Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Export CSV

TWIN COUNTY REGIONAL HOSPITAL

Galax, VA · CCN 490115 · Rates published

4,746 distinct procedures filed
16 distinct payers
121,854 rate rows
2026-07-10 last MRF observed

50,021 of 121,854 rate rows are consumer-grade (41.0%)

71,833 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 69,128
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,641
per-diem day rate — not a per-procedure price 42
exceeds 10× this hospital's gross charge — excluded from medians 9
placeholder amount (≤ $0.02) — excluded from medians 9
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4
↓ Download audit trail (JSON)
Source MRF file https://www.tcrh.org/docs/ahtwincountyregionalhealthcarelibraries/hcl/mrf3q262/454601843_twin-county-regional_standardcharges.csv
Found on page https://www.tcrh.org/hospital-charges-listing
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-16
Content fingerprint a53df05b5b301948… · 19,569,419 bytes · first seen 2026-08-17

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
459
OTHER
Spinal Fusion Except Cervical 6 $187,518.48 $187,518.48 $187,518.48 nat. median
$25,708

outlier · 7.3×
455
OTHER
Combined Anterior And Posterio 6 $113,953.68 $113,953.68 $113,953.68 nat. median
$22,030

outlier · 5.2×
64590
OTHER
Insertion Or Replacement Of Peripheral, Sacral, Or Gastric Neurostimulator Pulse… 14 $104,927.04 $104,927.04 $104,927.04 —
460
OTHER
Spinal Fusion Except Cervical 8 $105.29 $90,986.21 $90,986.21 nat. median
$18,753

outlier · 4.9×
426
OTHER
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 $17,699.42 $116,800.71 $84,899.24 nat. median
$7,659

outlier · 11.1×
426
MS_DRG
Multiple Level Combined Anteri 10 $17,699.42 $116,800.71 $84,899.24 nat. median
$2,736

outlier · 31.0×
231
OTHER
Coronary Bypass With Ptca With Mcc 14 $51,635.72 $98,728.57 $81,259.49 nat. median
$91,775

0.9× median
850
MS_DRG
Acute Leukemia With Other Proc 10 $69,835.41 $102,712.68 $76,152.20 nat. median
$2,633

outlier · 28.9×
850
OTHER
Acute Leukemia With Other Procedures 14 $58,923.12 $102,712.68 $74,659.04 nat. median
$378

outlier · 197.7×
231
MS_DRG
Coronary Bypass With Ptca With 10 $51,635.72 $94,483.98 $68,677.82 nat. median
$60,505

1.1× median
C1786
HCPCS
Pacemaker, Single Chamber, Rate-responsive (implantable) 8 $64,737.97 $64,737.97 $64,737.97 nat. median
$7,961

outlier · 8.1×
317
OTHER
Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 $46,899.10 $121,416.49 $64,691.06 nat. median
$67,107

1.0× median
233
MS_DRG
Coronary Bypass With Cardiac C 10 $59,256.13 $87,152.86 $64,615.99 nat. median
$55,935

1.2× median
C1767
HCPCS
Generator, Neurostimulator (implantable), Non-rechargeable 8 $63,691.55 $63,691.55 $63,691.55 nat. median
$25,172

outlier · 2.5×
233
OTHER
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $53,649.70 $87,152.86 $63,349.03 nat. median
$84,685

0.7× median
207
MS_DRG
Respiratory System Diagnosis W 10 $49,027.84 $72,109.28 $53,462.53 nat. median
$47,121

1.1× median
207
OTHER
Respiratory System Diagnosis With Ventilator Support >96 Hours 14 $40,999.75 $72,109.28 $52,414.26 nat. median
$32,441

1.6× median
317
MS_DRG
Concomitant Left Atrial Append 10 $46,899.10 $68,978.36 $51,141.24 nat. median
$2,633

outlier · 19.4×
466
OTHER
Revision Of Hip Or Knee Replacement With Mcc 14 $38,622.16 $56,804.79 $48,302.80 nat. median
$37,382

1.3× median
853
OTHER
Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 $37,914.86 $92,838.83 $47,959.39 nat. median
$20,955

outlier · 2.3×
326
OTHER
Stomach, Esophageal And Duodenal Procedures With Mcc 14 $38,503.90 $56,630.85 $46,044.53 nat. median
$157

outlier · 293.8×
463
MS_DRG
Wound Debridement And Skin Gra 10 $40,944.98 $60,221.15 $44,648.55 nat. median
$38,795

