Mon Health · Weston, WV
1 of 5
CMS star rating
49
Beds
943
Inpatient discharges a year
$51.2M
Net patient revenue a year
27
In-network payers
Mon Health Stonewall Jackson Memorial Hospital is a 49-bed voluntary non-profit - private hospital in Weston, WV, affiliated with Mon Health. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 119 disclosed rate categories.
The 24 services Mon Health Stonewall Jackson 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.
Medicine & Surgery
CPT 66984
$595 - $11,936
from 4 insurers · median $9,840
232 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$10,271
negotiated rate
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
Childbirth · Inpatient
MS-DRG 788
$14,312
negotiated rate
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 neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$21,228
negotiated rate
35 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$342 - $1,970
from 4 insurers · median $1,693
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$399 - $7,273
from 4 insurers · median $6,149
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$204 - $2,826
from 4 insurers · median $2,364
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$33 - $465
from 4 insurers · median $402
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$20,592
negotiated rate
13 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$127 - $549
from 4 insurers · median $444
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$205 - $1,255
from 4 insurers · median $1,090
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$118 - $563
from 4 insurers · median $484
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$1,219 - $1,517
from 3 insurers · median $1,471
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$10,271
negotiated rate
CMS lists this service as CPT 59610, 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
CT imaging
CPT 71275
$168 - $1,273
from 4 insurers · median $927
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$348 - $1,970
from 4 insurers · median $1,693
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$88 - $563
from 4 insurers · median $493
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$24,477
negotiated rate
Typical for a hospital with this service line
Lung function and sleep
CPT 94060
$1,353 - $1,608
from 3 insurers · median $1,559
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 95810
$603 - $5,355
from 4 insurers · median $4,570
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73630
$34 - $465
from 4 insurers · median $398
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$209 - $1,255
from 4 insurers · median $1,072
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73564
$46 - $563
from 4 insurers · median $499
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73030
$34 - $465
from 4 insurers · median $408
Common here, based on CMS Medicare volume
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* | 18 | 524% | 18 | 0 |
| Insurer B* | 18 | 509% | 15 | 0 |
| Insurer C* | 24 | 396% | 16 | 1 |
| Insurer D* | 16 | 76% | 0 | 16 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 4 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 Stonewall Jackson Memorial Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
1 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$51.2M net patient revenue
Ownership and leadership
Owned by Vandalia Health Inc
The employer identification numbers (EINs) health plans and networks list for Mon Health Stonewall Jackson Memorial Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 55-0422958Stonewall Jackson Memorial Hospital Company | 56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ameri Health and 51 more | 1477559433 Stonewall Jackson Memorial Hospital Company1083617989 Stonewall Jackson Memorial Hospital1154517118 Stonewall Jackson Memorial Hospital Med Groupand 6 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.
230 Hospital Plaza, Weston, WV 26452
(304) 269-8080
How Mon Health Stonewall Jackson Memorial Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
1 of 5
The lowest rating, shared by 6% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Worse on 1 of 4 measures
0 better, 3 no different, 1 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 3 measures
0 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 6 measures
0 better, 4 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
67%
Lower than 65% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.07
Higher than 77% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
98 min
Lower than 91% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
81%
Higher than 86% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 1 of 5 | |
| Death rates | Worse on 1 of 4 measures | |
| Safety | No different on 3 measures | |
| Readmissions | Worse on 2 of 6 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 67% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.07 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 98 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 81% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Mon Health Stonewall Jackson Memorial Hospital's inpatient payments for its readmissions, quality and cost results.
