23/100
#2,087 nationally
Lewisgale Hospital Montgomery
3700 South Main Street, Blacksburg, VA 24060 · (540) 951-1111
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Lewisgale Hospital Montgomery billed $6.95 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
- 6.9x
- volume-weighted across all its priced work
- Procedures priced
- 57
- inpatient and outpatient combined
- Rank in VA
- #55
- 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 46% of U.S. hospitals.
Better than 4% of U.S. hospitals.
Better than 20% of U.S. hospitals.
Better than 4% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
247 | $52,894 | $17,448 | -19% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
195 | $20,733 | $2,342 | +7% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
121 | $201,236 | $11,251 | +222% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
64 | $75,007 | $4,788 | +114% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
62 | $118,770 | $6,167 | +198% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
50 | $26,977 | $1,614 | +138% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
49 | $57,394 | $2,772 | +127% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
48 | $43,053 | $12,503 | about average |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
44 | $34,373 | $10,023 | -12% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
43 | $50,423 | $13,582 | -18% |
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 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$324,192 | $16,032 | +290% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$201,236 | $11,251 | +222% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$64,065 | $2,713 | +214% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$118,770 | $6,167 | +198% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$236,696 | $16,184 | +196% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$33,071 | $1,640 | +181% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$163,892 | $8,870 | +174% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$26,977 | $1,614 | +138% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$33,959 | $12,350 | -29% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$56,709 | $17,302 | -26% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$39,857 | $13,527 | -25% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$36,363 | $11,179 | -23% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$38,215 | $11,689 | -21% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$24,196 | $7,143 | -21% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$26,197 | $8,996 | -21% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$45,269 | $15,185 | -20% |
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.