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Acute Care Hospital

Rivers Health

Point Pleasant, West Virginia · Mason County · Emergency services listed

Rivers Health is an acute care hospital at 2520 Valley Drive, Point Pleasant, WV 25550. Phone: (304) 675-4340. It has an emergency department. Medicare overall rating: 1 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Rivers Health is an acute care hospital in Point Pleasant, West Virginia. Medicare data lists emergency services. CMS overall star rating: 1 of 5 stars. Its official website lists 107 services, specialties and programs. Medicare lists 159 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
1 of 5 stars1 of 5 stars · Medicare rating
107Services listed

Quick answers

Does Rivers Health have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Rivers Health. In a medical emergency, call 911.
Where is Rivers Health?
2520 Valley Drive, Point Pleasant, WV 25550, in Mason County, West Virginia.
What is the phone number of Rivers Health?
(304) 675-4340, as listed by Medicare (CMS).
What is the Medicare star rating of Rivers Health?
1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Rivers Health for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Rivers Health under the Hospital-Acquired Condition Reduction Program (Total HAC Score: 0.1878; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4][5][15][17][18]

Conditions treated[5][8][9][14][17]

Treatments[4][10][12][15][16][18]

Procedures[4][6][7][10][11][12][14][15][17]

  • Colonoscopy
  • Bone Densitometry
  • Joint Replacement
  • Robotic-assisted knee replacement (VELYS)
  • Total hip replacement
  • ACL reconstruction
  • Arthroscopic knee, hip and shoulder surgery
  • Orthopaedic trauma and fracture care
  • Appendectomy
  • Gallbladder surgery
  • Colon surgery
  • Feeding tube placement
  • Hernia repair
  • Port placement
  • Skin lesion, abscess and cyst removal
  • Soft tissue mass removal
  • Breast-conserving surgery
  • Sentinel node biopsy

Programs and centers[4][6][13][16][18]

  • Comprehensive Breast Health Center
  • Sleep Disorders Center
  • Urgent Care
  • Wellness Center
  • Marshall Orthopaedic Joint Replacement Program
  • Cardiac rehabilitation
  • Infusion Center
  • Therapy and Rehabilitation

Emergency care (hospital website)[5]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel IV

Visiting and practical information

Patient portalPatient Portal

Recognition[11]

  • American College of Radiology accreditation of imaging services

Doctors and clinicians (159)

159 doctors and other clinicians list Rivers Health as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (159)

And 135 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Point Pleasant

Hospitals in Mason County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state license list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Rivers Health reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital3 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Patients got help quickly from staff4 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Restfulness of Environment3 of 5 stars
Care Coordination3 of 5 stars
Symptoms After Stay3 of 5 stars
Rated the hospital 9 or 10 out of 1068%National average: 72%
Would definitely recommend the hospital64%National average: 71%
Nurses “always” communicated well79%National average: 80%
Doctors “always” communicated well80%National average: 80%
“Always” got help as soon as they wanted61%National average: 64%
Staff “always” explained medicines before giving them65%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean69%National average: 73%
Completed surveys113Response rate: 20%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Clostridioides difficile (C. diff) intestinal infections1.706No different from the national benchmark
Not reported to MedicareCentral line bloodstream infections (CLABSI); Catheter-associated urinary tract infections (CAUTI); Surgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy; MRSA bloodstream infections

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart failure patients11.1%
Deaths within 30 days: pneumonia patients16.3%
Deaths within 30 days: COPD patients8.3%
Deaths within 30 days: stroke patients12.2%
Serious complications (patient safety indicator PSI-90)0.99No different from the national rate
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG); Complications after hip or knee replacement
Too few cases to reportDeaths within 30 days: heart attack patients

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)15.7%
Readmitted within 30 days: heart failure21.1%
Readmitted within 30 days: pneumonia16.8%
Readmitted within 30 days: COPD20.9%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to reportReadmitted within 30 days: heart attack

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)106 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)47%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Rivers Health, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score0.1878Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart failure1.0706More readmissions than expected
Pneumonia1.0253More readmissions than expected
COPD (chronic lung disease)1.0233More readmissions than expected
No result publishedHeart attack; Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score14.50 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)0.00 out of 100
Person and community engagement (patient survey)23.00 out of 100
Safety (infections and sepsis care)15.00 out of 100
Efficiency and cost reduction (Medicare spending)20.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio1.00Same as the national median hospital

