Virginia / Sentara Rmh Medical Center

CMS certification 490004 · Harrisonburg, VA · 2 entries in CMS's price-transparency list

Sentara Rmh Medical Center: charges and Medicare payments

Sentara Rmh Medical Center reported 2,737 Medicare inpatient stays across 72 DRGs in 2024. Across them it charged 2.31 times what it was paid — among the lower ratios in Virginia, number 62 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: 438 stays at an average charge of $34,342, 62% below the national average. It also billed 3,881 outpatient services, charging 4.95 times what Medicare paid.

1Medicare inpatient stays 2,737
2Charge ÷ paid, inpatient 2.31×
3Rank in VA (highest ratio = 1) 62 of 66
4CMS price-transparency actions 2

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

Inpatient stays

For the 72 DRGs that can be compared with the national average, Sentara Rmh Medical Center charged more than the national average in 0 (0%). 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	438	$34,342	-62%	$17,471
291 Heart Failure and Shock with MCC	256	$24,017	-57%	$11,412
177 Respiratory Infections and Inflammations with MCC	105	$26,835	-62%	$14,652
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	94	$21,304	-57%	$9,036
193 Simple Pneumonia and Pleurisy with MCC	82	$24,831	-58%	$11,458
286 Circulatory Disorders except AMI, with Cardiac...	64	$51,412	-54%	$19,334
683 Renal Failure with CC	62	$15,989	-61%	$7,721
689 Kidney and Urinary Tract Infections with MCC	57	$19,515	-62%	$10,058
853 Infectious and Parasitic Diseases with O.R. Procedures with...	54	$81,273	-65%	$42,533
698 Other Kidney and Urinary Tract Diagnoses with MCC	53	$26,356	-64%	$14,257
682 Renal Failure with MCC	52	$27,095	-59%	$13,561
280 Acute Myocardial Infarction, Discharged Alive with MCC	51	$36,056	-52%	$14,360
274 Percutaneous and Other Intracardiac Procedures without MCC	49	$58,407	-63%	$27,792
885 Psychoses	49	$33,906	-23%	$12,975
378 Gastrointestinal Hemorrhage with CC	48	$25,283	-48%	$8,395
481 Hip and Femur Procedures except Major Joint with CC	45	$45,562	-55%	$17,529
690 Kidney and Urinary Tract Infections without MCC	41	$15,477	-59%	$6,923
309 Cardiac Arrhythmia and Conduction Disorders with CC	39	$16,640	-54%	$6,366
377 Gastrointestinal Hemorrhage with MCC	39	$46,779	-45%	$16,367
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	38	$20,795	-48%	$7,576
308 Cardiac Arrhythmia and Conduction Disorders with MCC	33	$26,193	-54%	$10,677
603 Cellulitis without MCC	33	$17,380	-53%	$7,657
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	32	$36,555	-63%	$16,913
190 Chronic Obstructive Pulmonary Disease with MCC	32	$24,418	-52%	$9,927
267 Endovascular Cardiac Valve Replacement and Supplement...	32	$105,057	-53%	$40,297
322 Percutaneous Cardiovascular Procedures with Intraluminal...	32	$66,836	-42%	$15,845
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	30	$25,241	-55%	$9,000
389 Gastrointestinal Obstruction with CC	30	$18,739	-52%	$6,923
189 Pulmonary Edema and Respiratory Failure	29	$26,230	-54%	$10,568
312 Syncope and Collapse	28	$20,632	-55%	$7,692
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	28	$47,684	-53%	$17,888
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	27	$35,762	-45%	$13,121
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	27	$29,116	-52%	$12,325
602 Cellulitis with MCC	26	$24,840	-59%	$12,676
243 Permanent Cardiac Pacemaker Implant with CC	24	$64,823	-42%	$19,112
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	22	$18,731	-49%	$7,047
266 Endovascular Cardiac Valve Replacement and Supplement...	21	$108,719	-62%	$54,185
321 Percutaneous Cardiovascular Procedures with Intraluminal...	21	$88,506	-46%	$25,755
330 Major Small and Large Bowel Procedures with CC	20	$72,601	-39%	$22,510
470 Major Hip and Knee Joint Replacement or Reattachment of...	20	$45,221	-51%	$15,874
480 Hip and Femur Procedures except Major Joint with MCC	20	$55,359	-60%	$27,738
287 Circulatory Disorders except AMI, with Cardiac...	19	$39,951	-37%	$13,002
637 Diabetes with MCC	19	$27,723	-58%	$12,461
811 Red Blood Cell Disorders with MCC	19	$26,895	-61%	$11,923
202 Bronchitis and Asthma with CC/MCC	18	$18,118	-61%	$8,250
854 Infectious and Parasitic Diseases with O.R. Procedures with...	18	$44,569	-55%	$17,190
329 Major Small and Large Bowel Procedures with MCC	17	$83,419	-61%	$41,276
393 Other Digestive System Diagnoses with MCC	17	$30,250	-61%	$13,362
394 Other Digestive System Diagnoses with CC	17	$20,519	-56%	$9,728
432 Cirrhosis and Alcoholic Hepatitis with MCC	17	$40,675	-57%	$16,660
314 Other Circulatory System Diagnoses with MCC	16	$33,986	-64%	$18,971
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	16	$77,996	-64%	$39,647
091 Other Disorders of Nervous System with MCC	15	$43,239	-48%	$15,894
270 Other Major Cardiovascular Procedures with MCC	15	$148,404	-43%	$47,872
281 Acute Myocardial Infarction, Discharged Alive with CC	15	$25,311	-50%	$7,781
699 Other Kidney and Urinary Tract Diagnoses with CC	15	$16,670	-65%	$9,458
194 Simple Pneumonia and Pleurisy with CC	14	$16,810	-56%	$7,106
242 Permanent Cardiac Pacemaker Implant with MCC	14	$75,698	-53%	$28,877
371 Major Gastrointestinal Disorders and Peritoneal Infections...	14	$31,132	-60%	$16,335
418 Laparoscopic Cholecystectomy without C.D.E. with CC	14	$60,082	-36%	$15,527

