Montgomery, WV
32
In-network payers
100
Disclosed rate categories
69
Beds
Montgomery General Hospital is a 69-bed voluntary non-profit - private hospital in Montgomery, WV. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 100 disclosed rate categories.
CCN (Medicare provider number)
511318
NPI
1619913647
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
69
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 Montgomery General 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.
CT imaging
CPT 74177
$450 - $1,830
from 4 insurers · median $1,527
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,133 - $1,666
from 4 insurers · median $1,634
Typical for a hospital with this service line
CT imaging
CPT 70450
$450 - $654
from 4 insurers · median $552
Typical for a hospital with this service line
CT imaging
CPT 74176
$450 - $1,310
from 4 insurers · median $1,105
Typical for a hospital with this service line
CT imaging
CPT 71275
$450 - $1,190
from 4 insurers · median $992
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$767 - $4,250
from 4 insurers · median $1,337
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$944 - $2,383
from 4 insurers · median $1,449
Typical for a hospital with this service line
MRI imaging
CPT 70553
$552 - $1,949
from 4 insurers · median $1,345
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$831 - $2,763
from 4 insurers · median $1,455
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,348 - $1,940
from 4 insurers · median $1,930
Hospital reports nuclear medicine services to CMS
X-ray and bone density
CPT 71046
$138 - $143
from 4 insurers · median $141
Typical for a hospital with this service line
Mammography
CPT 77067
$92 - $141
from 4 insurers · median $120
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,947 - $3,655
from 4 insurers · median $2,633
Typical for a hospital with this service line
MRI imaging
CPT 72148
$681 - $976
from 4 insurers · median $860
Typical for a hospital with this service line
MRI imaging
CPT 70551
$635 - $976
from 4 insurers · median $860
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$754 - $1,360
from 4 insurers · median $1,170
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$13 - $110
from 4 insurers · median $92
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$1,581 - $7,225
from 3 insurers · median $3,188
Typical for a hospital with this service line
Ultrasound
CPT 76705
$191 - $285
from 4 insurers · median $279
Typical for a hospital with this service line
MRI imaging
CPT 73721
$654 - $976
from 4 insurers · median $860
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$6,262 - $11,491
from 4 insurers · median $8,468
Typical for a hospital with this service line
Ultrasound
CPT 76830
$211 - $310
from 4 insurers · median $308
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$166 - $255
from 4 insurers · median $250
Typical for a hospital with this service line
Ultrasound
CPT 76856
$202 - $311
from 4 insurers · median $309
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* | 23 | 289% | 2 | 12 |
| Insurer B* | 24 | 278% | 5 | 11 |
| Insurer C* | 24 | 218% | 9 | 13 |
| Insurer D* | 24 | 184% | 0 | 23 |
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 Montgomery General Hospital.
401 Sixth Avenue, Montgomery, WV 25136
(304) 442-5151
The nearest hospitals of similar type and size. Their rates are compared with Montgomery General Hospital for the same insurers and services above.
Plateau Medical Center
▲ Rates typically 66% higher than Montgomery General Hospital (23 services)
Boone Memorial Hospital
▲ Rates typically 99% higher than Montgomery General Hospital (23 services)
Roane General Hospital
▲ Rates typically 62% higher than Montgomery General Hospital (24 services)
Summers County Arh Hospital
▲ Rates typically 32% higher than Montgomery General Hospital (24 services)
Braxton County Memorial Hospital
▲ Rates typically 105% higher than Montgomery General Hospital (24 services)
Jackson General Hospital
▲ Rates typically 153% higher than Montgomery General Hospital (24 services)
Grafton City Hospital
Jefferson Medical Center - Wvu Medicine
About Montgomery General Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Montgomery General Hospital range from $552 to $1,949 across 4 insurers. Aetna's rate is $750. The median at nearby comparable hospitals is $2,541. 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 Montgomery General Hospital range from $450 to $1,830 across 4 insurers. Aetna's rate is $450. The median at nearby comparable hospitals is $2,186. 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 Montgomery General Hospital range from $944 to $2,383 across 4 insurers. Blue Cross Blue Shield's rate is $2,383. The median at nearby comparable hospitals is $2,714. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Montgomery General Hospital range from $92 to $141 across 4 insurers. Aetna's rate is $137. The median at nearby comparable hospitals is $280. What a patient pays depends on their plan's deductible, coinsurance and network status.
Montgomery General Hospital has 69 beds. Facility type: Critical Access Hospital.
Montgomery General Hospital is located at 401 Sixth Avenue, Montgomery, WV 25136. Its main phone number is (304) 442-5151.
Montgomery General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 511318.
The National Provider Identifier (NPI) on file for Montgomery General Hospital is 1619913647.
Montgomery General Hospital lists 32 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.
100 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