Lewisgale Medical Center
LEWISGALE MEDICAL CENTER in Salem, VA charges 10.0x the Medicare reimbursement rate across 111 analyzed procedures, with 21% showing significant pricing variations.
Salem, VA 24153 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
10.01x
Charge / Medicare rate
Max markup
21.37x
Worst procedure
Procedures analyzed
111
With pricing data
Outlier procedures
20.7%
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 |
|---|---|---|---|---|---|
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $204,536 | $102,268 | — | 21.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $193,322 | $96,661 | — | 19.6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $196,041 | $98,021 | — | 18.6x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $424,507 | $212,253 | — | 17.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $253,190 | $126,595 | — | 17.1x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $113,419 | $56,710 | — | 17x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $199,251 | $99,626 | — | 16.6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $192,944 | $96,472 | — | 16x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $232,808 | $116,404 | — | 15.6x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $193,809 | $96,904 | — | 15.6x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $126,990 | $63,495 | — | 15.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $207,890 | $103,945 | — | 15x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $39,921 | $19,961 | — | 14.9x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $181,128 | $90,564 | — | 14.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $97,768 | $48,884 | — | 14.4x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $101,275 | $50,637 | — | 14.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $156,983 | $78,491 | — | 13.7x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $216,640 | $108,320 | — | 13.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $182,864 | $91,432 | — | 13.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $251,205 | $125,603 | — | 13.2x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $465,099 | $232,549 | — | 13.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $52,877 | $26,438 | — | 13.1x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $272,257 | $136,129 | — | 12.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $177,423 | $88,711 | — | 12.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $55,017 | $27,509 | — | 12.2x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $270,843 | $135,421 | — | 12.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $221,332 | $110,666 | — | 11.9x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $58,315 | $29,157 | — | 11.8x |
| HYPERTENSION WITHOUT MCC | 305 | $43,891 | $21,945 | — | 11.6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $57,126 | $28,563 | — | 11.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $209,079 | $104,539 | — | 11.4x |
| PNEUMOTHORAX WITH CC | 200 | $74,065 | $37,032 | — | 11.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $392,656 | $196,328 | — | 11.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $144,424 | $72,212 | — | 11.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $62,350 | $31,175 | — | 10.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $65,512 | $32,756 | — | 10.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $40,946 | $20,473 | — | 10.7x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $166,184 | $83,092 | — | 10.6x |
| CHEST PAIN | 313 | $40,788 | $20,394 | — | 10.3x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $251,786 | $125,893 | — | 10.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $61,394 | $30,697 | — | 10.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $56,813 | $28,406 | — | 10.2x |
| DYSEQUILIBRIUM | 149 | $43,471 | $21,735 | — | 9.9x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $43,845 | $21,923 | — | 9.8x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $44,043 | $22,021 | — | 9.8x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | 087 | $54,498 | $27,249 | — | 9.8x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $103,282 | $51,641 | — | 9.7x |
| SEIZURES WITHOUT MCC | 101 | $51,631 | $25,816 | — | 9.5x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | 562 | $86,671 | $43,335 | — | 9.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $299,495 | $149,748 | — | 9.4x |
Showing 50 of 111 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