-0.59% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-1.29% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Mon Health Stonewall Jackson Memorial Hospital, beside the US median and the average of WV hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 56 cases | 3.4 | 4.1 | 4.2 | Better than 82% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 341 cases | 5.4 | 3.9 | 4.241 | Worse than 94% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.04 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.217 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 33 cases | 8.2 | 8.5 | 8.375 | Better than 56% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 | Not Available | 11.19 | |||
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 70 cases | 20.3 | 15.2 | 16.12 | Worse than 96% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 12.3 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 313 cases | 0.56 | 0.51 | 0.8007 | No Different Than the National Rate | Worse than 58% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 175 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 566 cases | 0.21 | 0.2 | 0.2268 | No Different Than the National Rate | Worse than 54% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 574 cases | 0.27 | 0.27 | 0.2875 | No Different Than the National Rate | Worse than 46% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 137 cases | 2.3 | 2.29 | 2.396 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 76 cases | 1.67 | 1.63 | 1.739 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 78 cases | 11.76 | 8.88 | 9.477 | No Different Than the National Rate | Worse than 82% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 141 cases | 4.34 | 3.4 | 3.488 | No Different Than the National Rate | Worse than 89% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 65 cases | 5.21 | 5.105 | 5.634 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 36 cases | 2.08 | 1.72 | 1.765 | No Different Than the National Rate | Worse than 92% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 98 cases | 1.03 | 1.02 | 1.136 | No Different Than the National Rate | Worse than 52% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 2.054 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 25 cases | 0.9 | 1.25 | 25.34 | Better than 50% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 75 cases | 18.2 | 3.85 | 15.44 | Worse than 70% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 128 cases | 14.1 | 12.9 | 12.99 | No Different Than the National Rate | Worse than 91% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.66 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.422 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 36 cases | 1 | 1 | 1 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.69 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.01 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 51 cases | 19 | 19.8 | 20.17 | Better than 84% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 27 cases | 21.7 | 21.3 | 22.1 | Worse than 61% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 51 cases | 5.1 | 5.8 | 5.813 | Better than 87% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 139 cases | 18.3 | 17.2 | 17.6 | Worse than 83% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2946 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.545 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 562 | 1,370 | 3,333 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.34 | 0.9835 | 3.216 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.239 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5729 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2609 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.663 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 898 | 1,799 | 3,665 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.46 | 1.377 | 4.479 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.708 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.447 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4274 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.633 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 12 | 61 | 83.54 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.301 | 1.591 | 2.329 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.607 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 1.017 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.213 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.356 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 6 | 38 | 71.57 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.052 | 0.328 | 0.6594 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 0.4286 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.5048 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3062 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.435 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 5,733 | 14,451 | 31,991 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.115 | 0.567 | 2.527 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.425 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.9144 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3019 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.981 | 0.747 | 1.785 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 5,733 | 13,646 | 30,456 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 1.512 | 5.683 | 14.4 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 8.075 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.6149 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 179 cases | 78 | 73 | 76.5 | Better than 68% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 179 cases | 7 | 8 | 7.214 | Better than 56% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 179 cases | 15 | 18 | 16.29 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 179 cases | 90 | 87 | 88.49 | Better than 74% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 179 cases | 4 | 4 | 3.703 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 179 cases | 79 | 80 | 83.57 | Worse than 51% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 179 cases | 91 | 91 | 93.19 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 179 cases | 4 | 4 | 3.286 | Worse than 42% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 179 cases | 3 | 3 | 4.054 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 179 cases | 17 | 16 | 13.14 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 179 cases | 82 | 79 | 82.31 | Better than 66% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 179 cases | 91 | 91 | 92.16 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 