70/100
#646 nationally
Lonesome Pine Hospital
1990 Holton Avenue East, Big Stone Gap, VA 24219 · (276) 523-3111
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Lonesome Pine Hospital billed $2.43 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
- 2.4x
- volume-weighted across all its priced work
- Procedures priced
- 21
- inpatient and outpatient combined
- Rank in VA
- #16
- 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 88% of U.S. hospitals.
Better than 52% of U.S. hospitals.
Better than 70% of U.S. hospitals.
Better than 57% 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 |
136 | $43,906 | $20,826 | -33% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
123 | $7,836 | $1,746 | -31% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
106 | $15,504 | $2,493 | -20% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
36 | $29,036 | $13,991 | -33% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
33 | $36,375 | $13,904 | -22% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
22 | $26,136 | $12,735 | -36% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
20 | $33,034 | $16,797 | -40% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
20 | $22,223 | $10,536 | -25% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
19 | $26,126 | $12,902 | -33% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
17 | $17,170 | $9,227 | -44% |
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 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$12,527 | $1,418 | +24% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$23,489 | $2,939 | +23% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$13,347 | $1,482 | +19% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$22,831 | $3,190 | about average |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$38,860 | $15,396 | -20% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$15,504 | $2,493 | -20% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$36,375 | $13,904 | -22% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$22,223 | $10,536 | -25% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$28,836 | $16,981 | -53% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$86,598 | $44,868 | -51% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$17,170 | $9,227 | -44% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$19,351 | $10,713 | -41% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$34,093 | $18,106 | -40% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$33,034 | $16,797 | -40% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$26,136 | $12,735 | -36% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$26,126 | $12,902 | -33% |
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.