23/100
#2,088 nationally
Lewisgale Hospital Pulaski
2400 Lee Highway, Pulaski, VA 24301 · (540) 994-8100
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Lewisgale Hospital Pulaski billed $6.21 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
- 6.2x
- volume-weighted across all its priced work
- Procedures priced
- 12
- inpatient and outpatient combined
- Rank in VA
- #56
- 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 52% of U.S. hospitals.
Better than 4% of U.S. hospitals.
Better than 13% 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 |
63 | $58,873 | $17,214 | -10% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
44 | $25,226 | $2,314 | +30% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
30 | $46,189 | $2,787 | +127% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
21 | $45,846 | $11,447 | +6% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
19 | $74,054 | $4,967 | +111% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
16 | $58,441 | $12,266 | +25% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
16 | $27,627 | $1,396 | +174% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
14 | $39,600 | $7,806 | +20% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
13 | $148,582 | $5,782 | +273% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
13 | $50,257 | $2,744 | +163% |
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 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$148,582 | $5,782 | +273% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$27,627 | $1,396 | +174% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$50,257 | $2,744 | +163% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$46,189 | $2,787 | +127% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$74,054 | $4,967 | +111% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$25,226 | $2,314 | +30% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$62,506 | $11,708 | +29% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$58,441 | $12,266 | +25% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$58,873 | $17,214 | -10% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$45,846 | $11,447 | +6% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$54,695 | $12,863 | +13% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$39,600 | $7,806 | +20% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$58,441 | $12,266 | +25% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$62,506 | $11,708 | +29% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$25,226 | $2,314 | +30% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$74,054 | $4,967 | +111% |
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.