Showing the 60 most frequent of 72 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	1,118	$12,855	$2,661
Level 2 Excision/ Biopsy/ Incision and Drainage	257	$8,269	$1,575
Level 1 Endovascular Procedures	184	$22,971	$3,184
Level 1 Nerve Procedures	173	$12,838	$1,890
Level 5 Musculoskeletal Procedures	165	$36,196	$12,581
Level 3 Electrophysiologic Procedures	163	$73,168	$23,028
Level 2 Musculoskeletal Procedures	157	$9,043	$1,565
Level 4 Musculoskeletal Procedures	146	$30,930	$6,998
Level 3 Vascular Procedures	125	$17,856	$3,102
Level 3 Musculoskeletal Procedures	112	$16,260	$3,115
Level 2 Upper GI Procedures	111	$7,409	$1,831
Level 3 Excision/ Biopsy/ Incision and Drainage	104	$19,587	$2,794
Level 5 Urology and Related Services	104	$19,464	$4,894
Level 1 Laparoscopy and Related Services	103	$31,088	$5,674
Level 4 Urology and Related Services	90	$14,903	$3,398
Level 2 Endovascular Procedures	85	$25,117	$5,621
Level 6 Urology and Related Services	76	$28,181	$9,055
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	66	$17,943	$3,280
Level 3 Pacemaker and Similar Procedures	62	$39,258	$10,327
Level 3 Urology and Related Services	57	$13,925	$2,003
Level 3 Endovascular Procedures	56	$48,967	$10,643
Level 2 Vascular Procedures	42	$9,336	$1,515
Level 6 Musculoskeletal Procedures	34	$52,729	$18,285
Level 2 Breast/Lymphatic Surgery and Related Procedures	32	$26,333	$6,413
Level 1 Breast/Lymphatic Surgery and Related Procedures	26	$16,274	$3,748

Against the Virginia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sentara Rmh Medical Center charged $34,342 on average, 47% less than the Virginia average of $65,235, and was paid $17,471 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Sentara Rmh Medical Center charged $24,017 on average, 41% less than the Virginia average of $40,795, and was paid $11,412 against a state average of $11,030. For Respiratory Infections and Inflammations with MCC (DRG 177), Sentara Rmh Medical Center charged $26,835 on average, 46% less than the Virginia average of $49,485, and was paid $14,652 against a state average of $13,709. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Sentara Rmh Medical Center charged $21,304 on average, 42% less than the Virginia average of $37,022, and was paid $9,036 against a state average of $8,962. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,855 was 34% below the state average of $19,506. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,269 was 26% below the state average of $11,217. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $22,971 was 28% below the state average of $31,869. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $12,838 was 5% above the state average of $12,264.

Price-transparency record

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

Warning Notice — 2021-08-25 (CMS case 757)
Closure Notice — 2022-03-31 (CMS case 757)

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.