Virginia / Smyth County Community Hospital
CMS certification 490038 · Marion, VA
Smyth County Community Hospital: charges and Medicare payments
Smyth County Community Hospital reported 150 Medicare inpatient stays across 8 DRGs in 2024. Across them it charged 2.62 times what it was paid — among the lower ratios in Virginia, number 58 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: 55 stays at an average charge of $40,315, 55% below the national average. It also billed 202 outpatient services, charging 9.53 times what Medicare paid.
- 1Medicare inpatient stays 150
- 2Charge ÷ paid, inpatient 2.62×
- 3Rank in VA (highest ratio = 1) 58 of 66
- 4CMS price-transparency actions 0
Inpatient stays
For the 8 DRGs that can be compared with the national average, Smyth County Community Hospital 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 | 55 | $40,315 | -55% | $16,848 |
| 291 Heart Failure and Shock with MCC | 18 | $29,727 | -47% | $10,952 |
| 177 Respiratory Infections and Inflammations with MCC | 17 | $46,861 | -34% | $13,791 |
| 193 Simple Pneumonia and Pleurisy with MCC | 16 | $26,374 | -56% | $11,195 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $27,746 | -45% | $9,303 |
| 682 Renal Failure with MCC | 11 | $34,905 | -47% | $12,419 |
| 683 Renal Failure with CC | 11 | $22,598 | -44% | $7,819 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 11 | $22,636 | -54% | $9,461 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 60 | $15,297 | $2,356 |
| Level 1 Intraocular Procedures | 50 | $17,285 | $2,006 |
| Level 5 Musculoskeletal Procedures | 47 | $77,185 | $10,519 |
| Level 1 Nerve Procedures | 19 | $13,346 | $1,662 |
| Level 4 Musculoskeletal Procedures | 15 | $71,613 | $6,159 |
| Level 2 Musculoskeletal Procedures | 11 | $13,021 | $1,384 |
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Smyth County Community Hospital charged $40,315 on average, 38% less than the Virginia average of $65,235, and was paid $16,848 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Smyth County Community Hospital charged $29,727 on average, 27% less than the Virginia average of $40,795, and was paid $10,952 against a state average of $11,030. For Respiratory Infections and Inflammations with MCC (DRG 177), Smyth County Community Hospital charged $46,861 on average, 5% less than the Virginia average of $49,485, and was paid $13,791 against a state average of $13,709. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Smyth County Community Hospital charged $26,374 on average, 41% less than the Virginia average of $44,717, and was paid $11,195 against a state average of $11,065. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,297 was 22% below the state average of $19,506. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $17,285 was 47% above the state average of $11,766. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $77,185 was 8% below the state average of $83,920. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $13,346 was 9% above the state average of $12,264.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.