179 cases | 5 | 5 | 4.31 | Better than 44% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 179 cases | 3 | 3 | 3.649 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 179 cases | 13 | 16 | 13.38 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 179 cases | 60 | 61 | 65.98 | Worse than 53% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 179 cases | 77 | 77 | 80 | Better than 47% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 179 cases | 19 | 19 | 16.29 | Better than 50% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 179 cases | 3 | 3 | 3.405 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 179 cases | 21 | 19 | 17.74 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 179 cases | 84 | 86 | 87.05 | Worse than 66% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 179 cases | 16 | 13 | 12.36 | Worse than 72% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 179 cases | 3 | 3 | 3.622 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 179 cases | 84 | 87 | 87.64 | Worse than 72% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 179 cases | 15 | 14 | 13.5 | Worse than 51% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 179 cases | 85 | 86 | 86.5 | Worse than 51% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 179 cases | 77 | 74 | 77.5 | Better than 67% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 179 cases | 6 | 7 | 5.4 | Better than 53% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 179 cases | 17 | 19 | 17.1 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 179 cases | 81 | 77 | 80.38 | Better than 71% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 179 cases | 6 | 6 | 4.85 | Worse than 47% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 179 cases | 13 | 17 | 14.78 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 179 cases | 89 | 85 | 87.63 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 179 cases | 3 | 3 | 2.925 | Better than 49% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 179 cases | 8 | 11 | 9.45 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 179 cases | 12 | 8 | 7.214 | Worse than 81% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 179 cases | 19 | 20 | 18.64 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 179 cases | 69 | 72 | 74.14 | Worse than 60% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 179 cases | 87 | 88 | 89.14 | Worse than 58% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 179 cases | 3 | 3 | 3.541 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 179 cases | 72 | 74 | 77.93 | Worse than 62% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 179 cases | 13 | 9 | 8.075 | Worse than 80% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 179 cases | 15 | 16 | 14 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 179 cases | 74 | 75 | 78.93 | Worse than 52% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 179 cases | 8 | 5 | 4.475 | Worse than 78% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 179 cases | 18 | 20 | 16.6 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 179 cases | 76 | 77 | 81.18 | Worse than 51% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 179 cases | 4 | 4 | 3.5 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 179 cases | 20 | 19 | 15.33 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 179 cases | 87 | 86 | 89.1 | Better than 53% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 179 cases | 1 | 3 | 2.175 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 179 cases | 12 | 11 | 8.725 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 179 cases | 51 | 59 | 58.24 | Worse than 77% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 179 cases | 9 | 9 | 9.571 | Worse than 47% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 179 cases | 40 | 31 | 32.19 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 179 cases | 81 | 82 | 82.27 | Worse than 52% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 179 cases | 3 | 3 | 3.459 | Worse than 44% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 179 cases | 4 | 5 | 5.071 | Better than 57% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 179 cases | 67 | 71 | 72.57 | Worse than 65% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 179 cases | 87 | 87 | 88.19 | Worse than 49% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 179 cases | 29 | 23 | 22.36 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 179 cases | 4 | 4 | 3.892 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 179 cases | 48 | 47 | 53.48 | Better than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 179 cases | 25 | 30 | 25.43 | Better than 74% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 179 cases | 27 | 22 | 21.1 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 179 cases | 3 | 3 | 3.73 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 179 cases | 17 | 12 | 11.38 | Worse than 86% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 179 cases | 83 | 88 | 88.63 | Worse than 86% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 10.58 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 0.8 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 616 cases | 94 | 79 | 86.73 | Better than 83% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 379 cases | 98 | 154 | 152 | Better than 94% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 363 cases | 98 | 148 | 145 | Better than 91% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 251 | |||
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 340 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 12,058 cases | 1 | 1 | 1.676 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 51.41 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 61 cases | 89 | 97 | 87.04 | Worse than 80% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 99 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 34.5 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 181 cases | 10 | 15 | 14.95 | Better than 82% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 98 cases | 81 | 65 | 58.07 | Better than 86% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 42 cases | 100 | 73 | 68.71 | The best result, shared by 3% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 30 cases | 90 | 88 | 81.06 | Better than 54% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 99 cases | 84 | 82 | 73.97 | Better than 56% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 56 cases | 100 | 94 | 92.48 | The best result, shared by 10% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 95.92 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 72 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 91.7 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 78.13 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 103 cases | 93 | 97 | 90.26 | Worse than 73% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 3.5 | 5 | 6.323 | Better than 68% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 9.5 | 6.6 | 7.414 | Worse than 79% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.05 | 0.99 | 1.001 | Worse than 79% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 0 | 20 | 16.67 | The worst result, shared by 11% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0 | 5 | 4.224 | The worst result, shared by 11% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 16.5 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 4.25 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 21 | 34 | 30.4 | Worse than 76% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 5.25 | 8.75 | 7.896 | Worse than 77% of US hospitals | |
| VBP safety domain scoreFY 2026 | 20 | 40 | 32.14 | Worse than 85% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 5 | 10 | 8.035 | Worse than 85% of US hospitals | |
| VBP total performance scoreFY 2026 | 10.25 | 29.5 | 24 | Worse than 99% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2026 |
|---|---|---|---|---|
| VBP clinical outcomes domain score | 54 | 57.5 | 42.5 | 0 |
| VBP clinical outcomes weighted domain score | 18 | 14.38 | 10.63 | 0 |
| VBP efficiency and cost reduction domain score | 80 | Not Available | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 26.67 | Not Available | 0 | 0 |
| VBP person and community engagement domain score | 54 | Not Available | Not Available | 21 |
| VBP person and community engagement weighted domain score | 18 | Not Available | Not Available | 5.25 |
| VBP safety domain score | Not Available | Not Available | Not Available | 20 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | 5 |
| VBP total performance score | 62.67 | Not Available | Not Available | 10.25 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.005 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.016 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 1.051 | 0.9969 | 1.007 | Worse than 87% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 0.9868 | 0.9983 | 1.029 | Better than 59% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.9484 | 0.9916 | 0.9747 | Better than 63% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 80 cases | 1.062 | 0.9955 | 1.024 | Worse than 84% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.02 | 1.018 | 1.018 | 1.021 | 1.017 | 1.051 |
| READM-30-HF-HRRP | 1.01 | 1.044 | 1.057 | 1.037 | 0.9809 | 0.9868 |
| READM-30-HIP-KNEE-HRRP | 0.8906 | 0.8266 | 0.8355 | 0.8576 | 0.9403 | 0.9484 |
| READM-30-PN-HRRP | 1.146 | 1.119 | 1.003 | 1.012 | 1.06 | 1.062 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8067 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 1.535 | 0.346 | 0.7351 | Worse than 99% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.9215 | |||
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8799 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.072 | 0.9628 | 1.078 | Worse than 77% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.464 | 0.7945 | 1.102 | Worse than 84% of US hospitals | |
| Total HAC scoreFY 2026 | 1.276 | -0.0453 | 0.5259 | Worse than 97% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | Yes | Yes |
| Total HAC score | -1.363 | -1.059 | 0 | -0.1696 | 1.409 | 1.276 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2020)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
70
Medicare-certified beds
79
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Mon Health Stonewall Jackson Memorial Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
943
Inpatient discharges
Medicare 25%, Medicaid 5%
3,133
Inpatient days
18% of available bed days used
307
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 837892). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Mon Health Stonewall Jackson Memorial Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 762 | 306 | 2,065 | 3,133 |
| Discharges | 240 | 45 | 658 | 943 |
| Average length of stay | 3.2 days | 6.8 days | 3.1 days | 3.3 days |
| Average daily census | 2.1 | 0.8 | 5.7 | 8.6 |
1,352
Medicare Advantage days
346 discharges
558
Medicaid managed care days
239 discharges
1,528
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 43 | 2,614 | 646 | 17% |
| Intensive care unit | 6 | 269 | 116 | 12% |
| Nursery | 250 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837892, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Mon Health Stonewall Jackson Memorial Hospital treats Medicare patients for most often, in 2024. 73 Medicare discharges in 4 published DRGs; 0% surgical; 100% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 35 | $45,442 | $14,195 | $21,676 | 1.98 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 16 | $31,561 | $5,669 | $15,054 | 0.82 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 11 | $50,100 | $12,908 | $23,898 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 11 | $30,513 | $8,067 | $14,555 | 1.33 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Mon Health Stonewall Jackson Memorial Hospital billed Medicare for most in 2024: 393 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 232 | 138 | $8,458 | $1,452 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 101 | 95 | $15,556 | $1,675 | $2,090 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 19 | 11 | $9,246 | $1,266 | $2,141 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 15 | $5,684 | $767 | $1,196 | |
| Level 3 Vascular ProceduresAPC 5183 | 13 | $17,563 | $1,437 | $2,405 | |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 13 | 13 | $26,081 | $3,756 | $4,358 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Mon Health Stonewall Jackson Memorial Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 500 in 2020 to 408 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 26452 | 230 | 56% | 829 | $9.5M | 34% | 40% |
| 26351 | 52 | 13% | 180 | $2.2M | 32% | 47% |
| 26378 | 49 | 12% | 168 | $2M | 19% | 25% |
| 26201 | 22 | 5% | 98 | $1.2M | 2% | 4% |
| 26447 | 17 | 4% | 65 | $733,447 | 47% | 47% |
| 26338 | 16 | 4% | 86 | $985,721 | 57% | 48% |
| 26335 | 11 | 3% | 26 | $332,809 | 35% | 27% |
| 26384 | 11 | 3% | 37 | $366,164 | 100% | 100% |
Source: CMS Hospital Service Area file. Shares are of the 408 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Mon Health Stonewall Jackson Memorial Hospital reported at its latest Medicare certification survey (2014). Counts are people, not full-time equivalents.
