Lewisgale Medical Center

Salem, VA · HCA Virginia · For-profit

Lewisgale Medical Center is a 2-star for-profit hospital in Salem, VA, part of the HCA Virginia health system. It publishes prices for 37 common procedures, with cash prices ranging from $81 to $13,740. 57.0% of patients rated this hospital 9 or 10 out of 10.

If you have Optima Health insurance, your out-of-pocket costs here could be substantially higher than with other plans — Optima's negotiated rate at this hospital averages over $10,000 compared to $2,700–$3,700 for other major insurers. Before you schedule, call your insurance company and ask what you'll actually owe for your specific procedure at Lewisgale; the difference between plans is wide enough to matter. The hospital's overall patient satisfaction rating is below average at 57 percent, so this is worth considering alongside price.

Call Lewisgale's billing department directly and ask for the cash price (uninsured discount) for your procedure — it typically runs around $3,900 here, which is significantly less than what most insurers pay. If cost is a barrier, the hospital has a charity care program worth asking about when you call; ask whether you qualify based on your household income. Don't assume your insurance negotiated rate is your final bill — confirm your actual copay or coinsurance before the procedure.

Written from data as of 2026-07-30. Prices above are current; figures quoted in this summary reflect that date.

Quality ★★☆☆☆ CMS 2-star rating
Patient experience 57.0% rated 9 or 10 out of 10
Safety No penalties Medicare safety check passed
Medicare cost 5% above national avg

Safety at this hospital, versus the national average

Mixed results. Safer on 1, worse on 1. Read the breakdown below before you decide.

MRSA About the same as the national rate
C. diff 89% fewer infections than the national rate
Bloodstream About the same as the national rate
Mortality About the same as the national rate
Readmissions About the same as the national rate
Medicare quality 16 / 100 · below the national median of 38

Source: CMS Hospital Compare — Healthcare-Associated Infections, Mortality & Readmissions, Value-Based Purchasing (FY 2026). Bars show how this hospital compares to the national rate for each metric.

Address: 1900 Electric Road, Salem, VA 24153

Phone: 800-849-0829

Type: Hospital · 271 beds · Emergency services

What they charge

Every price below is published by Lewisgale Medical Center in their federally mandated machine-readable file. Click any procedure to compare with nearby hospitals. Prices as of Mar 2026.

