Madison, WV
37
In-network payers
115
Disclosed rate categories
25
Beds
1
Care quality
Boone Memorial Hospital is a 25-bed government - local hospital in Madison, WV. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 115 disclosed rate categories.
CCN (Medicare provider number)
511313
NPI
1639135221
Type
Critical Access Hospital
Ownership
Government - Local
Beds
25
Care Quality
1
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Boone Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$1,816 - $2,502
from 3 insurers · median $2,148
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,027 - $1,232
from 3 insurers · median $1,099
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,521 - $8,097
from 3 insurers · median $5,452
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,668 - $2,101
from 3 insurers · median $1,823
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,525 - $9,135
from 3 insurers · median $4,025
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,040 - $1,593
from 3 insurers · median $1,434
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$11,239 - $22,798
from 3 insurers · median $16,778
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,388 - $3,069
from 3 insurers · median $2,639
Typical for a hospital with this service line
CT imaging
CPT 71275
$1,299 - $1,590
from 3 insurers · median $1,342
Typical for a hospital with this service line
Mammography
CPT 77067
$237 - $296
from 3 insurers · median $285
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,189 - $5,096
from 3 insurers · median $1,488
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$10,896 - $19,393
from 3 insurers · median $13,876
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,683 - $4,876
from 3 insurers · median $2,757
Hospital reports nuclear medicine services to CMS
X-ray and bone density
CPT 71046
$171 - $236
from 3 insurers · median $203
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,565 - $2,157
from 3 insurers · median $1,768
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,639 - $1,973
from 3 insurers · median $1,696
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$4,064 - $13,789
from 3 insurers · median $10,828
Typical for a hospital with this service line
Gynecology
CPT 58558
$6,263 - $9,284
from 3 insurers · median $7,975
Typical for a hospital with this service line
Gynecology
CPT 58662
$11,903 - $16,761
from 3 insurers · median $15,158
Typical for a hospital with this service line
MRI imaging
CPT 73721
$1,528 - $2,633
from 3 insurers · median $1,789
Typical for a hospital with this service line
Ultrasound
CPT 76705
$374 - $481
from 3 insurers · median $436
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$5,284 - $17,928
from 3 insurers · median $14,079
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$92 - $93
from 2 insurers · median $93
Typical for a hospital with this service line
Ultrasound
CPT 76830
$433 - $887
from 3 insurers · median $479
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 450% | 17 | 1 |
| Insurer B* | 24 | 378% | 10 | 10 |
| Insurer C* | 24 | 303% | 15 | 0 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Boone Memorial Hospital.
701 Madison Avenue, Madison, WV 25130
(304) 369-1230
The nearest hospitals of similar type and size. Their rates are compared with Boone Memorial Hospital for the same insurers and services above.
Montgomery General Hospital
▼ Rates typically 58% lower than Boone Memorial Hospital (20 services)
Plateau Medical Center
▼ Rates typically 8% lower than Boone Memorial Hospital (21 services)
Jackson General Hospital
▲ Rates typically 17% higher than Boone Memorial Hospital (24 services)
Roane General Hospital
Rates about the same as Boone Memorial Hospital (21 services)
Summers County Arh Hospital
▼ Rates typically 61% lower than Boone Memorial Hospital (23 services)
Arh Our Lady Of The Way Hospital
▼ Rates typically 58% lower than Boone Memorial Hospital (21 services)
Minnie Hamilton Health System
Sistersville General Hospital
About Boone Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Boone Memorial Hospital range from $2,388 to $3,069 across 3 insurers. Cigna's rate is $2,639. The median at nearby comparable hospitals is $505. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Boone Memorial Hospital range from $1,816 to $2,502 across 3 insurers. Aetna's rate is $2,502. The median at nearby comparable hospitals is $477. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Boone Memorial Hospital range from $1,521 to $8,097 across 3 insurers. Blue Cross Blue Shield's rate is $5,452. The median at nearby comparable hospitals is $2,434. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Boone Memorial Hospital range from $237 to $296 across 3 insurers. Blue Cross Blue Shield's rate is $237. The median at nearby comparable hospitals is $137. What a patient pays depends on their plan's deductible, coinsurance and network status.
Boone Memorial Hospital has 25 beds. Facility type: Critical Access Hospital.
Boone Memorial Hospital is located at 701 Madison Avenue, Madison, WV 25130. Its main phone number is (304) 369-1230.
Boone Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 511313.
The National Provider Identifier (NPI) on file for Boone Memorial Hospital is 1639135221.
Boone Memorial Hospital lists 37 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
115 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers