Sovah Health Danville
142 South Main Street, Danville, VA 24541 · 114 Priced Procedures · 51% Patient Recommendation
Typical commercial prices here are +50% above the fair benchmark (1.50×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.50× fair market pricing.
Consolidated System Premium Pricer
Operating in a concentrated regional market (CBSA HHI 9,407), Sovah Health Danville commands a 1.50× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
- 2-Star CMS clinical rating with 51% patient recommendation (60/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 3.0× markup over Medicare rates
- Commercial insurance median sits at 1.66× Fair BaseRate (2.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 2.8× Medicare — verify per-unit billing on itemized statements
- Consolidated metro market (HHI 9,407) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Sovah Health Danville
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 114 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Inguinal hernia repair CPT Code: 49505 | $37,067 | 10.2× |
| Total knee replacement CPT Code: 27447 | $28,771 | 2.1× |
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $23,769 | 0.8× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $22,606 | 3.7× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $14,655 | 4.3× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $14,545 | 0.7× |
| Total hip replacement CPT Code: 27130 | $11,995 | 0.9× |
| Upper endoscopy with biopsy CPT Code: 43239 | $7,142 | 7.2× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $5,951 | 0.7× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $5,316 | 5.4× |
| Colonoscopy with biopsy CPT Code: 45380 | $5,207 | 4.1× |
| Breast lump removal CPT Code: 19120 | $4,864 | 1.3× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $4,523 | 8.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $3,548 | 9.6× |
| MRI, lower back (no contrast) CPT Code: 72148 | $3,318 | 9.8× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,987 | 6.7× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,592 | 15.4× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,608 | 8.6× |
| MRI, brain (no contrast) CPT Code: 70551 | $2,459 | 7.2× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,714 | 6.6× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,662 | 10.0× |
| CT scan, pelvis CPT Code: 72192 | $1,506 | 9.2× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,502 | 8.9× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,461 | 9.1× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,456 | 6.0× |
Audit a Bill or Quote at Sovah Health Danville (Zero PHI Required)
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.
Self-Pay Cash Rate ($37,067) Beats Your Bill
Sovah Health Danville's published 45 CFR § 180 self-pay cash rate is $37,067 (vs. $37,067 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $3,629 Fair BaseRate ($3,658 Medicare)
Your bill ($92,668) is $89,039 above the denoised Fair BaseRate ($3,629) and 25.3× the $3,658 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Sovah Health Danville 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Sovah Health Danville. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-06-18·administrative_or_closure
Met Requirements
Recorded - 2025-04-11·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (944 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Sovah Health Danville.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.