2
Operating rooms
1
Endoscopy rooms
15
Off-site locations
79
Registered nurses
16
Licensed practical nurses
20
Physicians
1
Nurse practitioners
3
Physician assistants
5
Nurse anesthetists (CRNAs)
2
Pharmacists
9
Respiratory therapists
4
Physical therapists
11
Radiology technicians
3
Nuclear medicine technicians
9
Laboratory technicians
2
Medical technologists
1
Social workers
240
Other personnel
Source: CMS Provider of Services file.
102 clinicians who bill Medicare list Mon Health Stonewall Jackson Memorial Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Adnan Alghadban, M.D.
Neurology Physician
NPI 1043323199
See commercial rates for Adnan Alghadban, M.D.Chad Micucci, M.D.
Orthopaedic Surgery Physician
NPI 1386899664
See commercial rates for Chad Micucci, M.D.Frank Swisher, DO
Family Medicine Physician
NPI 1407802218
See commercial rates for Frank Swisher, DOGinger Layne, M.D.
Diagnostic Radiology Physician
NPI 1497962773
See commercial rates for Ginger Layne, M.D.Carey Swisher, DO
Family Medicine Physician
NPI 1801246897
See commercial rates for Carey Swisher, DOKenneth Judson, DO
Clinical Cardiac Electrophysiology Physician
NPI 1770525891
See commercial rates for Kenneth Judson, DOEdgar Gamponia, M.D.
Ophthalmology Physician
NPI 1053487736
See commercial rates for Edgar Gamponia, M.D.Pradeep Chadha, M.D.
Internal Medicine Physician
NPI 1659508638
See commercial rates for Pradeep Chadha, M.D.Jo Longenecker, M.D.
Family Medicine Physician
NPI 1548359193
See commercial rates for Jo Longenecker, M.D.Wissam Gharib, M. D.
Interventional Cardiology Physician
NPI 1386757037
See commercial rates for Wissam Gharib, M. D.Abdulmalek Sabbagh, MD
Cardiovascular Disease Physician
NPI 1427018837
See commercial rates for Abdulmalek Sabbagh, MDAngela Mills, DO
Family Medicine Physician
NPI 1225266208
See commercial rates for Angela Mills, DOAllison Bardes, M.D.
Ophthalmology Physician
NPI 1144586942
See commercial rates for Allison Bardes, M.D.Timothy Peasak, D.O.
Emergency Medicine Physician
NPI 1720142391
See commercial rates for Timothy Peasak, D.O.John Battin, M.D.
Urology Physician
NPI 1003866641
See commercial rates for John Battin, M.D.Lauren Strait, MD
Vascular Surgery Physician
NPI 1316324148
See commercial rates for Lauren Strait, MDSamantha Crites, D.O.
Cardiovascular Disease Physician
NPI 1679898290
See commercial rates for Samantha Crites, D.O.Anthony Roda-Renzelli, MD
Interventional Cardiology Physician
NPI 1992803506
See commercial rates for Anthony Roda-Renzelli, MDGobind Singh, MD
Pain Medicine Physician
NPI 1730599044
See commercial rates for Gobind Singh, MDSalam Sbaity, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1710196712
See commercial rates for Salam Sbaity, M.D.James Demarco, MD
Nephrology Physician
NPI 1619946936
See commercial rates for James Demarco, MDMohamed Sabbagh, MD
Family Medicine Physician
NPI 1124349493
See commercial rates for Mohamed Sabbagh, MDJeremy Williams, MD
Family Medicine Physician
NPI 1922212117
See commercial rates for Jeremy Williams, MDIhtishaam Qazi, M.D.
Hematology & Oncology Physician
NPI 1578820239
See commercial rates for Ihtishaam Qazi, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Mon Health Stonewall Jackson Memorial Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $227.7M | 444.7% |
| Inpatient | $44.7M | 87.4% |
| Outpatient | $183M | 357.4% |
| Contractual allowances and discounts | -$176.5M | -344.7% |
| Net patient revenue | $51.2M | 100.0% |
| Operating expenses | -$66.6M | -130.2% |
| Operating income from patient care | -$15.4M | -30.2% |
| Other income | $9M | 17.6% |
| Contributions and donations | $22,510 | 0.0% |
| Investment income | $6.9M | 13.4% |
| Other | $2.1M | 4.1% |
| Net income | -$6.5M | -12.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $33.1M | 16.0% |
| Medicaid (including managed care) | $50.2M | 24.3% |
| Other payers and self-pay | $122.9M | 59.6% |
| Total charges | $206.2M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837892, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Mon Health Stonewall Jackson Memorial Hospital's latest cost report.
-30.2%
Operating margin
Operating income from patient care / net patient revenue
-10.7%
Total margin
Net income / net patient revenue plus other income
-8.5%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
51% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$44.72
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-7.7%
Return on assets
Net income for a year / total assets
-13.7%
Return on equity
Net income for a year / fund balance
0.59
Current ratio
Current assets / current liabilities
0.21
Quick ratio
Cash, temporary investments and net receivables / current liabilities
17 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
32 days
Days in patient receivables
Net patient receivables / daily net patient revenue
193 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.72
Asset turnover
Total revenue for a year / total assets
3.3 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 837892, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Mon Health Stonewall Jackson Memorial Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $83.4M in total assets and a $47.2M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $3M | 3.6% |
| Patient receivables, net | $4.4M | 5.3% |
| Inventory | $1.8M | 2.2% |
| Total current assets | $20.5M | 24.5% |
| Property and equipment, net of depreciation | $15.3M | 18.4% |
| Investments and other assets | $47.6M | 57.1% |
| Total assets | $83.4M | 100.0% |
| Current liabilities | $34.9M | 41.8% |
| Total liabilities | $36.3M | 43.5% |
| Fund balance (net assets) | $47.2M | 56.5% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837892, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Mon Health Stonewall Jackson Memorial Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.1M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$3.1M
Bad debt
Patient bills written off as uncollectible, at charges
$99,094
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$2M
Total unreimbursed and uncompensated care
3.0% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 837892, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Mon Health Stonewall Jackson Memorial Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $40.4M | $47M | $48.5M | $47.6M | $52.8M | $51.2M |
| Operating expenses | $51.8M | $49.9M | $55.1M | $53.7M | $59.2M | $66.6M |
| Operating margin | -28.1% | -6.2% | -13.6% | -13.0% | -12.2% | -30.2% |
| Net income | -$4.8M | $13.2M | -$8.1M | -$498,443 | -$439,036 | -$6.5M |
| Total assets | $64.6M | $76.5M | $65.3M | $66M | $77.9M | $83.4M |
| Discharges | 1,251 | 1,407 | 1,391 | 1,150 | 1,130 | 943 |
| Inpatient days | 4,429 | 4,789 | 5,662 | 3,952 | 4,298 | 3,133 |
| Medicare Advantage days | 1,028 | 1,231 | 1,506 | 1,365 | 1,550 | 1,352 |
| Beds | 49 | 49 | 49 | 49 | 49 | 49 |
| Employees (FTE) | 349 | 308 | 308 | 282 | 307 | 307 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837892, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Mon Health Stonewall Jackson Memorial Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Drugs charged to patients | $10.6M | $56.5M | 0.19 | 529 | |
| Emergency | $4.7M | $5.5M | $32.6M | 0.17 | 5,930 |
| Operating room | $801,419 | $4.3M | $19.1M | 0.23 | 3,780 |
| Laboratory | $932,812 | $4.2M | $17.5M | 0.24 | 3,247 |
| Observation beds (non-distinct part | $3.5M | $2.1M | 1.63 | ||
| Radiology-diagnostic | $1.2M | $2.3M | $7.4M | 0.31 | 2,443 |
| Physical therapy | $796,796 | $1.6M | $6.5M | 0.24 | |
| Impl. dev. charged to patients | $1.6M | $5.7M | 0.27 | ||
| Delivery room & labor room | $1.4M | $771,365 | 1.79 | 2,543 | |
| Stonewall medical group (amy pearso | $1.4M | $1.2M | $939,761 | 1.26 | |
| Respiratory therapy | $362,822 | $1.1M | $10.9M | 0.10 | 871 |
| Vein center chemo infusion | $604,579 | $982,055 | $3.7M | 0.26 | 1,552 |
| Mountaineer healthcare for women - | $1.9M | $895,149 | $46,119 | 19.41 | |
| Cardia rehab | $379,209 | $757,964 | $1.9M | 0.40 | 1,173 |
| Weston orthopedics and sports medic | $551,948 | $736,171 | $1.1M | 0.66 | |
| Ct scan | $721,855 | $7.3M | 0.10 | 361 | |
| Medical supplies charged to patient | $531,584 | $1.9M | 0.27 | ||
| Mon health primary care - weston | $392,644 | $260,116 | $379,858 | 0.68 | |
| Mon health podiatry | $264,957 | $222,247 | $594,792 | 0.37 | |
| Ronald pearson md | $743,039 | $213,238 | $165,630 | 1.29 | |
| Mon health primary care - buckhanno | $140,342 | $212,935 | $251,923 | 0.85 | |
| Anesthesiology | $1.3M | $210,793 | $5.6M | 0.04 | 138 |
| Stonewall heart and vascular clinic | $197,124 | $174,811 | $372,969 | 0.47 | |
| Recovery room | $132,140 | $2.1M | 0.06 | 367 | |
| Electrocardiology | $59,004 | $110,745 | $3.4M | 0.03 | 40 |
| Nuclear medicine - diagnostic | $107,105 | $2.1M | 0.05 | 703 | |
| Mon health pulmonology | $37,860 | $94,636 | $207,854 | 0.46 | |
| Stonewall urology - dr walsh md | $5,259 | $84,475 | $32,654 | 2.59 | 1,713 |
| Mri | $73,528 | $840,509 | 0.09 | ||
| Electroencephalography | $25,239 | $61,263 | $406,117 | 0.15 | |
| Ultra sound | $278 | $51,141 | $915,738 | 0.06 | 168 |
| Mon health rheumatology | $27,108 | $43,388 | $14,243 | 3.05 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $3M | $9.5M | $10M | 0.95 | 21,275 |
| Intensive care unit | $734,790 | $2.4M | $2.4M | 0.97 | 1,823 |
| Nursery | $379,990 | $269,436 | 1.41 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $3.6M | $13.3M | 81,938 | $43.44 | 9,080 |
| Employee benefits department | $82,836 | $2.1M | |||
| Operation of plant | $298,463 | $2.1M | 12,664 | $23.57 | 6,180 |
| Nursing administration | $1.8M | $2.1M | 34,678 | $50.47 | 1,284 |
| Pharmacy | $699,633 | $1M | 14,114 | $49.57 | 1,101 |
| Housekeeping | $623,381 | $859,092 | 32,932 | $18.93 | 3,099 |
| Dietary | $433,434 | $843,507 | 22,488 | $19.27 | 4,621 |
| Cap rel costs-mvble equip | $691,342 | ||||
| Cap rel costs-bldg & fixt | $636,960 | 80,957 | |||
| Medical records & library | $387,856 | $430,603 | 14,610 | $26.55 | 2,417 |
| Central services & supply | $212,162 | $345,134 | 9,940 | $21.34 | 4,178 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837892, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Mon Health Stonewall Jackson Memorial Hospital for an inpatient stay.
1.39
Case mix index
Higher than 16% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
35.1%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
247
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.43 | 1.43 | 1.42 | 1.79 | 1.47 | 1.37 | 1.39 |
| Wage index | 0.791 | 0.783 | 0.785 | 0.786 | 0.758 | 0.898 | 0.853 |
| Readmissions adjustment | -3.00% | -1.84% | -1.64% | -0.35% | -0.35% | -0.43% | -0.59% |
| Value-based purchasing adjustment | +1.72% | +2.02% | +2.02% | -0.72% | 0.00% | 0.00% | -1.29% |
| Medicare inpatient stays | 606 | 606 | 400 | 315 | 298 | 288 | 247 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Mon Health Stonewall Jackson Memorial Hospital reports to Medicare as owners or with operational control.
Vandalia Health Inc
Operational/managerial control, 100%, since 2022
Vandalia Health Inc
5% or greater direct ownership interest, 100%, since 2022
Monongalia Health System, Inc.
Operational/managerial control, since 2017
Sources: CMS Hospital All Owners.
The officers and board members on Mon Health Stonewall Jackson Memorial Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 14 of 15 are shown.
Stonewall Jackson Memorial Hospital files the Form 990 for the tax ID insurers list for Mon Health Stonewall Jackson Memorial Hospital, so these people may lead the wider organization rather than Mon Health Stonewall Jackson Memorial Hospital alone.
| Name | Title |
|---|---|
| David Goldberg | Director & Mhs CEO |
| Kevin Stalnaker | Cao |
| Rick Scherich | VP Finance |
| Gregory Cunningham | Vice Chair |
| Kim Gum | Secretary/treasurer |
| Robin Poling | Chairman |
Board members: Doyle Sickles, Alissa Lambert, Allison Bardes MD, George Stansberry, Gregory St Clair, John Law CPA, Joseph Snead MD, Lisa Songer, R Gerald Wood.