1.2× median
329
OTHER
Major Small And Large Bowel Procedures With Mcc 14 $34,019.98 $59,070.21 $44,033.50 nat. median
$22,435

2.0× median
234
MS_DRG
Coronary Bypass With Cardiac C 10 $40,332.44 $59,320.23 $43,980.60 nat. median
$39,159

1.1× median
220
MS_DRG
Cardiac Valve And Other Major 10 $40,154.28 $59,058.20 $43,786.34 nat. median
$38,832

1.1× median
463
OTHER
Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 14 $34,555.46 $60,221.15 $43,773.11 nat. median
$26,781

1.6× median
234
OTHER
Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 14 $35,827.75 $59,320.23 $43,118.25 nat. median
$30,092

1.4× median
220
OTHER
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $37,106.21 $59,058.20 $42,927.79 nat. median
$227

outlier · 189.2×
326
MS_DRG
Stomach, Esophageal And Duoden 10 $38,503.90 $56,630.85 $41,986.67 nat. median
$35,986

1.2× median
64581
OTHER
Open Implantation Of Neurostimulator Electrode Array; Sacral Nerve (transforamin… 14 $41,928.74 $41,928.74 $41,928.74 —
956
OTHER
Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 $28,977.61 $88,448.10 $41,748.25 nat. median
$42,269

1.0× median
981
OTHER
Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 $36,039.32 $53,005.98 $41,498.42 nat. median
$25,568

1.6× median
853
MS_DRG
Infectious And Parasitic Disea 10 $37,914.86 $55,764.50 $41,330.89 nat. median
$34,733

1.2× median
466
MS_DRG
Revision Of Hip Or Knee Replac 10 $38,622.16 $56,804.79 $41,289.85 nat. median
$36,541

1.1× median
245
MS_DRG
Aicd Generator Procedures 10 $37,046.83 $54,487.82 $40,397.81 nat. median
$32,088

1.3× median
245
OTHER
Aicd Generator Procedures 14 $32,938.69 $54,487.82 $39,605.71 nat. median
$24,518

1.6× median
981
MS_DRG
Extensive O.r. Procedures Unre 10 $36,039.32 $53,005.98 $39,299.16 nat. median
$33,546

1.2× median
329
MS_DRG
Major Small And Large Bowel Pr 10 $34,019.98 $51,199.68 $37,215.65 nat. median
$33,435

1.1× median
474
MS_DRG
Amputation For Musculoskeletal 10 $33,998.51 $50,276.91 $37,073.76 nat. median
$29,481

1.3× median
616
OTHER
Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 $21,400.20 $66,874.06 $37,062.97 nat. median
$25,675

1.4× median
27130
OTHER
Arthroplasty, Acetabular And Proximal Femoral Prosthetic Replacement (total Hip… 14 $36,886.27 $36,886.27 $36,886.27 —
356
MS_DRG
Other Digestive System O.r. Pr 10 $28,355.50 $47,562.56 $34,571.92 nat. median
$30,674

1.1× median
140
OTHER
Major Head And Neck Procedures With Mcc 14 $4,543.61 $47,155.58 $34,276.10 nat. median
$91

outlier · 377.3×
140
MS_DRG
Major Head And Neck Procedures 10 $4,543.61 $47,155.58 $34,276.10 nat. median
$28,105

1.2× median
987
OTHER
Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 $26,553.97 $77,936.20 $33,588.74 nat. median
$19,611

1.7× median
252
OTHER
Other Vascular Procedures With Mcc 14 $26,005.86 $50,453.29 $32,895.43 nat. median
$37,388

0.9× median
662
OTHER
Minor Bladder Procedures With Mcc 14 $23,649.69 $97,913.04 $31,984.94 nat. median
$16,326

2.0× median
27822
OTHER
Open Treatment Of Trimalleolar Ankle Fracture, Includes Internal Fixation, When… 14 $31,938.60 $31,938.60 $31,938.60 —
956
MS_DRG
Limb Reattachment, Hip And Fem 10 $28,977.61 $61,934.46 $31,598.71 nat. median
$27,340

1.2× median
616
MS_DRG
Amputation Of Lower Limb For E 10 $21,400.20 $43,094.75 $31,324.39 nat. median
$25,616

1.2× median

Other procedures at this hospital

Browse this hospital's 4,746 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
See an error in this hospital's data? Submit a correction