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 39 common services exactly as Rivers Health lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Show the prices of 39 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: OFFICE VISIT NEWLVL3 $302.92 $96.93 $85.77 – $252.44
New patient office visit (about 30–44 minutes): rates for 7 insurance plans
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $233.47
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $252.44
  • HIGHMARK SENIOR SOLUTIONS COMPANY - Commercial-PPO — Highmark Blue Cross Blue Shield: $252.14
  • HUMANA INC. - Commercial-POS — Humana: $85.77
  • HUMANA INC. - Medicare Part A — Medicare Advantage: $233.47
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $85.77
  • UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $86.31
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: NEW PATIENT LEVEL 3 $357.32 $114.34 $28 – $248.85
New patient office visit (about 30–44 minutes): rates for 1 insurance plan
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $62.01
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: TREATMENT ROOM 3 $419.13 $134.12 $28 – $269.44
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $49.41
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $41.64
  • THE HEALTH PLAN - Medicaid — Medicaid Managed Care: $269.44
  • UMR - Commercial-PPO — UMR: $248.86
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $248.85
  • WV TREASURY PEIA - Commercial-PPO — West Virginia Treasury PEIA: $67.95
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: EST PATIENT LEVEL 3 $285.61 $91.40 $28 – $269.44
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $49.41
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $41.64
  • THE HEALTH PLAN - Medicaid — Medicaid Managed Care: $269.44
  • UMR - Commercial-PPO — UMR: $248.86
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $248.85
  • WV TREASURY PEIA - Commercial-PPO — West Virginia Treasury PEIA: $67.95
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Doctor (professional) fee In the file: TREATMENT ROOM 3 $419.13 $134.12 $28 – $269.44
Established patient office visit (about 20–29 minutes): rates for 1 insurance plan
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $50.98
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: TREATMENT ROOM 4 $830.85 $265.87 $28 – $248.85
Established patient office visit (about 30–39 minutes): rates for 2 insurance plans
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $73.13
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $82.65
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: EST PATIENT LEVEL 4 $357.32 $114.34 $28 – $248.85
Established patient office visit (about 30–39 minutes): rates for 2 insurance plans
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $73.13
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $82.65
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Doctor (professional) fee In the file: TREATMENT ROOM 4 $830.85 $265.87 $28 – $248.85
Established patient office visit (about 30–39 minutes): rates for 1 insurance plan
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $82.65
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: ER VISIT LEVEL III $671.36 $214.84 $55.90 – $584.97
Emergency room visit (moderate): 10 of 38 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $245.81
  • AETNA - Commercial-Indemnity — Aetna: $514.29
  • AETNA - Commercial-POS — Aetna: $514.29
  • AETNA - Commercial-PPO — Aetna: $243.61
  • AETNA - Medicare Part A — Medicare Advantage: $244.60
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $102.64
  • AMERIBEN - Medicare Part A — Medicare Advantage: $244.60
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $244.60
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $233.12
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $521.35
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: ER VISIT LEVEL III $671.36 $214.84 $55.90 – $584.97
Emergency room visit (moderate): rates for 4 insurance plans
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $55.90
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $284.29
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $284.29
  • MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $57.02
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: ER VISIT LEVEL IV $1,278.42 $409.09 $55.90 – $2,050.08
Emergency room visit (moderately high): 10 of 36 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $374.63
  • AETNA - Commercial-POS — Aetna: $979.32
  • AETNA - Commercial-PPO — Aetna: $360.40
  • AETNA - Medicare Part A — Medicare Advantage: $361.88
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $201.39
  • AMERIBEN - Medicare Part A — Medicare Advantage: $361.88
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $376.16
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $361.88
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $1,022.74
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $55.90
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: ER VISIT LEVEL IV $1,278.42 $409.09 $55.90 – $2,050.08
Emergency room visit (moderately high): rates for 3 insurance plans
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $201.03
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $441.31
  • MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $129.18
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: ER VISIT LEVEL V $2,352.84 $752.91 $201.03 – $2,219.48
Emergency room visit (high): 10 of 38 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $539.41
  • AETNA - Commercial-Indemnity — Aetna: $1,802.36
  • AETNA - Commercial-POS — Aetna: $1,802.36
  • AETNA - Commercial-PPO — Aetna: $539.41
  • AETNA - Medicare Part A — Medicare Advantage: $541.61
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $609.32
  • AMERIBEN - Medicare Part A — Medicare Advantage: $541.61
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $541.61
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $542.75
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $1,827.11
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: ER VISIT LEVEL V $2,352.84 $752.91 $201.03 – $2,219.48
Emergency room visit (high): rates for 3 insurance plans
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $201.03
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $660.50
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $660.50