Procedure Cash price Gross charge Markup
Gastric Bypass Bariatric Tell us what you paid → N/A — —
Gastric Sleeve Bariatric Tell us what you paid → N/A — —
Lumpectomy Cancer Tell us what you paid → N/A — —
Mastectomy Cancer Tell us what you paid → N/A — —
Prostatectomy Robotic Cancer Tell us what you paid → N/A — —
Aortic Valve Replacement Cardiac Tell us what you paid → N/A — —
Carotid Duplex Scan Cardiac Tell us what you paid → $2,681 $2,681 1.0x
Coronary Artery Bypass (CABG) Cardiac Tell us what you paid → N/A — —
Coronary Stent Placement Cardiac Tell us what you paid → N/A — —
EKG / Electrocardiogram Cardiac Tell us what you paid → N/A — —
Echocardiogram Complete Cardiac Tell us what you paid → $5,154 $5,154 1.0x
Left Heart Catheterization Cardiac Tell us what you paid → N/A — —
Cesarean Delivery Childbirth Tell us what you paid → N/A — —
VBAC Delivery Childbirth Tell us what you paid → N/A — —
Vaginal Delivery Childbirth Tell us what you paid → N/A — —
Skin Biopsy Punch Dermatology Tell us what you paid → N/A — —
Skin Biopsy Tangential Dermatology Tell us what you paid → N/A — —
Emergency Room Visit — Critical (Level 5) Emergency Tell us what you paid → $3,064 $3,064 1.0x
Emergency Room Visit — High Acuity (Level 4) Emergency Tell us what you paid → $1,945 $1,945 1.0x
Emergency Room Visit — Moderate (Level 3) Emergency Tell us what you paid → $1,272 $1,272 1.0x
Septoplasty Ent Tell us what you paid → N/A — —
Sinus Surgery Ent Tell us what you paid → N/A — —
Tonsillectomy Ent Tell us what you paid → N/A — —
Tonsillectomy and Adenoidectomy Ent Tell us what you paid → N/A — —
Hysteroscopy with Biopsy Gynecologic Tell us what you paid → N/A — —
Laparoscopic Hysterectomy Gynecologic Tell us what you paid → N/A — —
Laparoscopic Removal of Ovarian Cyst Gynecologic Tell us what you paid → N/A — —
Total Abdominal Hysterectomy Gynecologic Tell us what you paid → N/A — —
CT Abdomen and Pelvis with Contrast Imaging Tell us what you paid → $11,341 $11,341 1.0x
CT Abdomen and Pelvis without Contrast Imaging Tell us what you paid → $10,162 $10,162 1.0x
CT Angiography Chest Imaging Tell us what you paid → $6,049 $6,049 1.0x
CT Chest with Contrast Imaging Tell us what you paid → $6,995 $6,995 1.0x
CT Chest without Contrast Imaging Tell us what you paid → $6,248 $6,248 1.0x
CT Head without Contrast Imaging Tell us what you paid → $5,902 $5,902 1.0x
Chest X-Ray 2 Views Imaging Tell us what you paid → $1,294 $1,294 1.0x
DEXA Scan (Bone Density) Imaging Tell us what you paid → $1,918 $1,918 1.0x
Heart Calcium Score (Cardiac CT) Imaging Tell us what you paid → N/A — —
MRI Brain with Contrast Imaging Tell us what you paid → $13,740 $13,740 1.0x
MRI Brain with and without Contrast Imaging Tell us what you paid → N/A $17,753 —
MRI Brain without Contrast Imaging Tell us what you paid → $11,774 $11,774 1.0x
MRI Cervical Spine without Contrast Imaging Tell us what you paid → $11,241 $11,241 1.0x
MRI Knee with and without Contrast Imaging Tell us what you paid → N/A $17,024 —
MRI Knee without Contrast Imaging Tell us what you paid → $10,363 $10,363 1.0x
MRI Lumbar Spine with and without Contrast Imaging Tell us what you paid → N/A $17,753 —
MRI Lumbar Spine without Contrast Imaging Tell us what you paid → $10,641 $10,641 1.0x
MRI Shoulder without Contrast Imaging Tell us what you paid → $10,363 $10,363 1.0x
PET Scan Whole Body Imaging Tell us what you paid → N/A — —
Screening Mammography Imaging Tell us what you paid → $642 $642 1.0x
