Grafton, WV
23
In-network payers
99
Disclosed rate categories
25
Beds
Grafton City Hospital is a 25-bed voluntary non-profit - private hospital in Grafton, WV. Below you'll find publicly disclosed negotiated rates and facility details, including 23 in-network payers and 99 disclosed rate categories.
CCN (Medicare provider number)
511307
NPI
1265484893
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 Grafton City 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.
Mammography
CPT 77067
$116 - $707
from 4 insurers · median $610
Typical for a hospital with this service line
CT imaging
CPT 70450
$107 - $1,016
from 4 insurers · median $876
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$151 - $2,513
from 4 insurers · median $1,973
Typical for a hospital with this service line
CT imaging
CPT 74177
$311 - $800
from 2 insurers · median $556
Typical for a hospital with this service line
CT imaging
CPT 74176
$187 - $804
from 2 insurers · median $495
Typical for a hospital with this service line
CT imaging
CPT 71260
$168 - $1,003
from 2 insurers · median $585
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,632
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 72148
$120 - $1,496
from 2 insurers · median $808
Typical for a hospital with this service line
Mammography
CPT 77066
$144 - $808
from 4 insurers · median $659
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,341
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 74183
$3,591
negotiated rate
Typical for a hospital with this service line
Mammography
CPT 77065
$114 - $559
from 4 insurers · median $430
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,797
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$30 - $106
from 2 insurers · median $68
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,255
negotiated rate
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,945
negotiated rate
Hospital reports nuclear medicine services to CMS
Digestive procedures
CPT 45380
$1,096
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$110 - $431
from 2 insurers · median $270
Typical for a hospital with this service line
Ultrasound
CPT 76705
$65 - $251
from 2 insurers · median $158
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$9 - $86
from 2 insurers · median $47
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$548 - $2,405
from 2 insurers · median $1,477
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$2,925
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76830
$109 - $182
from 2 insurers · median $145
Typical for a hospital with this service line
Ultrasound
CPT 76642
$78 - $164
from 2 insurers · median $121
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* | 5 | 721% | 0 | 0 |
| Insurer B* | 5 | 705% | 0 | 0 |
| Insurer C* | 24 | 302% | 9 | 13 |
| Insurer D* | 16 | 87% | 0 | 16 |
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 Grafton City Hospital.
1 Hospital Plaza, Grafton, WV 26354
(304) 265-0400
The nearest hospitals of similar type and size. Their rates are compared with Grafton City Hospital for the same insurers and services above.
Broaddus Hospital Association
Rates about the same as Grafton City Hospital (19 services)
Mon Health Preston Memorial Hospital
▲ Rates typically 37% higher than Grafton City Hospital (23 services)
St. Josephs Hospital Of Buckhannon
▲ Rates typically 343% higher than Grafton City Hospital (23 services)
Grant Memorial Hospital
▼ Rates typically 6% lower than Grafton City Hospital (23 services)
Sistersville General Hospital
▲ Rates typically 55% higher than Grafton City Hospital (16 services)
Potomac Valley Hospital
▲ Rates typically 252% higher than Grafton City Hospital (24 services)
Braxton County Memorial Hospital
War Memorial Hospital
Minnie Hamilton Health System
About Grafton City Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Grafton City Hospital range from $2,632 to $2,632 across 1 insurers. Blue Cross Blue Shield's rate is $2,632. The median at nearby comparable hospitals is $2,368. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT head or brain without contrast (CPT 70450), published negotiated rates at Grafton City Hospital range from $107 to $1,016 across 4 insurers. Aetna's rate is $107. The median at nearby comparable hospitals is $479. 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 Grafton City Hospital range from $1,255 to $1,255 across 1 insurers. Blue Cross Blue Shield's rate is $1,255. The median at nearby comparable hospitals is $1,383. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Grafton City Hospital range from $116 to $707 across 4 insurers. Cigna's rate is $707. The median at nearby comparable hospitals is $360. What a patient pays depends on their plan's deductible, coinsurance and network status.
Grafton City Hospital has 25 beds. Facility type: Critical Access Hospital.
Grafton City Hospital is located at 1 Hospital Plaza, Grafton, WV 26354. Its main phone number is (304) 265-0400.
Grafton City Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 511307.
The National Provider Identifier (NPI) on file for Grafton City Hospital is 1265484893.
Grafton City Hospital lists 23 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
99 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