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $212.66 $68.05 $7.61 – $200.62
Basic metabolic panel (blood test): 10 of 33 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $8.32
  • AETNA - Commercial-Indemnity — Aetna: $11.75
  • AETNA - Commercial-POS — Aetna: $11.75
  • AETNA - Commercial-PPO — Aetna: $8.29
  • AETNA - Medicare Part A — Medicare Advantage: $8.29
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $7.99
  • AMERIBEN - Medicare Part A — Medicare Advantage: $8.29
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $8.29
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $165.14
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $12.23
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: BASIC METABOLIC PANEL $212.66 $68.05 $7.61 – $200.62
Basic metabolic panel (blood test): rates for 4 insurance plans
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $12.23
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $10.15
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $10.15
  • MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $21.01
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $425.31 $136.10 $9.50 – $370.59
Comprehensive metabolic panel (blood test): 10 of 35 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $10.39
  • AETNA - Commercial-Indemnity — Aetna: $14.67
  • AETNA - Commercial-POS — Aetna: $14.67
  • AETNA - Commercial-PPO — Aetna: $10.35
  • AETNA - Medicare Part A — Medicare Advantage: $10.35
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $9.98
  • AMERIBEN - Medicare Part A — Medicare Advantage: $10.35
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $10.35
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $340.25
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $12.23
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: CMP $164.44 $52.62 $9.50 – $370.59
Comprehensive metabolic panel (blood test): 10 of 35 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $10.39
  • AETNA - Commercial-Indemnity — Aetna: $14.67
  • AETNA - Commercial-POS — Aetna: $14.67
  • AETNA - Commercial-PPO — Aetna: $10.35
  • AETNA - Medicare Part A — Medicare Advantage: $10.35
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $9.98
  • AMERIBEN - Medicare Part A — Medicare Advantage: $10.35
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $10.35
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $340.25
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $12.23
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPREHENSIVE METABOLIC PANEL $425.31 $136.10 $9.50 – $370.59
Comprehensive metabolic panel (blood test): rates for 4 insurance plans
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $12.23
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $12.67
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $12.67
  • MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $12.47
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: LIPID PROFILE $233.68 $74.78 $6.11 – $203.61
Cholesterol panel (lipid panel): 10 of 39 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $13.18
  • AETNA - Commercial-Indemnity — Aetna: $14.75
  • AETNA - Commercial-POS — Aetna: $14.75
  • AETNA - Commercial-PPO — Aetna: $13.12
  • AETNA - Medicare Part A — Medicare Advantage: $13.12
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $12.65
  • AMERIBEN - Medicare Part A — Medicare Advantage: $13.12
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $13.12
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $13.12
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $186.94
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: LIPID PROFILE $233.68 $74.78 $6.11 – $203.61
Cholesterol panel (lipid panel): rates for 4 insurance plans
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $6.11
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $16.07
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $16.07
  • MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $6.23
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $291.79 $93.37 $6.11 – $151.40
Kidney function panel: 10 of 11 insurance plan rates
  • AETNA - Commercial-PPO — Aetna: $8.54
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $8.20
  • HEALTHSMART BENEFIT SOLUTIONS - Medicare Part A — Medicare Advantage: $8.51
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $151.40
  • HIGHMARK SENIOR SOLUTIONS COMPANY - Commercial-PPO — Highmark Blue Cross Blue Shield: $8.59
  • HUMANA INC. - Commercial-POS — Humana: $8.51
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $8.51
  • THE HEALTH PLAN - Medicaid — Medicaid Managed Care: $7.81
  • UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $8.51
  • UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO INC - Medicaid — Medicaid Managed Care: $6.11
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL $318.99 $102.08 $6.11 – $277.94
Liver function panel: 10 of 31 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $8.04
  • AETNA - Commercial-POS — Aetna: $8.01
  • AETNA - Commercial-PPO — Aetna: $8.01
  • AETNA - Medicare Part A — Medicare Advantage: $8.01
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $7.72
  • AMERIBEN - Medicare Part A — Medicare Advantage: $8.01
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $255.19
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $6.11
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $6.11
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $9.80
Liver function panel CPT 80076 · Inpatient or outpatient · Doctor (professional) fee In the file: HEPATIC FUNCTION PANEL $318.99 $102.08 $6.11 – $277.94
Liver function panel: rates for 3 insurance plans
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $6.11
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $9.80
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $9.80
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: URINALYSIS AUTO W/MICRO $101.38 $32.44 $2.02 – $95.64
Urine test (automated, with microscope): 10 of 31 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $3.12
  • AETNA - Commercial-Indemnity — Aetna: $4.41
  • AETNA - Commercial-POS — Aetna: $4.41
  • AETNA - Commercial-PPO — Aetna: $3.11
  • AETNA - Medicare Part A — Medicare Advantage: $3.11
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $2.99
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $78.73
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $3.96
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $3.96
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $3.80
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: URINALYSIS AUTO W/MICRO $101.38 $32.44 $2.02 – $95.64
Urine test (automated, with microscope): rates for 3 insurance plans
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $3.96
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $3.80
  • MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $2.02
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: URINALYSIS NON-AUTO W/O MICRO $38.33 $12.27 $23.14
Urine test (manual, without microscope): rates for 1 insurance plan
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $23.14
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: GLUCOSE URINE TIMED NON-AUTO $84.08 $26.91 $23.14
Urine test (manual, without microscope): rates for 1 insurance plan
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $23.14
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: U/A $61.82 $19.78 $2.03 – $53.86
Urine test (automated, without microscope): 10 of 28 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $2.20
  • AETNA - Commercial-Indemnity — Aetna: $3.12
  • AETNA - Commercial-POS — Aetna: $3.12
  • AETNA - Commercial-PPO — Aetna: $2.20
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $2.13
  • AMERIBEN - Medicare Part A — Medicare Advantage: $2.20
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $49.46
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $3.96
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $3.96
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $2.70
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: PH, URINE $39.56 $12.66 $2.03 – $53.86
Urine test (automated, without microscope): 10 of 28 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $2.20
  • AETNA - Commercial-Indemnity — Aetna: $3.12
  • AETNA - Commercial-POS — Aetna: $3.12
  • AETNA - Commercial-PPO — Aetna: $2.20
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $2.13
  • AMERIBEN - Medicare Part A — Medicare Advantage: $2.20
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $49.46
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $3.96
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $3.96
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $2.70
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: SPECIFIC GRAVITY, SYNOVIAL FLD $37.09 $11.87 $2.03 – $53.86
Urine test (automated, without microscope): 10 of 28 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $2.20
  • AETNA - Commercial-Indemnity — Aetna: $3.12
  • AETNA - Commercial-POS — Aetna: $3.12
