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 Anthem, Virginia Health Network, or Aetna, your negotiated rate at Lewisgale could be significantly higher than what uninsured patients pay — we're seeing a roughly 50 to 70 percent markup between their cash price and what those plans are charged. That gap matters most if you're weighing whether to use this hospital versus one nearby. UnitedHealthcare negotiates closer to the cash price, so your out-of-pocket costs depend heavily on which insurance you carry. Before you schedule, call the hospital's billing department and ask for your specific procedure's cash price and what your insurance plan is contracted to pay — those two numbers will tell you exactly what your responsibility is.

Lewisgale does offer charity care if you qualify based on income; they've directed over $6.8 million to patients in recent years. If cost is a real concern, ask billing whether you'd qualify before your procedure — many people don't realize they can apply.

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 — —
Bone Density Scan (DEXA) Imaging Tell us what you paid → $1,918 $1,918 1.0x
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
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 288 $7,364 $3 — $64,525
UnitedHealthcare 220 $3,733 $3 — $39,314
Virginia Health Network 129 $2,754 $28 — $12,605
Optima Health 108 $10,193 $1,178 — $32,843
Aetna 103 $4,747 $3 — $31,244
Lifeworks 91 $2,608 $40 — $7,650
Universal Healthcare Group 89 $2,259 $47 — $4,250
One Health Plan 84 $4,275 $73 — $15,978
OccuNet Workers Comp 43 $3,735 $65 — $14,202
Greenvbrier Sporting Club 43 $2,801 $49 — $10,652

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 $558 avg price
View profile → Chesapeake General Hospital Chesapeake, VA
3★ CMS 67% satisfaction $1,026 avg price
View profile → Sentara RMH Medical Center Harrisonburg, VA
4★ CMS 75% satisfaction $1,148 avg price
View profile → Sentara Martha Jefferson Hospital Charlottesville, VA
5★ CMS 78% satisfaction $1,148 avg price
View profile → Mary Washington Hospital Fredericksburg, VA
2★ CMS 61% satisfaction $1,178 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. Quality data from CMS Hospital Compare. Financial data from CMS Cost Reports and IRS Form 990 via ProPublica. Updated April 2026. Full methodology →