Point Pleasant, WV
1 of 5
CMS star rating
43
Beds
748
Inpatient discharges a year
$43.8M
Net patient revenue a year
26
In-network payers
Pleasant Valley Hospital is a 43-bed voluntary non-profit - private hospital in Point Pleasant, WV. Below you'll find publicly disclosed negotiated rates and facility details, including 26 in-network payers and 110 disclosed rate categories.
The 24 services Pleasant Valley 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.
CT imaging
CPT 74177
$2,243 - $4,313
from 4 insurers · median $3,754
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$4,782 - $7,967
from 2 insurers · median $6,374
114 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
CT imaging
CPT 74176
$1,067 - $4,025
from 4 insurers · median $3,536
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$1,206 - $1,881
from 4 insurers · median $1,706
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$2,203 - $3,136
from 4 insurers · median $2,781
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$385 - $497
from 4 insurers · median $471
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,708 - $2,235
from 4 insurers · median $2,053
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$4,545 - $5,018
from 4 insurers · median $4,889
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$10,211 - $10,987
from 2 insurers · median $10,599
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,192 - $4,000
from 4 insurers · median $3,048
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$1,581 - $3,299
from 4 insurers · median $2,773
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$247 - $294
from 4 insurers · median $280
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$2,215 - $3,243
from 4 insurers · median $3,040
Common here, based on CMS Medicare volume
MRI imaging
CPT 73221
$3,088 - $4,626
from 2 insurers · median $3,857
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$392 - $628
from 4 insurers · median $508
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$2,251 - $2,648
from 2 insurers · median $2,449
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,886 - $2,124
from 2 insurers · median $2,005
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73630
$335 - $406
from 4 insurers · median $383
Common here, based on CMS Medicare volume
Ultrasound
CPT 76536
$480 - $693
from 4 insurers · median $584
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73564
$376 - $526
from 4 insurers · median $478
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$18,272
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76830
$371 - $711
from 4 insurers · median $606
Common here, based on CMS Medicare volume
Skin and soft tissue
CPT 11401
$6,313
negotiated rate
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 73030
$294 - $382
from 4 insurers · median $345
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* | 17 | 615% | 4 | 8 |
| Insurer B* | 17 | 549% | 4 | 8 |
| Insurer C* | 23 | 511% | 13 | 8 |
| Insurer D* | 23 | 430% | 8 | 13 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 21 are common here based on CMS Medicare volume, and 2 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 Pleasant Valley 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
$43.8M net patient revenue
Ownership and leadership
Owned by Marshall Health Network Inc
The employer identification numbers (EINs) health plans and networks list for Pleasant Valley 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 |
|---|---|---|
| 55-0440086Pleasant Valley Hospital | 44Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 39 more | 1598975120 Pleasant Valley Hospital Inc.1083274385 Pleasant Valley Hospital Inc1720281975 Pleasant Valley Nursing And Rehabilitation Center Inc.and 8 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.
2520 Valley Drive, Point Pleasant, WV 25550
(304) 675-4340
How Pleasant Valley 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
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 2 measures
0 better, 2 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
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
62%
Lower than 81% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.98
Higher than 56% 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
104 min
Lower than 87% 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
45%
Lower than 87% 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 | No different on 4 measures | |
| Safety | No different on 2 measures | |
| Readmissions | Worse on 2 of 6 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 62% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.98 | 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 | 104 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 45% | 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 Pleasant Valley 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.