  • AETNA - Commercial-PPO — Aetna: $2.20
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $2.13
  • AMERIBEN - Medicare Part A — Medicare Advantage: $2.20
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $49.46
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $3.96
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $3.96
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $2.70
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA TOTAL $300.45 $96.14 $11.28 – $262.44
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $18.10
  • AETNA - Commercial-POS — Aetna: $25.55
  • AETNA - Commercial-PPO — Aetna: $18.02
  • AETNA - Medicare Part A — Medicare Advantage: $18.02
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $17.38
  • AMERIBEN - Medicare Part A — Medicare Advantage: $18.02
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $240.36
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $11.28
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $22.07
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $22.07
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA TOTAL PANEL $311.57 $99.70 $11.28 – $262.44
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $18.10
  • AETNA - Commercial-POS — Aetna: $25.55
  • AETNA - Commercial-PPO — Aetna: $18.02
  • AETNA - Medicare Part A — Medicare Advantage: $18.02
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $17.38
  • AMERIBEN - Medicare Part A — Medicare Advantage: $18.02
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $240.36
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $11.28
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $22.07
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $22.07
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Doctor (professional) fee In the file: PSA TOTAL $300.45 $96.14 $11.28 – $262.44
PSA (prostate specific antigen) blood test: rates for 3 insurance plans
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $11.28
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $262.44
  • MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $11.51
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH $255.93 $81.90 $6.84 – $222.99
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $16.53
  • AETNA - Commercial-Indemnity — Aetna: $23.34
  • AETNA - Commercial-POS — Aetna: $23.34
  • AETNA - Commercial-PPO — Aetna: $16.46
  • AETNA - Medicare Part A — Medicare Advantage: $16.46
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $15.88
  • AMERIBEN - Medicare Part A — Medicare Advantage: $16.46
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $16.46
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $204.74
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $13.68
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: 2ND GENERATION TSH $276.95 $88.62 $6.84 – $222.99
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $16.53
  • AETNA - Commercial-Indemnity — Aetna: $23.34
  • AETNA - Commercial-POS — Aetna: $23.34
  • AETNA - Commercial-PPO — Aetna: $16.46
  • AETNA - Medicare Part A — Medicare Advantage: $16.46
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $15.88
  • AMERIBEN - Medicare Part A — Medicare Advantage: $16.46
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $16.46
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $204.74
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $13.68
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH 3RD GENERATION $435.20 $139.26 $6.84 – $222.99
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $16.53
  • AETNA - Commercial-Indemnity — Aetna: $23.34
  • AETNA - Commercial-POS — Aetna: $23.34
  • AETNA - Commercial-PPO — Aetna: $16.46
  • AETNA - Medicare Part A — Medicare Advantage: $16.46
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $15.88
  • AMERIBEN - Medicare Part A — Medicare Advantage: $16.46
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $16.46
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $204.74
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $13.68
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC W/AUTO WBC DIFF $129.82 $41.54 $5.28 – $113.11
Complete blood count (CBC) with differential: 10 of 35 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $7.65
  • AETNA - Commercial-Indemnity — Aetna: $10.79
  • AETNA - Commercial-POS — Aetna: $10.79
  • AETNA - Commercial-PPO — Aetna: $7.61
  • AETNA - Medicare Part A — Medicare Advantage: $7.61
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $7.34
  • AMERIBEN - Medicare Part A — Medicare Advantage: $7.61
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $7.61
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $103.85
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $5.28
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: CBC W/AUTO WBC DIFF $129.82 $41.54 $5.28 – $113.11
Complete blood count (CBC) with differential: rates for 4 insurance plans
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $5.28
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $9.32
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $9.32
  • MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $5.39
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: COMPLETE CBC AUTO & PLATELET $110.04 $35.21 $2.64 – $95.88
Complete blood count (CBC), automated: 10 of 24 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $6.37
  • AETNA - Commercial-POS — Aetna: $8.99
  • AETNA - Commercial-PPO — Aetna: $6.34
  • AETNA - Medicare Part A — Medicare Advantage: $6.34
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $6.11
  • AMERIBEN - Medicare Part A — Medicare Advantage: $6.34
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $85.45
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $2.64
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $2.64
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $7.76
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPLETE CBC AUTO & PLATELET $110.04 $35.21 $2.64 – $95.88
Complete blood count (CBC), automated: rates for 1 insurance plan
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $2.64
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PROTHROMBIN TIME $110.04 $35.21 $3.86 – $96.12
Blood clotting time test (prothrombin time, PT): 10 of 28 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $4.22
  • AETNA - Commercial-Indemnity — Aetna: $5.46
  • AETNA - Commercial-POS — Aetna: $5.46
  • AETNA - Commercial-PPO — Aetna: $4.20
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $4.05
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $6.04
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $6.04
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $5.15
  • COMMUNITY INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $4.20
  • HEALTHSMART BENEFIT SOLUTIONS - Medicare Part A — Medicare Advantage: $4.20
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Doctor (professional) fee In the file: PROTHROMBIN TIME $110.04 $35.21 $3.86 – $96.12
Blood clotting time test (prothrombin time, PT): rates for 3 insurance plans
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $96.12
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $5.15
  • MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $6.16
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: PARTIAL THROMBO TIME (PTT) $121.17 $38.77 $3.02 – $105.84
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $5.91
  • AETNA - Commercial-POS — Aetna: $8.36
  • AETNA - Commercial-PPO — Aetna: $8.36
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $5.68
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $6.04
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $3.02
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $73.16
  • HIGHMARK SENIOR SOLUTIONS COMPANY - Commercial-PPO — Highmark Blue Cross Blue Shield: $5.95
  • HUMANA INC. - Commercial-POS — Humana: $5.89
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $5.89
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: APTT MIXING STUDIES # 1 $90.26 $28.88 $3.02 – $105.84
Blood clotting test (partial thromboplastin time, PTT): 10 of 21 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $5.91
  • AETNA - Commercial-POS — Aetna: $8.36
  • AETNA - Commercial-PPO — Aetna: $8.36
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $5.68
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $6.04
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $3.02
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $73.16
  • HIGHMARK SENIOR SOLUTIONS COMPANY - Commercial-PPO — Highmark Blue Cross Blue Shield: $5.95
  • HUMANA INC. - Commercial-POS — Humana: $5.89
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $5.89
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Doctor (professional) fee In the file: PARTIAL THROMBO TIME (PTT) $121.17 $38.77 $3.02 – $105.84
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $105.84
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $105.84
  • MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $3.08

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT STROKE PROTOCOL $2,017.77 $645.69 $44.05 – $1,759.21
CT scan of the head or brain, without contrast: 10 of 33 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $93.56
  • AETNA - Commercial-Indemnity — Aetna: $1,546.64
  • AETNA - Commercial-POS — Aetna: $1,546.64
  • AETNA - Commercial-PPO — Aetna: $93.56
  • AETNA - Medicare Part A — Medicare Advantage: $198.36
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $46.25
  • AMERIBEN - Medicare Part A — Medicare Advantage: $89.83
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $93.94
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $93.94
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $1,615.21
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O CONT $2,019.01 $646.08 $44.05 – $1,759.21
CT scan of the head or brain, without contrast: 10 of 33 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $93.56
  • AETNA - Commercial-Indemnity — Aetna: $1,546.64
  • AETNA - Commercial-POS — Aetna: $1,546.64
  • AETNA - Commercial-PPO — Aetna: $93.56
  • AETNA - Medicare Part A — Medicare Advantage: $198.36
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $46.25
  • AMERIBEN - Medicare Part A — Medicare Advantage: $89.83
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $93.94
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $93.94
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $1,615.21
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: CT HEAD W/O CONTRAST $2,019.01 $646.08 $46.25 – $1,546.64
CT scan of the head or brain, without contrast: rates for 7 insurance plans
  • AETNA - Commercial-HMO — Aetna: $384.38
  • AETNA - Commercial-Indemnity — Aetna: $1,546.64
  • AETNA - Commercial-PPO — Aetna: $94.18
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $46.25
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $382.82
  • UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $382.82
  • UNITEDHEALTHCARE - Commercial-HMO — United Healthcare: $94.18
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI BRAIN INC STEM WW/O CON $4,669.82 $1,494.34 $140.52 – $4,068.91
MRI of the brain, before and after contrast: 10 of 20 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $755.15
  • AETNA - Commercial-POS — Aetna: $3,577.26
  • AETNA - Commercial-PPO — Aetna: $318.71
  • AMERIBEN - Medicare Part A — Medicare Advantage: $315.49
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $755.15
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $239.93
  • HEALTHSMART BENEFIT SOLUTIONS - Medicare Part A — Medicare Advantage: $713
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $2,819.52
  • HIGHMARK SENIOR SOLUTIONS COMPANY - Commercial-PPO — Highmark Blue Cross Blue Shield: $317.41
  • HUMANA INC. - Commercial-POS — Humana: $315.49
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MRI BRAIN INC STEM WW/O CON $4,669.82 $1,494.34 $140.52 – $4,068.91
MRI of the brain, before and after contrast: rates for 2 insurance plans
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $147.55
  • THE HEALTH PLAN - Medicaid — Medicaid Managed Care: $140.52
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: CHEST 2V FRONTAL/LATERAL $569.97 $182.39 $14.71 – $537.71
Chest X-ray, 2 views: 10 of 38 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $77.79
  • AETNA - Commercial-Indemnity — Aetna: $436.62
  • AETNA - Commercial-POS — Aetna: $436.62
  • AETNA - Commercial-PPO — Aetna: $77.55
  • AETNA - Medicare Part A — Medicare Advantage: $77.79
  • AMERIBEN - Medicare Part A — Medicare Advantage: $79.05
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $77.79
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $77.79
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $442.62
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $35.29
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Doctor (professional) fee In the file: CHEST 2V FRONTAL/LATERAL $569.97 $182.39 $14.71 – $537.71
Chest X-ray, 2 views: rates for 4 insurance plans
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $35.29
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $90.54
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $90.54
  • MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $36
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CHEST 2V FRONTAL/LATERAL $569.97 $182.39 $14.71 – $537.71
Chest X-ray, 2 views: rates for 1 insurance plan
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $15.51
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: SPINE LUMBAR MIN 4 VIEWS $547.72 $175.27 $25.35 – $477.24
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates
  • AETNA - Commercial-PPO — Aetna: $419.58
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $93.94
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $89.83
  • COMMUNITY INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $90.92
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $330.71
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $95.47
  • MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $36
  • UMR - Commercial-PPO — UMR: $477.24
  • UMR - Medicare Part A — Medicare Advantage: $93.94
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $477.24
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: SPINE LUMBAR MIN 4 VIEWS $547.72 $175.27 $25.35 – $477.24
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $26.62
  • THE HEALTH PLAN - Medicaid — Medicaid Managed Care: $25.35
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O CON $3,785.81 $1,211.46 $81.21 – $3,298.66
MRI of the lower back (lumbar spine), without contrast: 10 of 18 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $200.20
  • AETNA - Commercial-Indemnity — Aetna: $2,900.07
  • AETNA - Commercial-POS — Aetna: $449.91
  • AETNA - Commercial-PPO — Aetna: $203.46
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $216.59
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $158.77
  • COLONIAL PENN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $200.20
  • HEALTHSMART BENEFIT SOLUTIONS - Medicare Part A — Medicare Advantage: $213.54
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $2,285.78
  • HIGHMARK SENIOR SOLUTIONS COMPANY - Commercial-PPO — Highmark Blue Cross Blue Shield: $214.84
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Doctor (professional) fee In the file: MRI LUMBAR SPINE W/O CON $3,785.81 $1,211.46 $81.21 – $3,298.66
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $158.77
  • MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $161.95
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: MRI LUMBAR SPINE W/O CON $3,785.81 $1,211.46 $81.21 – $3,298.66
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $85.27
  • THE HEALTH PLAN - Medicaid — Medicaid Managed Care: $81.21
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: CT PELVIS W/CON $2,383.75 $762.80 $113.72 – $197.60
CT scan of the pelvis, with contrast: rates for 1 insurance plan
  • WV TREASURY PEIA - Commercial-PPO — West Virginia Treasury PEIA: $197.60
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT PELVIS W/CON $2,383.75 $762.80 $113.72 – $197.60
CT scan of the pelvis, with contrast: rates for 2 insurance plans
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $117.36
  • THE HEALTH PLAN - Medicaid — Medicaid Managed Care: $113.72
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI LOW EXT JT W/O CON $3,785.81 $1,211.46 $48.45 – $3,298.66
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $213.54
  • AETNA - Commercial-POS — Aetna: $2,900.07
  • AETNA - Commercial-PPO — Aetna: $2,787.77
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $213.54
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $158.77
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $1,095.79
  • HIGHMARK SENIOR SOLUTIONS COMPANY - Commercial-PPO — Highmark Blue Cross Blue Shield: $201.43
  • HUMANA INC. - Commercial-POS — Humana: $217.01
  • HUMANA INC. - Medicare Part A — Medicare Advantage: $217.01
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $199.39
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI LOW EXT JT W/O CON BILAT $1,934.95 $619.18 $48.45 – $3,298.66
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $213.54
  • AETNA - Commercial-POS — Aetna: $2,900.07
  • AETNA - Commercial-PPO — Aetna: $2,787.77
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $213.54
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $158.77
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $1,095.79
  • HIGHMARK SENIOR SOLUTIONS COMPANY - Commercial-PPO — Highmark Blue Cross Blue Shield: $201.43
  • HUMANA INC. - Commercial-POS — Humana: $217.01
  • HUMANA INC. - Medicare Part A — Medicare Advantage: $217.01
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $199.39
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MRI LOW EXT WW/O CON lt $4,669.82 $1,494.34 $48.45 – $4,068.91
MRI of a leg joint (such as the knee), without contrast: 10 of 20 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $213.54
  • AETNA - Commercial-POS — Aetna: $2,900.07
  • AETNA - Commercial-PPO — Aetna: $2,787.77
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $213.54
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $158.77
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $1,095.79
  • HIGHMARK SENIOR SOLUTIONS COMPANY - Commercial-PPO — Highmark Blue Cross Blue Shield: $201.43
  • HUMANA INC. - Commercial-POS — Humana: $217.01
  • HUMANA INC. - Medicare Part A — Medicare Advantage: $217.01
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $199.39
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT ABDOMEN/PELVIS W/CONTRAST $4,627.79 $1,480.89 $144.46 – $4,032.29
CT scan of the abdomen and pelvis, with contrast: 10 of 32 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $316.41
  • AETNA - Commercial-POS — Aetna: $3,545.06
  • AETNA - Commercial-PPO — Aetna: $314.21
  • AETNA - Medicare Part A — Medicare Advantage: $315.49
  • AMERIBEN - Medicare Part A — Medicare Advantage: $314.22
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $315.49
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $314.22
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $3,702.23
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $244.69
