18/100
#2,207 nationally
Clinch Valley Medical Center
6801 Governor Gc Perry Highway, Richlands, VA 24641 · (276) 596-6000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Clinch Valley Medical Center billed $7.98 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
- 8.0x
- volume-weighted across all its priced work
- Procedures priced
- 23
- inpatient and outpatient combined
- Rank in VA
- #58
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 20% of U.S. hospitals.
Better than 9% of U.S. hospitals.
Better than 19% of U.S. hospitals.
Better than 28% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
124 | $35,819 | $2,322 | +84% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
67 | $94,480 | $14,324 | +45% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
55 | $17,773 | $1,396 | +76% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
52 | $64,945 | $10,604 | +39% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
50 | $49,632 | $9,512 | +14% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
45 | $27,242 | $2,744 | +43% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
36 | $22,247 | $1,676 | +72% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
30 | $39,229 | $2,446 | +122% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
29 | $23,114 | $1,593 | +97% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
22 | $45,877 | $2,675 | +122% |
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 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$45,877 | $2,675 | +122% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$39,229 | $2,446 | +122% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$69,283 | $4,967 | +97% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$23,114 | $1,593 | +97% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$35,819 | $2,322 | +84% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$17,773 | $1,396 | +76% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$22,247 | $1,676 | +72% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$54,673 | $6,742 | +72% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
$43,144 | $10,841 | -21% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$59,898 | $12,023 | +9% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$49,632 | $9,512 | +14% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$31,204 | $2,810 | +24% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$40,410 | $6,112 | +25% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$39,809 | $6,947 | +34% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$52,810 | $10,175 | +35% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$65,480 | $9,134 | +35% |
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.