Shoulder X-Ray Imaging Tell us what you paid → $829 $829 1.0x
Ultrasound Abdomen Complete Imaging Tell us what you paid → $3,061 $3,061 1.0x
Ultrasound Pregnancy Imaging Tell us what you paid → $2,101 $2,101 1.0x
Ultrasound Transvaginal Imaging Tell us what you paid → $2,070 $2,070 1.0x
Blood Draw / Venipuncture Lab Tell us what you paid → $81 $81 1.0x
CBC Complete Blood Count Lab Tell us what you paid → N/A — —
Comprehensive Metabolic Panel Lab Tell us what you paid → N/A $1,250 —
Ferritin Level Lab Tell us what you paid → $404 $404 1.0x
Hemoglobin A1C Lab Tell us what you paid → $290 $290 1.0x
Lipid Panel Lab Tell us what you paid → N/A $778 —
PSA Prostate Screening Lab Tell us what you paid → $343 $343 1.0x
TSH Thyroid Test Lab Tell us what you paid → N/A $552 —
Urinalysis with Microscopy Lab Tell us what you paid → $229 $229 1.0x
Vitamin D Level Lab Tell us what you paid → $491 $491 1.0x
Office Visit Established Patient Level 3 Office Tell us what you paid → $528 $528 1.0x
Office Visit Established Patient Level 4 Office Tell us what you paid → $669 $669 1.0x
ACL Reconstruction Orthopedic Tell us what you paid → N/A — —
Bunionectomy Orthopedic Tell us what you paid → N/A — —
Knee Arthroscopy with Meniscectomy Orthopedic Tell us what you paid → N/A — —
Rotator Cuff Repair Orthopedic Tell us what you paid → N/A — —
Total Hip Replacement Orthopedic Tell us what you paid → N/A — —
Total Knee Replacement Orthopedic Tell us what you paid → N/A — —
Total Shoulder Replacement Orthopedic Tell us what you paid → N/A — —
Epidural Steroid Injection Pain Tell us what you paid → N/A — —
Facet Joint Injection Pain Tell us what you paid → N/A — —
Joint Injection Pain Tell us what you paid → N/A — —
Transforaminal Epidural Injection Pain Tell us what you paid → N/A — —
Neuromuscular Re-education Rehab Tell us what you paid → $212 $212 1.0x
Physical Therapy Manual Therapy Rehab Tell us what you paid → $477 $477 1.0x
Physical Therapy Therapeutic Exercise Rehab Tell us what you paid → $415 $415 1.0x
Therapeutic Activities Rehab Tell us what you paid → $290 $290 1.0x
Colonoscopy Diagnostic Screening Tell us what you paid → N/A — —
Colonoscopy with Biopsy Screening Tell us what you paid → N/A — —
Colonoscopy with Polyp Removal Screening Tell us what you paid → N/A — —
Sleep Study Screening Tell us what you paid → N/A — —
Spirometry Pulmonary Function Test Screening Tell us what you paid → $346 $346 1.0x
Cervical Spine Fusion Spine Tell us what you paid → N/A — —
Lumbar Discectomy Spine Tell us what you paid → N/A — —
Lumbar Laminectomy Spine Tell us what you paid → N/A — —
Lumbar Spine Fusion Spine Tell us what you paid → N/A — —
Posterior Lumbar Interbody Fusion Spine Tell us what you paid → N/A — —
Cataract Surgery Surgery Tell us what you paid → N/A — —
Eye Injection Intravitreal Surgery Tell us what you paid → N/A — —
Inguinal Hernia Repair Surgery Tell us what you paid → N/A — —
Laparoscopic Appendectomy Surgery Tell us what you paid → N/A — —
Laparoscopic Cholecystectomy Surgery Tell us what you paid → N/A — —
Laparoscopic Umbilical Hernia Repair Surgery Tell us what you paid → N/A — —
Partial Colectomy Laparoscopic Surgery Tell us what you paid → N/A — —
Upper GI Endoscopy with Biopsy Surgery Tell us what you paid → N/A — —
Cystoscopy Urologic Tell us what you paid → N/A — —
ESWL Shockwave Lithotripsy Urologic Tell us what you paid → N/A — —
Kidney Stone Lithotripsy Urologic Tell us what you paid → N/A — —
Prostate Biopsy Urologic Tell us what you paid → N/A — —

