57/100
#1,034 nationally
Augusta Health
78 Medical Center Drive, Fishersville, VA 22939 · (540) 332-4000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Augusta Health billed $4.59 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.6x
- volume-weighted across all its priced work
- Procedures priced
- 120
- inpatient and outpatient combined
- Rank in VA
- #29
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 62% of U.S. hospitals.
Better than 54% of U.S. hospitals.
Better than 60% of U.S. hospitals.
Better than 34% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
1,299 | $9,413 | $2,235 | -20% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
698 | $13,154 | $2,628 | -32% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
539 | $79,526 | $12,558 | +27% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
355 | $6,669 | $1,850 | -41% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
259 | $33,910 | $16,092 | -48% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
246 | $19,204 | $3,337 | -7% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
210 | $23,867 | $10,349 | -45% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
208 | $4,970 | $1,563 | -51% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
159 | $27,926 | $4,951 | about average |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
139 | $46,116 | $6,875 | +16% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$190,694 | $26,998 | +69% |
|
Level 4 Neurostimulator and Related Procedures
APC 5464 · Hospital outpatient visit |
$134,022 | $21,091 | +66% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
$38,537 | $5,052 | +59% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$36,261 | $3,344 | +56% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$53,840 | $5,431 | +53% |
|
Laparoscopic Cholecystectomy without C.d.e. without Complications/mcc
MS-DRG 419 · Inpatient stay |
$101,021 | $13,695 | +44% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$56,956 | $6,303 | +44% |
|
Extracranial Procedures without Complications/mcc
MS-DRG 039 · Inpatient stay |
$76,326 | $8,831 | +43% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
$28,768 | $12,538 | -58% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$24,303 | $12,743 | -57% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
$15,474 | $6,140 | -53% |
|
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with
MS-DRG 617 · Inpatient stay |
$35,390 | $15,375 | -52% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$36,869 | $15,604 | -52% |
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$23,143 | $10,643 | -52% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$4,970 | $1,563 | -51% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
$25,397 | $11,352 | -51% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.