Virginia / Warren Memorial Hospital
CMS certification 490033 · Front Royal, VA
Warren Memorial Hospital: charges and Medicare payments
Warren Memorial Hospital reported 413 Medicare inpatient stays across 19 DRGs in 2024. Across them it charged 1.77 times what it was paid — among the lower ratios in Virginia, number 66 of 66 hospitals with at least 100 stays (state median 3.6×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 61 stays at an average charge of $19,373, 66% below the national average. It also billed 451 outpatient services, charging 4.15 times what Medicare paid.
- 1Medicare inpatient stays 413
- 2Charge ÷ paid, inpatient 1.77×
- 3Rank in VA (highest ratio = 1) 66 of 66
- 4CMS price-transparency actions 0
Inpatient stays
For the 19 DRGs that can be compared with the national average, Warren Memorial 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 |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 61 | $19,373 | -66% | $11,714 |
| 193 Simple Pneumonia and Pleurisy with MCC | 49 | $20,790 | -65% | $12,596 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 33 | $17,062 | -58% | $7,484 |
| 177 Respiratory Infections and Inflammations with MCC | 32 | $20,294 | -71% | $14,347 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 30 | $21,584 | -76% | $15,954 |
| 690 Kidney and Urinary Tract Infections without MCC | 28 | $15,941 | -58% | $7,902 |
| 189 Pulmonary Edema and Respiratory Failure | 17 | $21,943 | -62% | $12,016 |
| 638 Diabetes with CC | 17 | $15,708 | -62% | $8,555 |
| 603 Cellulitis without MCC | 16 | $13,371 | -64% | $8,934 |
| 683 Renal Failure with CC | 16 | $15,800 | -61% | $8,275 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $15,025 | -59% | $7,448 |
| 689 Kidney and Urinary Tract Infections with MCC | 15 | $15,094 | -71% | $10,422 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $19,340 | -62% | $10,875 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 13 | $46,004 | -51% | $17,389 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $43,789 | -57% | $19,586 |
| 682 Renal Failure with MCC | 12 | $19,815 | -70% | $11,638 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $14,583 | -62% | $7,820 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 11 | $26,670 | -65% | $14,090 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $16,077 | -55% | $8,089 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 231 | $10,823 | $2,524 |
| Level 5 Musculoskeletal Procedures | 81 | $37,084 | $12,060 |
| Level 1 Endovascular Procedures | 27 | $17,277 | $2,979 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 22 | $10,784 | $3,244 |
| Level 4 Musculoskeletal Procedures | 20 | $19,229 | $6,174 |
| Level 1 Laparoscopy and Related Services | 19 | $14,242 | $5,276 |
| Level 3 Musculoskeletal Procedures | 15 | $8,352 | $3,035 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 13 | $8,599 | $1,520 |
| Level 6 Musculoskeletal Procedures | 12 | $45,890 | $17,437 |
| Level 1 Nerve Procedures | 11 | $3,802 | $1,811 |
Against the Virginia average
For Heart Failure and Shock with MCC (DRG 291), Warren Memorial Hospital charged $19,373 on average, 53% less than the Virginia average of $40,795, and was paid $11,714 against a state average of $11,030. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Warren Memorial Hospital charged $20,790 on average, 54% less than the Virginia average of $44,717, and was paid $12,596 against a state average of $11,065. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Warren Memorial Hospital charged $17,062 on average, 50% less than the Virginia average of $33,943, and was paid $7,484 against a state average of $7,129. For Respiratory Infections and Inflammations with MCC (DRG 177), Warren Memorial Hospital charged $20,294 on average, 59% less than the Virginia average of $49,485, and was paid $14,347 against a state average of $13,709. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,823 was 45% below the state average of $19,506. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $37,084 was 56% below the state average of $83,920. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $17,277 was 46% below the state average of $31,869. For Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (outpatient APC 5341), its average charge of $10,784 was 62% below the state average of $28,082.
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.