What this price typically doesn't include

Procedure codes generally cover the procedure itself. Other services that often appear on the same bill are listed under separate codes — for example:

  • Anesthesia (CPT 00xxx)
  • Pathology, if a sample is taken (CPT 88xxx)
  • Drugs administered during the visit (J-codes)
  • Facility vs. professional split — one charge from the hospital, another from the doctor
  • Room and board, if the procedure is inpatient

Asking what other codes might appear on the bill is a useful follow-up so the total is not a surprise. Once you receive the bill, asking for an itemized statement listing each service code separately makes it easier to match against the disclosed prices above.

Observations about billing-code conventions. Not medical advice. Not legal advice.

Citing this price when you call

A way some patients have asked Lewisgale Medical Center to apply the disclosed cash price to a self-pay visit.

  1. Call billing. 800-849-0829
  2. Cite the disclosed cash price. Reference the specific procedure from the table above. Each cash price was published by Lewisgale Medical Center in its federally-mandated machine-readable file under 45 CFR 180.50.
  3. Ask whether the disclosed price can be applied to your visit as a self-pay patient. Outcomes vary by hospital and by procedure.

The cash prices above are published by Lewisgale Medical Center as part of federal price-transparency rules. Patients have asked billing departments to apply them; results differ. If a different price ends up on your bill, the disclosed amount stays on this page for your reference. You can share what happened on /report-price — it helps the next person.

Not medical advice. Not legal advice. The cash prices shown are published by the hospital under 45 CFR 180; HospitalCost displays them as published.

What your insurance pays here

Average negotiated rates by insurance plan. If the cash price above is lower and you haven't met your deductible, ask billing about paying cash.

Insurance plan Procedures covered Avg negotiated rate Rate range
Anthem
HIX		 91 $7,232 $17 — $58,072
Anthem
HMO		 91 $8,035 $19 — $64,525
Anthem
PPO		 91 $8,035 $19 — $64,525
Lifeworks
MCR		 91 $2,608 $40 — $7,650
Universal Healthcare Group
MCR		 89 $2,259 $47 — $4,250
UnitedHealthcare
AllPayerAppendix		 87 $7,498 $3 — $39,314
Aetna
SharedSavings		 45 $8,235 $29 — $31,244
Aetna
Broad		 43 $2,745 $44 — $9,587
CSX Hotels
Product		 43 $3,735 $65 — $14,202
CorVel
WorkersComp		 43 $3,361 $58 — $12,782

The financial picture

What this hospital earns, spends on charity care, and pays its executives.

Patient revenue $3.3B CMS cost report
Charity care $6.8M 0.21% of revenue
Charge-to-payment 7.37x charges vs Medicare payment
Net income $143.0M CMS cost report
Beds 271 licensed beds

Compare these procedures near Roanoke

See how Lewisgale Medical Center's prices compare to other hospitals in the Roanoke area for the same procedure.

Gastric Bypass Lewisgale Medical Center: N/A See price range → Gastric Sleeve Lewisgale Medical Center: N/A See price range → Lumpectomy Lewisgale Medical Center: N/A See price range → Mastectomy Lewisgale Medical Center: N/A See price range → Prostatectomy Robotic Lewisgale Medical Center: N/A See price range → Aortic Valve Replacement Lewisgale Medical Center: N/A See price range → Carotid Duplex Scan Lewisgale Medical Center: $2,681 Compare in Roanoke → Coronary Artery Bypass (CABG) Lewisgale Medical Center: N/A See price range →

Other HCA Virginia hospitals

Other hospitals in the HCA Virginia health system that publish prices.

Henrico Doctors' Hospital Richmond, VA
3★ CMS
View profile → Reston Hospital Center Reston, VA
3★ CMS
View profile → Spotsylvania Regional Medical Center Fredericksburg, VA
3★ CMS
View profile → Dominion Hospital Falls Church, VA
View profile →

Other hospitals to compare in VA

Before you schedule, see how Lewisgale Medical Center stacks up against these nearby options by price and quality.

Dominion Hospital Falls Church, VA
$248 avg price
View profile → Buchanan General Hospital Grundy, VA
2★ CMS 80% satisfaction $744 avg price
View profile → Carilion Franklin Memorial Hospital Rocky Mount, VA
4★ CMS $852 avg price
View profile → Carilion Giles Community Hospital Pearisburg, VA
4★ CMS 83% satisfaction $875 avg price
View profile → Carilion Rockbridge Community Hospital Lexington, VA
3★ CMS 75% satisfaction $876 avg price
View profile → Carilion Tazewell Community Hospital Tazewell, VA
80% satisfaction $967 avg price
View profile →

Help us ground-truth published prices

Did you have a procedure at Lewisgale Medical Center? Tell us what you actually paid — anonymously. We use patient-reported prices alongside published rates so the next reader gets a clearer picture.

Tell us what you paid →

Prices from Lewisgale Medical Center's published machine-readable file, dated Mar 2026. Quality and financial data from CMS Hospital Compare, Cost Reports, and IRS Form 990 via ProPublica, compiled August 2026. Full methodology →