Centra Health - Lynchburg Gen Hospital
Centra Health - Lynchburg Gen Hospital in Lynchburg, VA charges 5.6x the Medicare reimbursement rate across 154 analyzed procedures at this nonprofit-private facility.
Lynchburg, VA 24501 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
D
High
Avg markup vs Medicare
5.64x
Charge / Medicare rate
Max markup
9.22x
Worst procedure
Procedures analyzed
154
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 |
|---|---|---|---|---|---|
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $58,707 | $29,353 | — | 9.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $80,936 | $40,468 | — | 8.9x |
| HYPERTENSION WITHOUT MCC | 305 | $33,399 | $16,699 | — | 8.7x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $152,848 | $76,424 | — | 8.6x |
| DYSEQUILIBRIUM | 149 | $34,122 | $17,061 | — | 8.5x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $41,119 | $20,559 | — | 8.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $29,685 | $14,843 | — | 8.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $47,384 | $23,692 | — | 7.8x |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $87,131 | $43,565 | — | 7.7x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $89,700 | $44,850 | — | 7.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $31,369 | $15,685 | — | 7.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $85,590 | $42,795 | — | 7.4x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $79,156 | $39,578 | — | 7.3x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $129,288 | $64,644 | — | 7.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $83,629 | $41,814 | — | 7.2x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $30,406 | $15,203 | — | 7.1x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $32,100 | $16,050 | — | 7.1x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $70,666 | $35,333 | — | 7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $28,876 | $14,438 | — | 7x |
| CHEST PAIN | 313 | $27,202 | $13,601 | — | 7x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $192,140 | $96,070 | — | 6.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $49,853 | $24,926 | — | 6.9x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $103,359 | $51,680 | — | 6.9x |
| CAROTID ARTERY STENT PROCEDURES WITH CC | 035 | $99,289 | $49,645 | — | 6.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $21,976 | $10,988 | — | 6.7x |
| SYNCOPE AND COLLAPSE | 312 | $32,761 | $16,381 | — | 6.7x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $61,410 | $30,705 | — | 6.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $101,561 | $50,780 | — | 6.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $37,641 | $18,820 | — | 6.6x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $250,299 | $125,150 | — | 6.6x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $29,678 | $14,839 | — | 6.5x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $77,072 | $38,536 | — | 6.5x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $86,364 | $43,182 | — | 6.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $28,456 | $14,228 | — | 6.5x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $98,671 | $49,336 | — | 6.5x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $38,836 | $19,418 | — | 6.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $351,225 | $175,612 | — | 6.5x |
| ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | 283 | $72,378 | $36,189 | — | 6.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $16,676 | $8,338 | — | 6.4x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $40,398 | $20,199 | — | 6.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $32,618 | $16,309 | — | 6.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $51,315 | $25,658 | — | 6.4x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $29,550 | $14,775 | — | 6.4x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $157,614 | $78,807 | — | 6.4x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $78,987 | $39,494 | — | 6.4x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $51,799 | $25,900 | — | 6.3x |
| ENDOCRINE DISORDERS WITH CC | 644 | $41,806 | $20,903 | — | 6.3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $34,962 | $17,481 | — | 6.3x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $31,661 | $15,830 | — | 6.2x |
| OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | 229 | $134,381 | $67,191 | — | 6.2x |
Showing 50 of 154 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