-1.00% 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 Pleasant Valley 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 | Pleasant Valley Hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.2 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 295 cases | 5.2 | 3.9 | 4.241 | Worse than 92% 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 · 32 cases | 8.3 | 8.5 | 8.375 | Better than 53% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 34 cases | 11.1 | 11 | 11.19 | Worse than 51% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 82 cases | 16.3 | 15.2 | 16.12 | Worse than 66% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 28 cases | 12.2 | 11.6 | 12.3 | Worse than 59% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 355 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 · 492 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 · 503 cases | 0.31 | 0.27 | 0.2875 | No Different Than the National Rate | Worse than 84% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 | Not Available | 2.396 | Number of Cases Too Small | ||
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.739 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 9.477 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 | Not Available | 3.488 | Number of Cases Too Small | ||
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.634 | |||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.765 | |||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 42 cases | 1.06 | 1.02 | 1.136 | No Different Than the National Rate | Worse than 71% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Pleasant Valley 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 · 37 cases | 102 | 1.25 | 25.34 | Worse than 99% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 89 cases | 73.5 | 3.85 | 15.44 | Worse than 97% 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 · 112 cases | 13 | 12.9 | 12.99 | No Different Than the National Rate | Worse than 50% 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 · 32 cases | 1.1 | 1 | 1 | No Different than expected | Worse than 69% 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 · 47 cases | 20.9 | 19.8 | 20.17 | Worse than 86% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 49 cases | 21.1 | 21.3 | 22.1 | Better than 56% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.813 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 168 cases | 16.8 | 17.2 | 17.6 | Better than 68% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Pleasant Valley 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 | 831 | 1,370 | 3,333 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.655 | 0.9835 | 3.216 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 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 | 973 | 1,799 | 3,665 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.762 | 1.377 | 4.479 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 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 | Not Available | 83.54 | |||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 2.329 | |||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 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 | Not Available | 71.57 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 0.6594 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 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 | 7,834 | 14,451 | 31,991 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.239 | 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 | 0.333 | 0.127 | 0.3019 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.53 | 0.747 | 1.785 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 7,834 | 13,646 | 30,456 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 3.814 | 5.683 | 14.4 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 4 | 2 | 8.075 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 1.049 | 0.279 | 0.6149 | No Different than National Benchmark | Worse than 95% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Pleasant Valley Hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 129 cases | 70 | 73 | 76.5 | Worse than 62% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 129 cases | 9 | 8 | 7.214 | Worse than 53% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 129 cases | 21 | 18 | 16.29 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 129 cases | 86 | 87 | 88.49 | Worse than 53% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 129 cases | 3 | 4 | 3.703 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 129 cases | 83 | 80 | 83.57 | Better than 69% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 129 cases | 94 | 91 | 93.19 | Better than 82% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 129 cases | 2 | 4 | 3.286 | Better than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 129 cases | 5 | 3 | 4.054 | The top rating, shared by 18% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 129 cases | 15 | 16 | 13.14 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 129 cases | 79 | 79 | 82.31 | Worse than 47% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 129 cases | 91 | 91 | 92.16 | Better than 45% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 129 cases | 4 | 5 | 4.31 | Better than 62% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 129 cases | 3 | 3 | 3.649 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 129 cases | 17 | 16 | 13.38 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 129 cases | 64 | 61 | 65.98 | Better than 64% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 129 cases | 81 | 77 | 80 | Better than 79% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 129 cases | 15 | 19 | 16.29 | Better than 74% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 129 cases | 4 | 3 | 3.405 | Better than 79% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 129 cases | 21 | 19 | 17.74 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 129 cases | 87 | 86 | 87.05 | Better than 55% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 129 cases | 13 | 13 | 12.36 | Better than 47% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 129 cases | 4 | 3 | 3.622 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 129 cases | 87 | 87 | 87.64 | Better than 47% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 129 cases | 16 | 14 | 13.5 | Worse than 60% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 129 cases | 84 | 86 | 86.5 | Worse than 60% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 129 cases | 73 | 74 | 77.5 | Worse than 52% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 129 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 · 129 cases | 21 | 19 | 17.1 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 129 cases | 78 | 77 | 80.38 | Better than 51% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 129 cases | 4 | 6 | 4.85 | Better than 70% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 129 cases | 18 | 17 | 14.78 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 129 cases | 85 | 85 | 87.63 | Worse than 47% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 129 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 · 129 cases | 12 | 11 | 9.45 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 129 cases | 9 | 8 | 7.214 | Worse than 59% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 129 cases | 24 | 20 | 18.64 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 129 cases | 67 | 72 | 74.14 | Worse than 68% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 129 cases | 87 | 88 | 89.14 | Worse than 58% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 129 cases | 3 | 3 | 3.541 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 129 cases | 75 | 74 | 77.93 | Better than 52% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 129 cases | 8 | 9 | 8.075 | Better than 60% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 129 cases | 17 | 16 | 14 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 129 cases | 76 | 75 | 78.93 | Better than 55% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 129 cases | 5 | 5 | 4.475 | Better than 49% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 129 cases | 19 | 20 | 16.6 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 129 cases | 82 | 77 | 81.18 | Better than 79% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 129 cases | 2 | 4 | 3.5 | Better than 80% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 129 cases | 16 | 19 | 15.33 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 129 cases | 90 | 86 | 89.1 | Better than 77% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 129 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 · 129 cases | 9 | 11 | 8.725 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 129 cases | 57 | 59 | 58.24 | Worse than 57% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 129 cases | 12 | 9 | 9.571 | Worse than 66% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 129 cases | 31 | 31 | 32.19 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 129 cases | 80 | 82 | 82.27 | