Virginia / Lewisgale Hospital Pulaski
CMS certification 490116 · Pulaski, VA · 2 entries in CMS's price-transparency list
Lewisgale Hospital Pulaski: charges and Medicare payments
Lewisgale Hospital Pulaski reported 137 Medicare inpatient stays across 6 DRGs in 2024. Across them it charged 3.92 times what it was paid — mid-range in Virginia, number 29 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: 63 stays at an average charge of $58,873, 35% below the national average. It also billed 135 outpatient services, charging 21.19 times what Medicare paid.
- 1Medicare inpatient stays 137
- 2Charge ÷ paid, inpatient 3.92×
- 3Rank in VA (highest ratio = 1) 29 of 66
- 4CMS price-transparency actions 2
Inpatient stays
For the 6 DRGs that can be compared with the national average, Lewisgale Hospital Pulaski charged more than the national average in 1 (17%). 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 | 63 | $58,873 | -35% | $17,214 |
| 291 Heart Failure and Shock with MCC | 21 | $45,846 | -19% | $11,447 |
| 193 Simple Pneumonia and Pleurisy with MCC | 16 | $58,441 | -2% | $12,266 |
| 683 Renal Failure with CC | 14 | $39,600 | -3% | $7,806 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $54,695 | -9% | $12,863 |
| 189 Pulmonary Edema and Respiratory Failure | 11 | $62,506 | +9% | $11,708 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 44 | $25,226 | $2,314 |
| Level 3 Musculoskeletal Procedures | 30 | $46,189 | $2,787 |
| Level 1 Laparoscopy and Related Services | 19 | $74,054 | $4,967 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 16 | $27,627 | $1,396 |
| Level 4 Musculoskeletal Procedures | 13 | $148,582 | $5,782 |
| Level 3 Vascular Procedures | 13 | $50,257 | $2,744 |
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lewisgale Hospital Pulaski charged $58,873 on average, 10% less than the Virginia average of $65,235, and was paid $17,214 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Lewisgale Hospital Pulaski charged $45,846 on average, 12% more than the Virginia average of $40,795, and was paid $11,447 against a state average of $11,030. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Lewisgale Hospital Pulaski charged $58,441 on average, 31% more than the Virginia average of $44,717, and was paid $12,266 against a state average of $11,065. For Renal Failure with CC (DRG 683), Lewisgale Hospital Pulaski charged $39,600 on average, 26% more than the Virginia average of $31,514, and was paid $7,806 against a state average of $7,782. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,226 was 29% above the state average of $19,506. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $46,189 was 62% above the state average of $28,468. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $74,054 was 64% above the state average of $45,021. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $27,627 was 146% above the state average of $11,217.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Lewisgale Hospital Pulaski in Pulaski, 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 1929)
- Met Requirements — 2025-04-30 (CMS case 4209)
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.