How many shoppable procedure prices are published for Lewisgale Medical Center?

Lewisgale Medical Center in Salem, VA currently has 121 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Lewisgale Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Lewisgale Medical Center's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is Lewisgale Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Lewisgale Medical Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 271 Beds · urban Updated: 2026-09-01

Lewisgale Medical Center

1900 Electric Road, Salem, VA 24153 · 121 Priced Procedures · 58% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.31×vs. Fair Market Price

Typical commercial prices here are +31% above the fair benchmark (1.31×) even after accounting for local nurse/doctor wages and patient complexity.

62/100 · Caution

62/100Self-Pay Cash Beats Insurance 3% of the Time

File Completeness50

Price Logic96

Peer Alignment62

Clean Billing83

Real Cash Discount6

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.31× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +102% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Lewisgale Medical Center prices routine shoppable procedures at 2.1× Medicare (median 0.98× Fair BaseRate) while upper-quartile commercial rates jump +102% to 1.98× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#44 of 75 in VA · 57th State Percentile#2,280 of 3,385 in U.S. · 67th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.88× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 3% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 58% patient recommendation (59/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.31× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.98× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.98×) jump +102% above the median procedure ratio (Q50 0.98×)
Consolidated metro market (HHI 4,998) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.48× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+102% Upper Tail

Q25 0.88× · Q50 0.98× · Q75 1.98×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.7× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.2× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

3% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 59/100Elevated

Procedure Prices at Lewisgale Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 121 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	—	$29,926	$13,413	unverified
Total knee replacement CPT Code: `27447`	—	$29,926	$13,523	unverified
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$29,677	$30,775	1.0×
Trauma team activation HCPCS Code: `G0390`	$19,631	$19,631	$1,453	13.5×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,864	$19,432	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$17,163	$19,087	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,359	$17,936	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$12,718	$6,109	2.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$8,403	$3,372	2.5×
Breast lump removal CPT Code: `19120`	—	$7,208	$3,875	1.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,192	$8,223	0.9×
Bunion correction surgery CPT Code: `28296`	—	$6,430	$3,446	1.9×
Inguinal hernia repair CPT Code: `49505`	—	$6,430	$3,629	1.8×
Vaginal delivery (full package) CPT Code: `59400`	—	$5,788	$2,680	2.2×
C-section delivery (full package) CPT Code: `59510`	—	$5,788	$2,975	1.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$3,668	$1,256	2.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,668	$2,540	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,935	$2,935	$272	10.8×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$2,703	$1,021	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,634	$2,634	$583	4.5×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,550	$981	2.6×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,550	$987	2.6×
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,366	$855	2.8×
Blood transfusion CPT Code: `36430`	$3,916	$2,366	$498	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$11,245	$1,127	$511	2.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$17,025	$1,152	$448	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$974	$974	$64	15.2×
Family therapy session CPT Code: `90847`	$907	$907	$173	5.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$771	$771	$123	6.3×
New patient office visit (30-44 min) CPT Code: `99203`	$744	$744	$110	6.8×
MRI, knee or other leg joint CPT Code: `73721`	$8,473	$754	$369	unverified
MRI, brain (no contrast) CPT Code: `70551`	$7,847	$679	$343	2.0×
MRI, lower back (no contrast) CPT Code: `72148`	$6,017	$656	$338	1.9×
Group therapy session CPT Code: `90853`	$616	$616	$100	6.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$9,691	$610	$258	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$12,973	$549	$303	1.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$515	$515	$87	5.9×
CT scan, head (with contrast) CPT Code: `70460`	$7,535	$512	$242	2.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$7,214	$448	$169	2.7×
CT scan, sinuses CPT Code: `70486`	$6,673	$471	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$6,673	$443	$167	2.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$7,214	$444	$168	2.6×
CT scan, pelvis CPT Code: `72192`	$7,214	$441	$163	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$409	$409	$201	2.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$2,470	$416	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$4,011	$388	$134	unverified
CT scan, head (no contrast) CPT Code: `70450`	$4,231	$357	$160	2.2×
Ultrasound, pelvis CPT Code: `76856`	$2,999	$368	$130	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$2,889	$297	$126	2.4×
Rabies immune globulin HCPCS Code: `90375`	—	$257	$322	0.8×
X-ray, lower back CPT Code: `72110`	$1,928	$217	$112	1.9×
X-ray, hip CPT Code: `73502`	$391	$192	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$1,440	$156	$93	1.7×
X-ray, hand CPT Code: `73130`	$1,246	$156	$93	1.7×
X-ray, ankle CPT Code: `73610`	$1,345	$153	$93	1.6×
X-ray, shoulder CPT Code: `73030`	$1,467	$142	$92	1.5×
X-ray, foot CPT Code: `73630`	$1,378	$138	$92	1.5×
X-ray, chest (two views) CPT Code: `71046`	$1,152	$122	$93	1.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$4,705	$131	$151	0.9×
X-ray, chest (single view) CPT Code: `71045`	$811	$90	$92	1.0×
X-ray, pelvis CPT Code: `72170`	$1,047	$105	$110	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$834	$112	$148	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$834	$93	$123	0.8×
Typhoid vaccine HCPCS Code: `90675`	$5,117	$295	$347	0.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$190	$203	0.9×
Drug screening test HCPCS Code: `G0480`	$431	$115	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$382	$125	$140	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$84	$84	$49	1.7×
Colorectal cancer screening HCPCS Code: `G0010`	$84	$84	$49	1.7×
Speech therapy (language evaluation) CPT Code: `92507`	$965	$76	$86	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$321	$96	$111	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$68	$68	$86	0.8×
Blood test, basic metabolic panel CPT Code: `80048`	$372	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$678	$11	$11	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$238	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$576	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$254	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$349	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$434	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$408	$30	$31	1.0×
Prosthetic fitting and training CPT Code: `97761`	—	$40	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$337	$43	$51	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$337	$33	$40	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$31	$38	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$242	$37	$56	0.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$428	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$265	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$576	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$262	$7	$7	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$121	$31	$37	0.8×
Blood test, potassium CPT Code: `84132`	$228	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$287	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$229	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$365	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$627	$9	$9	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$27	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$315	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$674	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$467	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$357	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$907	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$584	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$606	$10	$11	0.9×
Blood test, liver function panel CPT Code: `80076`	$889	$8	$9	0.9×
Speech therapy (group session) CPT Code: `92508`	$589	$24	$27	0.9×
Behavioral health living support HCPCS Code: `H2019`	—	$30	$34	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$71	$22	$25	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$614	$12	$14	0.9×
Physical therapy (gait training) CPT Code: `97116`	$228	$27	$33	0.8×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$254	$31	$39	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$276	$30	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$319	$30	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$159	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$265	$27	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$458	$26	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$156	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$11	$25	0.4×
Flu vaccine injection HCPCS Code: `G0008`	$84	$21	$48	0.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$102	$13	$35	0.4×
Blood antibody screen CPT Code: `86850`	$780	$10	$46	0.2×

