West Virginia University Health System · Gassaway, WV
30
In-network payers
162
Disclosed rate categories
25
Beds
Braxton County Memorial Hospital is a 25-bed voluntary non-profit - private hospital in Gassaway, WV, affiliated with West Virginia University Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 162 disclosed rate categories.
CCN (Medicare provider number)
511308
NPI
1356304547
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
25
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 Braxton County 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
$1,335 - $3,099
from 4 insurers · median $1,851
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,074 - $2,373
from 4 insurers · median $1,645
Typical for a hospital with this service line
CT imaging
CPT 70450
$614 - $1,085
from 4 insurers · median $661
Typical for a hospital with this service line
CT imaging
CPT 71275
$980 - $2,294
from 4 insurers · median $1,341
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$6,388 - $13,081
from 2 insurers · median $9,734
Typical for a hospital with this service line
Mammography
CPT 77067
$217 - $540
from 4 insurers · median $227
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$628 - $2,059
from 4 insurers · median $776
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,388 - $3,386
from 4 insurers · median $1,708
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$806 - $1,957
from 4 insurers · median $1,641
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$33,597
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$144 - $317
from 4 insurers · median $167
Typical for a hospital with this service line
Gynecology
CPT 58571
$19,398
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 72148
$894 - $2,052
from 4 insurers · median $1,228
Typical for a hospital with this service line
MRI imaging
CPT 70551
$894 - $1,936
from 4 insurers · median $1,099
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,252 - $5,222
from 4 insurers · median $1,606
Hospital reports nuclear medicine services to CMS
Medicine & Surgery
CPT 55866
$60,917
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 72197
$1,819 - $3,311
from 4 insurers · median $2,542
Typical for a hospital with this service line
Gynecology
CPT 58558
$2,620 - $6,764
from 2 insurers · median $4,692
Typical for a hospital with this service line
Ultrasound
CPT 76705
$239 - $669
from 4 insurers · median $322
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$39 - $93
from 4 insurers · median $92
Typical for a hospital with this service line
Ultrasound
CPT 76642
$298 - $477
from 4 insurers · median $374
Typical for a hospital with this service line
Ultrasound
CPT 76830
$369 - $701
from 4 insurers · median $424
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$378 - $1,663
from 4 insurers · median $888
Typical for a hospital with this service line
Gynecology
CPT 58661
$4,116 - $6,670
from 2 insurers · median $5,393
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* | 24 | 573% | 17 | 0 |
| Insurer B* | 21 | 371% | 6 | 10 |
| Insurer C* | 18 | 358% | 8 | 5 |
| Insurer D* | 18 | 356% | 1 | 13 |
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 Braxton County Memorial Hospital.
100 Hoylman Dr, Gassaway, WV 26624
(304) 364-5156
The nearest hospitals of similar type and size. Their rates are compared with Braxton County Memorial Hospital for the same insurers and services above.
Webster County Memorial Hospital
▼ Rates typically 16% lower than Braxton County Memorial Hospital (17 services)
Minnie Hamilton Health System
▼ Rates typically 35% lower than Braxton County Memorial Hospital (11 services)
Roane General Hospital
▲ Rates typically 9% higher than Braxton County Memorial Hospital (19 services)
Montgomery General Hospital
▼ Rates typically 55% lower than Braxton County Memorial Hospital (20 services)
Pocahontas Memorial Hospital
▲ Rates typically 7% higher than Braxton County Memorial Hospital (13 services)
Broaddus Hospital Association
▼ Rates typically 13% lower than Braxton County Memorial Hospital (16 services)
Grant Memorial Hospital
Jackson General Hospital
St. Josephs Hospital Of Buckhannon
Potomac Valley Hospital
About Braxton County Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Braxton County Memorial Hospital range from $1,388 to $3,386 across 4 insurers. Blue Cross Blue Shield's rate is $2,021. The median at nearby comparable hospitals is $1,729. 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 Braxton County Memorial Hospital range from $1,335 to $3,099 across 4 insurers. Aetna's rate is $3,099. The median at nearby comparable hospitals is $2,256. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Braxton County Memorial Hospital range from $806 to $1,957 across 4 insurers. Aetna's rate is $1,957. The median at nearby comparable hospitals is $3,078. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Braxton County Memorial Hospital range from $217 to $540 across 4 insurers. Blue Cross Blue Shield's rate is $236. The median at nearby comparable hospitals is $211. What a patient pays depends on their plan's deductible, coinsurance and network status.
Braxton County Memorial Hospital has 25 beds. Facility type: Critical Access Hospital.
Braxton County Memorial Hospital is located at 100 Hoylman Dr, Gassaway, WV 26624. Its main phone number is (304) 364-5156.
Braxton County Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 511308.
The National Provider Identifier (NPI) on file for Braxton County Memorial Hospital is 1356304547.
Braxton County Memorial Hospital is affiliated with West Virginia University Health System.
Braxton County Memorial Hospital lists 30 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.
162 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.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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