Augusta Health
Augusta Health in Fishersville, VA charges 4.2x the Medicare reimbursement rate on average across 84 analyzed procedures at this nonprofit hospital.
Fishersville, VA 22939 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
C
Average
Avg markup vs Medicare
4.17x
Charge / Medicare rate
Max markup
8.38x
Worst procedure
Procedures analyzed
84
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $82,279 | $41,140 | — | 8.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $113,238 | $56,619 | — | 8.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $32,534 | $16,267 | — | 7.9x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | 520 | $71,761 | $35,881 | — | 7.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $93,930 | $46,965 | — | 7.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $116,386 | $58,193 | — | 7x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $189,141 | $94,570 | — | 7x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $74,909 | $37,454 | — | 6.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $41,627 | $20,813 | — | 6.7x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $101,348 | $50,674 | — | 6.5x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $81,582 | $40,791 | — | 6.2x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $111,257 | $55,629 | — | 6.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $81,289 | $40,644 | — | 5.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $61,536 | $30,768 | — | 5.8x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $72,948 | $36,474 | — | 5.8x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $204,826 | $102,413 | — | 5.8x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $244,990 | $122,495 | — | 5.8x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $81,331 | $40,666 | — | 5.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $30,868 | $15,434 | — | 5.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $76,183 | $38,092 | — | 5.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $20,674 | $10,337 | — | 5.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $22,250 | $11,125 | — | 5.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $73,580 | $36,790 | — | 5.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $14,340 | $7,170 | — | 5x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $14,747 | $7,373 | — | 4.7x |
| SEIZURES WITHOUT MCC | 101 | $28,088 | $14,044 | — | 4.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $154,214 | $77,107 | — | 4.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $20,497 | $10,249 | — | 4.5x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $24,879 | $12,440 | — | 4.5x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $109,643 | $54,822 | — | 4.4x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $25,545 | $12,773 | — | 4.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $20,713 | $10,356 | — | 4.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $20,046 | $10,023 | — | 4.3x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $25,984 | $12,992 | — | 4.2x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $22,733 | $11,366 | — | 4.1x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $19,169 | $9,585 | — | 4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $25,445 | $12,722 | — | 4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $83,050 | $41,525 | — | 4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | 179 | $18,902 | $9,451 | — | 3.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $18,586 | $9,293 | — | 3.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $40,445 | $20,223 | — | 3.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $27,406 | $13,703 | — | 3.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $12,992 | $6,496 | — | 3.8x |
| RENAL FAILURE WITH CC | 683 | $20,147 | $10,073 | — | 3.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $21,935 | $10,967 | — | 3.7x |
| ENDOCRINE DISORDERS WITH CC | 644 | $22,653 | $11,326 | — | 3.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $21,718 | $10,859 | — | 3.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $16,328 | $8,164 | — | 3.5x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | 515 | $76,909 | $38,455 | — | 3.5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $18,333 | $9,167 | — | 3.4x |
Showing 50 of 84 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use