Source: IRS Form 990 Part VII filed by Stonewall Jackson Memorial Hospital (EIN 55-0422958), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2019
340B ID DSH510038, registered as a disproportionate share hospital; 10 registered outpatient sites; 36 active contract pharmacies. Authorizing official: Clyde Richard Scherich, VP Of Finance.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
Vandalia Health Network
ACO A4513, current agreement since 2025. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Mon Health Stonewall Jackson Memorial Hospital's legal name.
About Mon Health Stonewall Jackson Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mon Health Stonewall Jackson Memorial Hospital range from $348 to $1,970 across 4 insurers. Cigna's rate is $1,910. The median at nearby comparable hospitals is $816. 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 Mon Health Stonewall Jackson Memorial Hospital range from $342 to $1,970 across 4 insurers. Aetna's rate is $342. The median at nearby comparable hospitals is $816. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mon Health Stonewall Jackson Memorial Hospital range from $10,271 to $10,271 across 1 insurers. Blue Cross Blue Shield's rate is $10,271. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mon Health Stonewall Jackson Memorial Hospital range from $127 to $549 across 4 insurers. UnitedHealthcare's rate is $549. The median at nearby comparable hospitals is $190. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Mon Health Stonewall Jackson Memorial Hospital range from $21,228 to $21,228 across 1 insurers. Blue Cross Blue Shield's rate is $21,228. The median at nearby comparable hospitals is $20,647. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mon Health Stonewall Jackson Memorial Hospital has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.
CMS reports no Medicare-funded interns or residents at Mon Health Stonewall Jackson Memorial Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mon Health Stonewall Jackson Memorial Hospital's base inpatient payments by an estimated 0.59% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (35 discharges), simple pneumonia and pleurisy with cc (16 discharges), respiratory infections and inflammations with mcc (11 discharges).
Mon Health Stonewall Jackson Memorial Hospital's Medicare case mix index is 1.39 for fiscal year 2027, higher than 16% of hospitals paid under the inpatient prospective payment system.
Mon Health Stonewall Jackson Memorial Hospital reported 943 inpatient discharges and 3,133 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Mon Health Stonewall Jackson Memorial Hospital reported 307 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Mon Health Stonewall Jackson Memorial Hospital reported $51.2M in net patient revenue on $227.7M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -30.2%, and net income of -$6.5M.
Mon Health Stonewall Jackson Memorial Hospital reported $2M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $1.1M of charity care at cost.
Insurers' price transparency files list Mon Health Stonewall Jackson Memorial Hospital under employer identification number 55-0422958 (Stonewall Jackson Memorial Hospital Company). 56 health plans and networks list 55-0422958 for it.
Yes. HRSA's 340B database lists Mon Health Stonewall Jackson Memorial Hospital (340B ID DSH510038) as a participating disproportionate share hospital since 2019, with 36 active contract pharmacies.
102 clinicians who bill Medicare list Mon Health Stonewall Jackson Memorial Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (13), family nurse practitioner (13), physician assistant (9).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Mon Health Stonewall Jackson Memorial Hospital, effective 2020.
In its Medicare enrollment, Mon Health Stonewall Jackson Memorial Hospital reports Vandalia Health Inc as 5% or greater direct ownership interest (100%).
CMS lists 28 services at Mon Health Stonewall Jackson Memorial Hospital, including Acute Renal Dialysis, Anesthesia, Audiology, Chemotherapy, Clinical Laboratory, CT Scan.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Mon Health Stonewall Jackson Memorial Hospital came from ZIP codes 26452 (230), 26351 (52), 26378 (49).
Mon Health Stonewall Jackson Memorial Hospital has 49 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 70 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Mon Health Stonewall Jackson Memorial Hospital is located at 230 Hospital Plaza, Weston, WV 26452. Its main phone number is (304) 269-8080.
Mon Health Stonewall Jackson Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 510038.
The National Provider Identifier (NPI) on file for Mon Health Stonewall Jackson Memorial Hospital is 1477559433.
Mon Health Stonewall Jackson Memorial Hospital is affiliated with Mon Health.
Mon Health Stonewall Jackson Memorial Hospital lists 27 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.
119 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