Virginia / Lewisgale Medical Center

CMS certification 490048 · Salem, VA · 2 entries in CMS's price-transparency list

Lewisgale Medical Center: charges and Medicare payments

Lewisgale Medical Center reported 3,833 Medicare inpatient stays across 112 DRGs in 2024. Across them it charged 7.23 times what it was paid — among the higher ratios in Virginia, number 5 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: 477 stays at an average charge of $111,309, 23% above the national average. It also billed 2,442 outpatient services, charging 19.39 times what Medicare paid.

1Medicare inpatient stays 3,833
2Charge ÷ paid, inpatient 7.23×
3Rank in VA (highest ratio = 1) 5 of 66
4CMS price-transparency actions 2

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

Inpatient stays

For the 112 DRGs that can be compared with the national average, Lewisgale Medical Center charged more than the national average in 95 (85%). 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	477	$111,309	+23%	$17,154
291 Heart Failure and Shock with MCC	137	$58,167	+3%	$11,589
280 Acute Myocardial Infarction, Discharged Alive with MCC	125	$83,739	+10%	$14,518
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	86	$60,630	+24%	$9,547
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	80	$49,417	+23%	$7,399
853 Infectious and Parasitic Diseases with O.R. Procedures with...	74	$280,031	+22%	$36,576
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	73	$67,989	+22%	$9,525
378 Gastrointestinal Hemorrhage with CC	73	$69,847	+44%	$8,938
189 Pulmonary Edema and Respiratory Failure	71	$56,044	-3%	$11,294
481 Hip and Femur Procedures except Major Joint with CC	68	$176,254	+75%	$18,212
193 Simple Pneumonia and Pleurisy with MCC	64	$67,059	+12%	$12,109
177 Respiratory Infections and Inflammations with MCC	63	$77,101	+9%	$14,141
377 Gastrointestinal Hemorrhage with MCC	63	$99,538	+17%	$14,856
069 Transient Ischemia without Thrombolytic	62	$44,633	-12%	$7,489
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	60	$96,779	-3%	$16,473
322 Percutaneous Cardiovascular Procedures with Intraluminal...	59	$258,766	+126%	$19,435
281 Acute Myocardial Infarction, Discharged Alive with CC	58	$65,455	+30%	$8,834
552 Medical Back Problems without MCC	58	$46,254	-5%	$8,673
682 Renal Failure with MCC	55	$89,617	+36%	$14,141
683 Renal Failure with CC	55	$49,101	+21%	$8,133
690 Kidney and Urinary Tract Infections without MCC	51	$49,187	+30%	$7,664
309 Cardiac Arrhythmia and Conduction Disorders with CC	47	$43,983	+22%	$7,532
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	45	$49,199	+15%	$8,589
312 Syncope and Collapse	44	$49,245	+8%	$8,082
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	44	$70,098	+16%	$11,913
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	42	$29,324	+2%	$5,401
884 Organic Disturbances and Intellectual Disability	40	$51,021	-18%	$13,533
313 Chest Pain	39	$39,326	-2%	$6,942
689 Kidney and Urinary Tract Infections with MCC	36	$71,399	+39%	$10,719
811 Red Blood Cell Disorders with MCC	36	$87,226	+28%	$12,875
329 Major Small and Large Bowel Procedures with MCC	34	$389,541	+81%	$52,476
389 Gastrointestinal Obstruction with CC	34	$55,804	+43%	$7,713
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	34	$164,522	+61%	$18,071
149 Dysequilibrium	33	$47,624	+7%	$7,154
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	33	$58,910	-10%	$12,605
470 Major Hip and Knee Joint Replacement or Reattachment of...	33	$196,582	+111%	$16,652
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	33	$42,433	+15%	$7,733
698 Other Kidney and Urinary Tract Diagnoses with MCC	33	$98,561	+34%	$13,871
393 Other Digestive System Diagnoses with MCC	32	$92,870	+21%	$14,992
243 Permanent Cardiac Pacemaker Implant with CC	30	$159,211	+43%	$20,776
308 Cardiac Arrhythmia and Conduction Disorders with MCC	29	$88,169	+56%	$10,709
287 Circulatory Disorders except AMI, with Cardiac...	28	$108,376	+70%	$9,489
854 Infectious and Parasitic Diseases with O.R. Procedures with...	28	$122,904	+25%	$17,753
100 Seizures with MCC	27	$126,095	+34%	$17,158
274 Percutaneous and Other Intracardiac Procedures without MCC	27	$295,633	+89%	$28,376
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	27	$55,504	+28%	$8,096
394 Other Digestive System Diagnoses with CC	27	$47,767	+1%	$8,077
101 Seizures without MCC	26	$54,895	+13%	$8,674
267 Endovascular Cardiac Valve Replacement and Supplement...	26	$503,747	+128%	$45,581
305 Hypertension without MCC	26	$34,255	-15%	$6,768
480 Hip and Femur Procedures except Major Joint with MCC	26	$215,508	+55%	$24,484
208 Respiratory System Diagnosis with Ventilator Support <=96...	25	$140,608	+4%	$22,590
321 Percutaneous Cardiovascular Procedures with Intraluminal...	25	$239,125	+46%	$23,497
870 Septicemia or Severe Sepsis with MV >96 Hours	24	$415,292	+28%	$67,374
057 Degenerative Nervous System Disorders without MCC	23	$56,420	0%	$11,525
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	23	$81,134	+33%	$12,239
812 Red Blood Cell Disorders without MCC	23	$51,818	+17%	$8,035
330 Major Small and Large Bowel Procedures with CC	22	$294,570	+147%	$22,226
086 Traumatic Stupor and Coma <1 Hour with CC	21	$71,682	+5%	$10,871
025 Craniotomy and Endovascular Intracranial Procedures with MCC	20	$390,004	+68%	$43,006

