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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Davis Memorial Hospital

Elkins, WV

Gorman Avenue And Reed Street, Elkins, WV 26241(304) 636-3300

2 of 5

CMS star rating

110

Beds

2,402

Inpatient discharges a year

$97.3M

Net patient revenue a year

38

In-network payers

About this hospital

Davis Memorial Hospital is a 110-bed voluntary non-profit - private hospital in Elkins, WV. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 142 disclosed rate categories.

  • Sole community hospital
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
CCN
510030
NPI
1619964806
Teaching
No Medicare-funded residents
County
Randolph County
Metro area
Elkins, WV MicroSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11401)
In Medicare since
1966
Last CMS survey
2006

Prices for common services

The 24 services Davis 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, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$13,374

negotiated rate

Blue Cross$13,374

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$19,007

negotiated rate

Blue Cross$19,007

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$292 - $2,420

from 4 insurers · median $1,239

Aetna$292
Insurer A*$770
Insurer B*$1,707
Insurer C*$2,420
Medicare $320Nearby hospitals $1,194In line with nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$118 - $1,560

from 4 insurers · median $1,259

Aetna$118
Insurer A*$1,112
Insurer B*$1,406
Insurer C*$1,560
Medicare $96Nearby hospitals $422198% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Davis Memorial 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*18
527%
141
Insurer B*24
479%
136
Insurer C*17
210%
02
Insurer D*15
65%
015

How we chose these services: 3 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 6 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 Davis Memorial 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)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)Centene

More about this hospital

  • Quality

    2 of 5 stars

    • 156 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 29 services
    • 217 affiliated clinicians
    See doctors and services
  • Finances

    $97.3M net patient revenue

    • Operating margin on patient care -34.9%
    • $5M unreimbursed and uncompensated care
    • -$19.3M net income
    See finances
  • Ownership and leadership

    Owned by Vandalia Health Inc

    • Private (not for profit)
    • Ronald Andro, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Davis Memorial 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
55-0375433(multi-state) Davis Memorial Hospital58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 53 more1619964806 Davis Memorial Hospital1770048043 Davis Memorial Hospital1720275571 Davis Memorial Hospital Groupand 11 more

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

Gorman Avenue And Reed Street, Elkins, WV 26241

(304) 636-3300

Get directions

Frequently asked questions

About Davis Memorial Hospital's rates and hospital price transparency.

How much does an MRI cost at Davis Memorial Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Davis Memorial Hospital range from $202 to $4,733 across 4 insurers. Blue Cross Blue Shield's rate is $4,174. The median at nearby comparable hospitals is $1,294. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Davis Memorial Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Davis Memorial Hospital range from $292 to $2,420 across 4 insurers. Aetna's rate is $292. The median at nearby comparable hospitals is $1,194. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Davis Memorial Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Davis Memorial Hospital range from $13,374 to $13,374 across 1 insurers. Blue Cross Blue Shield's rate is $13,374. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Davis Memorial Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Davis Memorial Hospital range from $91 to $359 across 4 insurers. UnitedHealthcare's rate is $359. The median at nearby comparable hospitals is $188. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Davis Memorial Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Davis Memorial Hospital range from $47,611 to $47,611 across 1 insurers. Blue Cross Blue Shield's rate is $47,611. The median at nearby comparable hospitals is $20,676. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Davis Memorial Hospital's CMS star rating?

Davis Memorial Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Davis Memorial Hospital a teaching hospital?

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

Does Medicare penalize Davis Memorial Hospital for readmissions?

No. Davis Memorial Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Davis Memorial Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (83 discharges), heart failure and shock with mcc (45 discharges), simple pneumonia and pleurisy with mcc (26 discharges).

What is Davis Memorial Hospital's case mix index?

Davis Memorial Hospital's Medicare case mix index is 1.52 for fiscal year 2027, higher than 30% of hospitals paid under the inpatient prospective payment system.

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.

Compliance MRF

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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

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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.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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