Virginia / Wythe County Community Hospital
CMS certification 490111 · Wytheville, VA · 2 entries in CMS's price-transparency list
Wythe County Community Hospital: charges and Medicare payments
Wythe County Community Hospital reported 197 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 3.95 times what it was paid — mid-range in Virginia, number 27 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: 94 stays at an average charge of $62,102, 31% below the national average. It also billed 245 outpatient services, charging 15.06 times what Medicare paid.
- 1Medicare inpatient stays 197
- 2Charge ÷ paid, inpatient 3.95×
- 3Rank in VA (highest ratio = 1) 27 of 66
- 4CMS price-transparency actions 2
Inpatient stays
For the 7 DRGs that can be compared with the national average, Wythe County Community Hospital charged more than the national average in 1 (14%). 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 | 94 | $62,102 | -31% | $17,212 |
| 291 Heart Failure and Shock with MCC | 24 | $45,354 | -20% | $11,419 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 22 | $59,576 | +21% | $9,217 |
| 193 Simple Pneumonia and Pleurisy with MCC | 20 | $52,573 | -12% | $11,539 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 15 | $40,309 | -47% | $13,947 |
| 189 Pulmonary Edema and Respiratory Failure | 11 | $39,631 | -31% | $10,941 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 11 | $55,204 | -3% | $10,554 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 144 | $35,164 | $2,510 |
| Level 2 Upper GI Procedures | 26 | $19,895 | $1,701 |
| Level 1 Laparoscopy and Related Services | 21 | $39,433 | $4,916 |
| Level 1 Nerve Procedures | 18 | $15,155 | $1,780 |
| Level 3 Vascular Procedures | 14 | $36,243 | $2,939 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 11 | $12,461 | $1,495 |
| Level 5 Urology and Related Services | 11 | $40,944 | $4,771 |
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Wythe County Community Hospital charged $62,102 on average, 5% less than the Virginia average of $65,235, and was paid $17,212 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Wythe County Community Hospital charged $45,354 on average, 11% more than the Virginia average of $40,795, and was paid $11,419 against a state average of $11,030. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Wythe County Community Hospital charged $59,576 on average, 61% more than the Virginia average of $37,022, and was paid $9,217 against a state average of $8,962. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Wythe County Community Hospital charged $52,573 on average, 18% more than the Virginia average of $44,717, and was paid $11,539 against a state average of $11,065. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $35,164 was 80% above the state average of $19,506. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $19,895 was 44% above the state average of $13,852. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $39,433 was 12% below the state average of $45,021. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $15,155 was 24% above the state average of $12,264.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Wythe County Community Hospital in Wytheville, VA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-11 (CMS case 3791)
- Met Requirements — 2025-06-17 (CMS case 5223)
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.