Showing the 60 most frequent of 112 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Endovascular Procedures	296	$75,089	$2,776
Level 5 Musculoskeletal Procedures	290	$173,393	$11,117
Comprehensive Observation Services	289	$24,384	$2,329
Level 2 Upper GI Procedures	281	$39,697	$1,619
Level 2 Excision/ Biopsy/ Incision and Drainage	155	$21,587	$1,375
Level 3 Lower GI Procedures	135	$60,459	$2,416
Level 1 Laparoscopy and Related Services	122	$78,854	$4,872
Level 3 Endovascular Procedures	89	$163,780	$9,465
Level 3 Pacemaker and Similar Procedures	72	$102,773	$9,083
Level 3 Upper GI Procedures	52	$83,404	$3,297
Level 5 Urology and Related Services	50	$74,568	$4,412
Level 6 Musculoskeletal Procedures	48	$243,738	$16,011
Level 3 Electrophysiologic Procedures	38	$289,392	$20,007
Level 3 Musculoskeletal Procedures	35	$74,234	$2,747
Level 2 ICD and Similar Procedures	32	$274,182	$28,240
Level 5 Neurostimulator and Related Procedures	31	$255,119	$25,053
Level 2 Breast/Lymphatic Surgery and Related Procedures	30	$80,964	$5,358
Level 4 Musculoskeletal Procedures	30	$142,589	$5,999
Level 3 Excision/ Biopsy/ Incision and Drainage	29	$54,815	$2,446
Complex GI Procedures	29	$140,698	$4,906
Level 3 Vascular Procedures	27	$33,832	$2,744
Level 4 Airway Endoscopy	26	$53,780	$3,224
Level 2 Musculoskeletal Procedures	25	$24,817	$1,384
Level 4 Urology and Related Services	25	$67,690	$3,001
Level 2 Pacemaker and Similar Procedures	24	$89,037	$7,314

Against the Virginia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lewisgale Medical Center charged $111,309 on average, 71% more than the Virginia average of $65,235, and was paid $17,154 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Lewisgale Medical Center charged $58,167 on average, 43% more than the Virginia average of $40,795, and was paid $11,589 against a state average of $11,030. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Lewisgale Medical Center charged $83,739 on average, 46% more than the Virginia average of $57,438, and was paid $14,518 against a state average of $13,197. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Lewisgale Medical Center charged $60,630 on average, 64% more than the Virginia average of $37,022, and was paid $9,547 against a state average of $8,962. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $75,089 was 136% above the state average of $31,869. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $173,393 was 107% above the state average of $83,920. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,384 was 25% above the state average of $19,506. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $39,697 was 187% above the state average of $13,852.

Price-transparency record

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

Met Requirements — 2024-02-09 (CMS case 1925)
Met Requirements — 2025-04-30 (CMS case 4213)

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.