10/100
#2,393 nationally
Lewisgale Medical Center
1900 Electric Road, Salem, VA 24153 · (540) 776-4100
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Lewisgale Medical Center billed $8.94 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
- 8.9x
- volume-weighted across all its priced work
- Procedures priced
- 149
- inpatient and outpatient combined
- Rank in VA
- #60
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 14% of U.S. hospitals.
Better than 5% of U.S. hospitals.
Better than 11% of U.S. hospitals.
Better than 5% 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 |
477 | $111,309 | $17,154 | +71% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
296 | $75,089 | $2,776 | +198% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
290 | $173,393 | $11,117 | +178% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
289 | $24,384 | $2,329 | +25% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
281 | $39,697 | $1,619 | +238% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
155 | $21,587 | $1,375 | +114% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
137 | $58,167 | $11,589 | +34% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
135 | $60,459 | $2,416 | +265% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
125 | $83,739 | $14,518 | +36% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
122 | $78,854 | $4,872 | +125% |
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 |
|---|---|---|---|
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
$140,698 | $4,906 | +369% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$48,867 | $1,662 | +331% |
|
Level 3 Upper GI Procedures
APC 5303 · Hospital outpatient visit |
$83,404 | $3,297 | +281% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$60,459 | $2,416 | +265% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$74,234 | $2,747 | +264% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$84,653 | $2,725 | +264% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$142,589 | $5,999 | +258% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$39,697 | $1,619 | +238% |
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 |
$60,567 | $12,875 | -11% |
|
Other Kidney and Urinary Tract Procedures with Major Complications
MS-DRG 673 · Inpatient stay |
$144,935 | $31,450 | -6% |
|
Headaches without Major Complications
MS-DRG 103 · Inpatient stay |
$46,381 | $7,427 | about average |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
$33,487 | $7,286 | about average |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$51,021 | $13,533 | about average |
|
Hypertension without Major Complications
MS-DRG 305 · Inpatient stay |
$34,255 | $6,768 | about average |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
$33,379 | $8,613 | about average |
|
Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face
MS-DRG 004 · Inpatient stay |
$556,760 | $107,169 | +3% |
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.