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $244.69
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CT ABDOMEN/PELVIS W/CONTRAST $4,627.79 $1,480.89 $144.46 – $4,032.29
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $244.69
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $385.03
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $383.20
  • MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $249.58
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: CT ABDOMEN/PELVIS W/CONTRAST $4,627.79 $1,480.89 $144.46 – $4,032.29
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $146.95
  • THE HEALTH PLAN - Medicaid — Medicaid Managed Care: $144.46
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US ABDOMEN COMPLETE $1,163.43 $372.30 $50.45 – $975.75
Ultrasound of the abdomen, complete: 10 of 13 insurance plan rates
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $93.94
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $975.75
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $93.39
  • HEALTHSMART BENEFIT SOLUTIONS - Medicare Part A — Medicare Advantage: $89.83
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $702.46
  • HUMANA INC. - Commercial-POS — Humana: $95.47
  • HUMANA INC. - Medicare Part A — Medicare Advantage: $93.94
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $90.92
  • MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $95.26
  • UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $90.92
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Doctor (professional) fee In the file: US ABDOMEN COMPLETE $1,163.43 $372.30 $50.45 – $975.75
Ultrasound of the abdomen, complete: rates for 2 insurance plans
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $93.39
  • MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $95.26
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: US ABDOMEN COMPLETE $1,163.43 $372.30 $50.45 – $975.75
Ultrasound of the abdomen, complete: rates for 1 insurance plan
  • THE HEALTH PLAN - Medicaid — Medicaid Managed Care: $50.45
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: US PREG UTER COMP EVAL>=14 WKS $844.45 $270.22 $114.56
Pregnancy ultrasound (after the first trimester): rates for 1 insurance plan
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $114.56
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: US TRANSVAGINAL $829.61 $265.48 $55.62 – $782.65
Transvaginal ultrasound: 10 of 16 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $93.94
  • AETNA - Commercial-PPO — Aetna: $93.66
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $60.72
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $60.72
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $782.65
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $500.90
  • HIGHMARK SENIOR SOLUTIONS COMPANY - Commercial-PPO — Highmark Blue Cross Blue Shield: $90.38
  • HUMANA INC. - Commercial-POS — Humana: $91.29
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $89.46
  • MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $61.93
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Doctor (professional) fee In the file: US TRANSVAGINAL $829.61 $265.48 $55.62 – $782.65
Transvaginal ultrasound: rates for 2 insurance plans
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $60.72
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $109.55
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: US TRANSVAGINAL $829.61 $265.48 $55.62 – $782.65
Transvaginal ultrasound: rates for 2 insurance plans
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $56.88
  • THE HEALTH PLAN - Medicaid — Medicaid Managed Care: $55.62
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMOGRAM SCRN TO DIAG UNI SD $253.46 $81.11 $32.21 – $333.59
Diagnostic mammogram, one breast: 10 of 18 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $72.17
  • AETNA - Commercial-POS — Aetna: $73.82
  • AETNA - Commercial-PPO — Aetna: $72.17
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $74.12
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $32.21
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $88.37
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $90.40
  • HEALTHSMART BENEFIT SOLUTIONS - Medicare Part A — Medicare Advantage: $72.46
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $333.59
  • HIGHMARK SENIOR SOLUTIONS COMPANY - Commercial-PPO — Highmark Blue Cross Blue Shield: $72.90
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMO DIAGNOSTIC UNILATERAL $337.54 $108.01 $32.21 – $333.59
Diagnostic mammogram, one breast: 10 of 18 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $72.17
  • AETNA - Commercial-POS — Aetna: $73.82
  • AETNA - Commercial-PPO — Aetna: $72.17
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $74.12
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $32.21
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $88.37
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $90.40
  • HEALTHSMART BENEFIT SOLUTIONS - Medicare Part A — Medicare Advantage: $72.46
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $333.59
  • HIGHMARK SENIOR SOLUTIONS COMPANY - Commercial-PPO — Highmark Blue Cross Blue Shield: $72.90
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: DIAG MAMMO W/CAD UNILATERAL $353.61 $113.16 $32.21 – $333.59
Diagnostic mammogram, one breast: 10 of 18 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $72.17
  • AETNA - Commercial-POS — Aetna: $73.82
  • AETNA - Commercial-PPO — Aetna: $72.17
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $74.12
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $32.21
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $88.37
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $90.40
  • HEALTHSMART BENEFIT SOLUTIONS - Medicare Part A — Medicare Advantage: $72.46
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $333.59
  • HIGHMARK SENIOR SOLUTIONS COMPANY - Commercial-PPO — Highmark Blue Cross Blue Shield: $72.90
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMOGRAM DIAGNOSTIC BIL $436.44 $139.66 $32.21 – $453.53
Diagnostic mammogram, both breasts: rates for 9 insurance plans
  • AETNA - Commercial-HMO — Aetna: $91.84
  • AETNA - Commercial-PPO — Aetna: $91.84
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $94.79
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $314.28
  • HIGHMARK SENIOR SOLUTIONS COMPANY - Commercial-PPO — Highmark Blue Cross Blue Shield: $92.77
  • HUMANA INC. - Commercial-POS — Humana: $94.79
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $94.79
  • UNITED HEALTHCARE SERVICESINC. - Commercial-POS — Other Commercial: $453.53
  • WV TREASURY PEIA - Commercial-PPO — West Virginia Treasury PEIA: $145.06
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMOGRAM SCRN TO DIAG BIL SD $436.44 $139.66 $32.21 – $453.53
Diagnostic mammogram, both breasts: rates for 9 insurance plans
  • AETNA - Commercial-HMO — Aetna: $91.84
  • AETNA - Commercial-PPO — Aetna: $91.84
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $94.79
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $314.28
  • HIGHMARK SENIOR SOLUTIONS COMPANY - Commercial-PPO — Highmark Blue Cross Blue Shield: $92.77
  • HUMANA INC. - Commercial-POS — Humana: $94.79
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $94.79
  • UNITED HEALTHCARE SERVICESINC. - Commercial-POS — Other Commercial: $453.53
  • WV TREASURY PEIA - Commercial-PPO — West Virginia Treasury PEIA: $145.06
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMO DIAGNOSTIC BILATERAL $495.79 $158.65 $32.21 – $453.53
Diagnostic mammogram, both breasts: rates for 9 insurance plans
  • AETNA - Commercial-HMO — Aetna: $91.84
  • AETNA - Commercial-PPO — Aetna: $91.84
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $94.79
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $314.28
  • HIGHMARK SENIOR SOLUTIONS COMPANY - Commercial-PPO — Highmark Blue Cross Blue Shield: $92.77
  • HUMANA INC. - Commercial-POS — Humana: $94.79
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $94.79
  • UNITED HEALTHCARE SERVICESINC. - Commercial-POS — Other Commercial: $453.53
  • WV TREASURY PEIA - Commercial-PPO — West Virginia Treasury PEIA: $145.06
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMOGRAM PROMO SCREENING $123.64 $39.56 $16.11 – $294.10
Screening mammogram, both breasts: 10 of 30 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $75.84
  • AETNA - Commercial-Indemnity — Aetna: $268.44
  • AETNA - Commercial-POS — Aetna: $78.05
  • AETNA - Commercial-PPO — Aetna: $75.84
  • AETNA - Medicare Part A — Medicare Advantage: $78.05
  • AMERIBEN - Medicare Part A — Medicare Advantage: $78.05
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $75.84
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $78.05
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $270.03
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $16.11
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMOGRAM SCREEN BIL $337.54 $108.01 $16.11 – $294.10
Screening mammogram, both breasts: 10 of 30 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $75.84
  • AETNA - Commercial-Indemnity — Aetna: $268.44
  • AETNA - Commercial-POS — Aetna: $78.05
  • AETNA - Commercial-PPO — Aetna: $75.84
  • AETNA - Medicare Part A — Medicare Advantage: $78.05
  • AMERIBEN - Medicare Part A — Medicare Advantage: $78.05
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $75.84
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $78.05
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $270.03
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $16.11
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: MAMMO SCREEN W/CAD BILATERAL $337.54 $108.01 $16.11 – $294.10
Screening mammogram, both breasts: 10 of 30 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $75.84
  • AETNA - Commercial-Indemnity — Aetna: $268.44
  • AETNA - Commercial-POS — Aetna: $78.05
  • AETNA - Commercial-PPO — Aetna: $75.84
  • AETNA - Medicare Part A — Medicare Advantage: $78.05
  • AMERIBEN - Medicare Part A — Medicare Advantage: $78.05
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $75.84
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $78.05
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $270.03
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $16.11