Showing top 25 high-impact procedures of 121 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Lewisgale Medical Center (Zero PHI Required)

CMS CCN: 490048

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash Request Quote

Insurer Median $29,926

1. Amount on Your Bill or Quote ($) Pre-filled with Lewisgale Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Lewisgale Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$58,409 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($71,822) is $58,409 above the denoised Fair BaseRate ($13,413) and 5.5× the $13,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 621760148

Public IRS & CMS ownership records classify Lewisgale Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite59/100

Would Recommend58%

Rated 9 or 10 (HCAHPS)60%

Median ER Wait121 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.8%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Lewisgale Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-30·administrative_or_closure
Met Requirements
Recorded
2024-02-09·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (590 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Lewisgale Medical Center.

Price Index: 0.72× regional baseline

Quality: 46/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-65.6%

Evernorth Behavioral Health

-57.4%

Median Household Income$66,716U.S. Census ACS

Local Uninsured Share5.5%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 62/100 · Caution CMS CCN 490048 EIN 621760148

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 490048) ↗ Verify IRS Form 990 (EIN 621760148) ↗ CMS HCRIS Cost Reports ↗

Published MRF File62-1760148_LEWISGALE-MEDICAL-CENTER_standardcharges.json

Publication / Vintage2026-09-01 · 437.46 MB

Validated Rate Rows4,879 (CMS v3.0.0)

File Integrity DigestVerified · CCN 490048

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

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