29/100
#1,922 nationally
Twin County Regional Hospital
200 Hospital Drive, Galax, VA 24333 · (276) 236-1650
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Twin County Regional Hospital billed $6.39 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
- 6.4x
- volume-weighted across all its priced work
- Procedures priced
- 17
- inpatient and outpatient combined
- Rank in VA
- #52
- 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 35% of U.S. hospitals.
Better than 17% of U.S. hospitals.
Better than 26% of U.S. hospitals.
Better than 46% 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 |
158 | $31,867 | $2,498 | +64% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
81 | $15,707 | $1,729 | +34% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
69 | $76,929 | $16,345 | +18% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
51 | $27,639 | $3,164 | +34% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
31 | $45,191 | $11,570 | +25% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
30 | $73,252 | $14,011 | +33% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
28 | $50,644 | $10,639 | +17% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
22 | $53,316 | $10,929 | +14% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
22 | $44,710 | $5,320 | +27% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
18 | $56,599 | $10,209 | +17% |
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 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$40,429 | $2,939 | +112% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$106,398 | $11,467 | +70% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$31,867 | $2,498 | +64% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$16,389 | $1,780 | +44% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$27,639 | $3,164 | +34% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$15,707 | $1,729 | +34% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$73,252 | $14,011 | +33% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$14,862 | $1,482 | +32% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$58,827 | $13,622 | +4% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$30,857 | $4,771 | +12% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$53,316 | $10,929 | +14% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$50,644 | $10,639 | +17% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$56,599 | $10,209 | +17% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$76,929 | $16,345 | +18% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$28,605 | $3,190 | +23% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$45,191 | $11,570 | +25% |
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.