the Virginia average of $40,795, and was paid $10,959 against a state average of $11,030. For Respiratory Infections and Inflammations with MCC (DRG 177), Lewisgale Hospital Alleghany charged $61,091 on average, 23% more than the Virginia average of $49,485, and was paid $13,974 against a state average of $13,709. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Lewisgale Hospital Alleghany charged $60,088 on average, 34% more than the Virginia average of $44,717, and was paid $11,085 against a state average of $11,065. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,284 was 1% below the state average of $19,506. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $20,998 was 78% above the state average of $11,766. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $126,237 was 50% above the state average of $83,920. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $32,048 was 13% above the state average of $28,468.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Lewisgale Hospital Alleghany in Low Moor, VA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-02-12 (CMS case 1928)
- Met Requirements — 2025-04-29 (CMS case 4205)
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.