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: IN-LAB DIAGNOSTIC SLEEP STUDY $3,095.91 $990.69 $325.34 – $2,697.53
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $898.93
  • AETNA - Commercial-POS — Aetna: $850.99
  • AETNA - Commercial-PPO — Aetna: $896.02
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $902.87
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $437.88
  • HIGHMARK BLUE CROSS BLUE SHIELD WV - Commercial-PPO — Highmark Blue Cross Blue Shield: $1,869.23
  • HUMANA INC. - Commercial-POS — Humana: $898.76
  • HUMANA INC. - Medicare Part A — Medicare Advantage: $898.76
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $897.20
  • LOYAL AMERICAN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $898.76
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Doctor (professional) fee In the file: IN-LAB DIAGNOSTIC SLEEP STUDY $3,095.91 $990.69 $325.34 – $2,697.53
Sleep study (overnight, in a sleep lab): rates for 1 insurance plan
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $437.88
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee · modifier TC In the file: IN-LAB DIAGNOSTIC SLEEP STUDY $3,095.91 $990.69 $325.34 – $2,697.53
Sleep study (overnight, in a sleep lab): rates for 2 insurance plans
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $341.61
  • THE HEALTH PLAN - Medicaid — Medicaid Managed Care: $325.34

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: THERAPUTIC EXERCISE 15 MIN $169.39 $54.20 $18.09 – $295.18
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 35 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $18.58
  • AETNA - Commercial-Indemnity — Aetna: $98.79
  • AETNA - Commercial-POS — Aetna: $98.41
  • AETNA - Commercial-PPO — Aetna: $18.11
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $21.19
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $18.18
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $18.18
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $131.54
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $26.44
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $26.44
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: THERAPEUTIC EXERCISE, 15 MIN $169.39 $54.20 $18.09 – $295.18
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 35 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $18.58
  • AETNA - Commercial-Indemnity — Aetna: $98.79
  • AETNA - Commercial-POS — Aetna: $98.41
  • AETNA - Commercial-PPO — Aetna: $18.11
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $21.19
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $18.18
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $18.18
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $131.54
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $26.44
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $26.44
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: THERAPEUTIC EXERCISE, EA 15MIN $169.39 $54.20 $13.22 – $295.18
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 29 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $21.11
  • AETNA - Commercial-POS — Aetna: $129.76
  • AETNA - Commercial-PPO — Aetna: $20.70
  • AETNA - Medicare Part A — Medicare Advantage: $20.78
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $21.19
  • AMERIBEN - Medicare Part A — Medicare Advantage: $21.19
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $23.60
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $18.17
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $135.51
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $26.44
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: PT EVALUATION LOW COMPLEXITY $237.39 $75.96 $57.91 – $206.84
Physical therapy evaluation (low complexity): 10 of 29 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $72.37
  • AETNA - Commercial-Indemnity — Aetna: $181.85
  • AETNA - Commercial-POS — Aetna: $181.85
  • AETNA - Commercial-PPO — Aetna: $72.15
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $73.09
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $92.56
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $70.60
  • BUCKEYE COMMUNITY HEALTH PLAN - Medicaid — Medicaid Managed Care: $57.91
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $57.91
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $110.36
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVALUATION LOW COMPLEXITY $237.39 $75.96 $57.91 – $206.84
Physical therapy evaluation (low complexity): rates for 2 insurance plans
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $112.88
  • MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $59.07
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: PT EVALUATION MODERATE COMPLEX $268.30 $85.86 $57.91 – $234.36
Physical therapy evaluation (moderate complexity): 10 of 34 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $90.50
  • AETNA - Commercial-Indemnity — Aetna: $205.53
  • AETNA - Commercial-POS — Aetna: $205.53
  • AETNA - Commercial-PPO — Aetna: $90.22
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $72.87
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $90.50
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $92.56
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $208.35
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $57.91
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $110.36
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: PT EVAULATION MODERATE COMPLEX $268.30 $85.86 $57.91 – $234.36
Physical therapy evaluation (moderate complexity): 10 of 34 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $90.50
  • AETNA - Commercial-Indemnity — Aetna: $205.53
  • AETNA - Commercial-POS — Aetna: $205.53
  • AETNA - Commercial-PPO — Aetna: $90.22
  • Aetna Better Health of West Virginia - Medicaid — Medicaid Managed Care: $72.87
  • AMERICAN CONTINENTAL INSU. - Medicare Part A — Medicare Advantage: $90.50
  • ANTHEM OH - Medicare Part A — Medicare Advantage: $92.56
  • BOB'S MARKET & GREENHOUSE, INC. - Commercial-HMO — Other Commercial: $208.35
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $57.91
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $110.36
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PT EVALUATION MODERATE COMPLEX $268.30 $85.86 $57.91 – $234.36
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans
  • CARESOURCE OHIO - Commercial-Indemnity — Caresource Ohio: $57.91
  • CareSource Ohio - Commercial-Indemnity — Caresource Ohio: $112.88
  • CareSource West Virginia - Commercial-Indemnity — Other Commercial: $234.36
  • MOLINA HEALTHCARE OF OHIO - Medicaid — Medicaid Managed Care: $59.07
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: PT EVALUATION HIGH COMPLEXITY $306.63 $98.12 $90.13 – $90.34
Physical therapy evaluation (high complexity): rates for 2 insurance plans
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $90.13
  • UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $90.34

