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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Mon Health Medical Center

Mon Health · Morgantown, WV

1200 J D Anderson Drive, Morgantown, WV 26505(304) 598-1200

4 of 5

CMS star rating

160

Beds

7,970

Inpatient discharges a year

$452.5M

Net patient revenue a year

30

In-network payers

About this hospital

Mon Health Medical Center is a 160-bed voluntary non-profit - private hospital in Morgantown, WV, affiliated with Mon Health. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 190 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • ACO participant
CCN
510024
NPI
1659489631
Health system
Mon Health
Teaching
No Medicare-funded residents
County
Monongalia County
Metro area
Morgantown, WV MSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11401)
In Medicare since
1976
Last CMS survey
2018

Prices for common services

The 24 services Mon Health Medical Center 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

$2,829 - $12,507

from 2 insurers · median $7,668

Aetna$12,507
Insurer A*$2,829

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 neonatal nursery services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$11,525

negotiated rate

Blue Cross$11,525
Medicare $2,872Nearby hospitals $5,90495% above nearby hospitals

56 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$19,981 - $36,246

from 2 insurers · median $28,113

Blue Cross$19,981
Insurer A*$36,246
Medicare $8,794Nearby hospitals $23,01322% above nearby hospitals

67 Medicare discharges for this DRG in CMS hospital data

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$34,853

negotiated rate

Blue Cross$34,853
Medicare $9,432Nearby hospitals $20,47070% above nearby hospitals

115 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Mon Health Medical Center

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*23
442%
190
Insurer B*15
117%
310

How we chose these services: 9 appear in this hospital's own Medicare claims, 9 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 Mon Health Medical Center, 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

    4 of 5 stars

    • 185 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.49%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 37 services, including trauma care
    • 426 affiliated clinicians
    See doctors and services
  • Finances

    $452.5M net patient revenue

    • Operating margin on patient care -0.3%
    • $7.9M unreimbursed and uncompensated care
    • $25.6M net income
    See finances
  • Ownership and leadership

    Owned by Vandalia Health Inc

    • Private (not for profit)
    • David Goldberg, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
23-7441353(multi-state) Monongalia County General Hospital Company58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ameri Health and 53 more1659489631 Monongalia County General Hospital Company1477890440 Monongalia County General Hospital Company1447673223 Monongalia County General Hospital Companyand 17 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

1200 J D Anderson Drive, Morgantown, WV 26505

(304) 598-1200

Get directions

Frequently asked questions

About Mon Health Medical Center's rates and hospital price transparency.

How much does an MRI cost at Mon Health Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mon Health Medical Center range from $335 to $2,216 across 2 insurers. The median at nearby comparable hospitals is $795. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Mon Health Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mon Health Medical Center range from $468 to $1,956 across 2 insurers. Aetna's rate is $468. The median at nearby comparable hospitals is $681. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Mon Health Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mon Health Medical Center range from $2,829 to $12,507 across 2 insurers. Aetna's rate is $12,507. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mon Health Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mon Health Medical Center range from $161 to $355 across 2 insurers. Blue Cross Blue Shield's rate is $355. The median at nearby comparable hospitals is $206. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Mon Health Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Mon Health Medical Center range from $19,981 to $36,246 across 2 insurers. Blue Cross Blue Shield's rate is $19,981. The median at nearby comparable hospitals is $23,013. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Mon Health Medical Center's CMS star rating?

Mon Health Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Mon Health Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Mon Health Medical Center for fiscal year 2027.

Does Medicare penalize Mon Health Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mon Health Medical Center's base inpatient payments by an estimated 0.49% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Mon Health Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (137 discharges), heart failure and shock with mcc (104 discharges), percutaneous and other intracardiac procedures without mcc (90 discharges).

What is Mon Health Medical Center's case mix index?

Mon Health Medical Center's Medicare case mix index is 1.98 for fiscal year 2027, higher than 77% 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
      }
    ]
  }]
}
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  • 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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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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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
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  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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