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Short Term Acute Care HospitalPhysician

Charleston Surgical Hospital

Charleston, WV

1306 Kanawha Boulevard East, Charleston, WV 25301(304) 343-4371

Not rated by CMS

CMS star rating

28

Beds

56

Inpatient discharges a year

$35.2M

Net patient revenue a year

23

In-network payers

About this hospital

Charleston Surgical Hospital is a 28-bed physician hospital in Charleston, WV. Below you'll find publicly disclosed negotiated rates and facility details, including 23 in-network payers and 90 disclosed rate categories.

CCN
510091
NPI
1669429965
Website
camc.org
Teaching
No Medicare-funded residents
County
Kanawha County
Metro area
Charleston, WV MSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11401)
In Medicare since
2015
Last CMS survey
2015

Prices for common services

The 24 services Charleston Surgical 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, or start a free trial.

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$2,617 - $4,068

from 3 insurers · median $3,495

Blue Cross$4,068
Insurer A*$2,617
Insurer B*est.$3,495
Medicare $2,040Nearby hospitals $5,44736% below nearby hospitals

1022 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$16,910 - $23,409

from 4 insurers · median $21,580

Blue Cross$19,751
Insurer A*$16,910
Insurer B*est.$23,409
Insurer C*est.$23,409
Medicare $8,068Nearby hospitals $24,73313% below nearby hospitals

36 Medicare discharges for this DRG in CMS hospital data

Orthopedics and pain

Aspiration or injection of a major joint, without ultrasound

CPT 20610

$348 - $3,534

from 4 insurers · median $2,174

UnitedHealthcare$348
Insurer A*$856
Insurer B*est.$3,493
Insurer C*est.$3,534
Medicare $271Nearby hospitals $984121% above nearby hospitals

Common here, based on CMS Medicare volume

MRI imaging

MRI brain before and after contrast

CPT 70553

$2,194 - $2,605

from 3 insurers · median $2,220

Aetnaest.$2,194
Insurer A*est.$2,220
Insurer B*est.$2,605
Medicare $308Nearby hospitals $1,68832% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Charleston Surgical Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*10
395%
63
Insurer B*22
277%
01
Insurer C*20
189%
37
Insurer D*22
111%
615

How we chose these services: 6 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 7 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 Charleston Surgical Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Aspirus Health PlanAvera Health PlansBanner HealthEMI HealthHarvard Pilgrim Health Care (Point32Health)Health Alliance

More about this hospital

  • Quality

    Not rated by CMS

    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 21 services
    • 68 affiliated clinicians
    See doctors and services
  • Finances

    $35.2M net patient revenue

    • Operating margin on patient care 18.5%
    • $2.1M unreimbursed and uncompensated care
    • $8.1M net income
    See finances
  • Ownership and leadership

    Owned by Charleston Area Medical Center Inc

    • Physician ownership
    • James Andrew Lohan, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Charleston Surgical Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
55-0526191Charleston Surgical Hospital LLC42Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 37 more1669429965 Charleston Surgical Hospital LLC1104904143 Charleston Surgical Hospital LLC

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1306 Kanawha Boulevard East, Charleston, WV 25301

(304) 343-4371

Get directions

Frequently asked questions

About Charleston Surgical Hospital's rates and hospital price transparency.

How much does an MRI cost at Charleston Surgical Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Charleston Surgical Hospital range from $2,194 to $2,605 across 3 insurers. Aetna's rate is $2,194. The median at nearby comparable hospitals is $1,688. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Charleston Surgical Hospital?

For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Charleston Surgical Hospital range from $1,055 to $2,696 across 3 insurers. Blue Cross Blue Shield's rate is $1,774. The median at nearby comparable hospitals is $2,411. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Charleston Surgical Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Charleston Surgical Hospital range from $16,910 to $23,409 across 4 insurers. Blue Cross Blue Shield's rate is $19,751. The median at nearby comparable hospitals is $24,733. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Charleston Surgical Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Charleston Surgical Hospital for fiscal year 2027.

Does Medicare penalize Charleston Surgical Hospital for readmissions?

No. Charleston Surgical Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What is Charleston Surgical Hospital's case mix index?

Charleston Surgical Hospital's Medicare case mix index is 3.34 for fiscal year 2027, higher than 98% of hospitals paid under the inpatient prospective payment system.

How many patients does Charleston Surgical Hospital admit?

Charleston Surgical Hospital reported 56 inpatient discharges and 134 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Charleston Surgical Hospital have?

Charleston Surgical Hospital reported 115 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Charleston Surgical Hospital make?

Charleston Surgical Hospital reported $35.2M in net patient revenue on $71.7M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 18.5%, and net income of $8.1M.

How much charity and uncompensated care does Charleston Surgical Hospital provide?

Charleston Surgical Hospital reported $2.1M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $68,643 of charity care at cost.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
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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.

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