Virginia / Lewisgale Hospital Montgomery

CMS certification 490110 · Blacksburg, VA · 3 entries in CMS's price-transparency list

Lewisgale Hospital Montgomery: charges and Medicare payments

Lewisgale Hospital Montgomery reported 1,020 Medicare inpatient stays across 38 DRGs in 2024. Across them it charged 4.18 times what it was paid — mid-range in Virginia, number 23 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: 247 stays at an average charge of $52,894, 41% below the national average. It also billed 870 outpatient services, charging 20.45 times what Medicare paid.

1Medicare inpatient stays 1,020
2Charge ÷ paid, inpatient 4.18×
3Rank in VA (highest ratio = 1) 23 of 66
4CMS price-transparency actions 3

Average charge per stay at Lewisgale Hospital Montgomery, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 38 DRGs that can be compared with the national average, Lewisgale Hospital Montgomery charged more than the national average in 7 (18%). 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	247	$52,894	-41%	$17,448
291 Heart Failure and Shock with MCC	48	$43,053	-24%	$12,503
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	44	$34,373	-30%	$10,023
280 Acute Myocardial Infarction, Discharged Alive with MCC	43	$50,423	-33%	$13,582
193 Simple Pneumonia and Pleurisy with MCC	37	$46,748	-22%	$12,814
281 Acute Myocardial Infarction, Discharged Alive with CC	35	$43,637	-14%	$8,556
683 Renal Failure with CC	34	$26,196	-36%	$8,996
177 Respiratory Infections and Inflammations with MCC	31	$46,920	-34%	$15,897
189 Pulmonary Edema and Respiratory Failure	26	$38,215	-34%	$11,689
682 Renal Failure with MCC	26	$39,857	-40%	$13,527
690 Kidney and Urinary Tract Infections without MCC	26	$34,771	-8%	$8,109
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	24	$45,859	+14%	$7,778
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	24	$39,976	-34%	$12,393
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	23	$172,818	+69%	$18,357
853 Infectious and Parasitic Diseases with O.R. Procedures with...	21	$213,810	-7%	$44,521
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	18	$56,709	-43%	$17,302
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	18	$44,016	-21%	$9,735
309 Cardiac Arrhythmia and Conduction Disorders with CC	18	$24,196	-33%	$7,143
698 Other Kidney and Urinary Tract Diagnoses with MCC	18	$45,269	-38%	$15,185
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	17	$52,184	+20%	$6,719
069 Transient Ischemia without Thrombolytic	16	$36,729	-27%	$7,554
322 Percutaneous Cardiovascular Procedures with Intraluminal...	16	$172,355	+50%	$17,721
312 Syncope and Collapse	15	$36,628	-20%	$8,658
389 Gastrointestinal Obstruction with CC	15	$29,927	-23%	$8,048
470 Major Hip and Knee Joint Replacement or Reattachment of...	15	$236,696	+154%	$16,184
689 Kidney and Urinary Tract Infections with MCC	15	$36,441	-29%	$11,463
330 Major Small and Large Bowel Procedures with CC	14	$166,155	+40%	$26,540
378 Gastrointestinal Hemorrhage with CC	14	$48,515	0%	$9,520
637 Diabetes with MCC	14	$50,775	-24%	$14,640
854 Infectious and Parasitic Diseases with O.R. Procedures with...	14	$87,253	-11%	$18,731
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	13	$24,870	-33%	$7,756
308 Cardiac Arrhythmia and Conduction Disorders with MCC	12	$36,363	-36%	$11,179
481 Hip and Femur Procedures except Major Joint with CC	12	$140,360	+39%	$18,360
617 Amputation of Lower Limb for Endocrine, Nutritional and...	12	$85,216	-2%	$18,265
811 Red Blood Cell Disorders with MCC	12	$48,530	-29%	$12,836
057 Degenerative Nervous System Disorders without MCC	11	$33,959	-40%	$12,350
305 Hypertension without MCC	11	$30,900	-23%	$7,451
603 Cellulitis without MCC	11	$27,546	-26%	$8,980

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	195	$20,733	$2,342
Level 5 Musculoskeletal Procedures	121	$201,236	$11,251
Level 1 Laparoscopy and Related Services	64	$75,007	$4,788
Level 4 Musculoskeletal Procedures	62	$118,770	$6,167
Level 1 Nerve Procedures	50	$26,977	$1,614
Level 1 Endovascular Procedures	49	$57,394	$2,772
Level 2 Excision/ Biopsy/ Incision and Drainage	42	$18,733	$1,346
Level 5 Urology and Related Services	36	$61,904	$4,263
Level 2 Upper GI Procedures	35	$33,071	$1,640
Level 2 Breast/Lymphatic Surgery and Related Procedures	29	$76,080	$5,467
Level 3 Musculoskeletal Procedures	29	$64,065	$2,713
Level 3 Excision/ Biopsy/ Incision and Drainage	25	$39,324	$2,377
Level 2 Musculoskeletal Procedures	25	$25,493	$1,341
Level 2 Laparoscopy and Related Services	25	$163,892	$8,870
Level 1 Breast/Lymphatic Surgery and Related Procedures	20	$54,100	$3,155
Level 3 Vascular Procedures	20	$41,673	$2,748
Level 6 Musculoskeletal Procedures	18	$324,192	$16,032
Level 5 ENT Procedures	13	$72,851	$4,739
Level 5 Gynecologic Procedures	12	$50,937	$4,003

Against the Virginia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lewisgale Hospital Montgomery charged $52,894 on average, 19% less than the Virginia average of $65,235, and was paid $17,448 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Lewisgale Hospital Montgomery charged $43,053 on average, 6% more than the Virginia average of $40,795, and was paid $12,503 against a state average of $11,030. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Lewisgale Hospital Montgomery charged $34,373 on average, 7% less than the Virginia average of $37,022, and was paid $10,023 against a state average of $8,962. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Lewisgale Hospital Montgomery charged $50,423 on average, 12% less than the Virginia average of $57,438, and was paid $13,582 against a state average of $13,197. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,733 was 6% above the state average of $19,506. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $201,236 was 140% above the state average of $83,920. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $75,007 was 67% above the state average of $45,021. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $118,770 was 123% above the state average of $53,311.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Lewisgale Hospital Montgomery in Blacksburg, VA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2023-07-12 (CMS case 724)
Closure Notice — 2023-12-01 (CMS case 724)
Met Requirements — 2025-04-30 (CMS case 4210)

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.