Source: Rivers Health’s standard charges file (hospitalpricetransparencyfiles.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on November 22, 2025; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address2520 Valley Drive, Point Pleasant, WV 25550
CountyMason County
StateWest Virginia
Phone(304) 675‑4340
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating1 of 5 stars
CMS Certification Number510012
Name in Medicare recordsRIVERS HEALTH
Profile levelMedicare data + hospital website
Official websiterivershealth.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Rivers Health — rivershealth.org
  2. Emergency and Trauma Center — rivershealth.org
  3. Joint Replacement - Marshall Health Network - Rivers Health — rivershealth.org
  4. VELYS Joint Replacement - Marshall Health Network - Rivers Health — rivershealth.org
  5. Cardiology - Marshall Health Network - Rivers Health — rivershealth.org
  6. Neurology - Marshall Health Network - Rivers Health — rivershealth.org
  7. Orthopaedics - Marshall Health Network - Rivers Health — rivershealth.org
  8. Radiology - Marshall Health Network - Rivers Health — rivershealth.org
  9. Surgery - Marshall Health Network - Rivers Health — rivershealth.org
  10. Cardiac Rehabilitation - Marshall Health Network - Rivers Health — rivershealth.org
  11. Pediatric Cardiology - Marshall Health Network - Rivers Health — rivershealth.org
  12. Comprehensive Breast Health Center - Marshall Health Network - Rivers Health — rivershealth.org
  13. Infusion Center - Marshall Health Network - Rivers Health — rivershealth.org
  14. Sleep Disorders Center - Marshall Health Network - Rivers Health — rivershealth.org
  15. Therapy and Rehabilitation - Marshall Health Network - Rivers Health — rivershealth.org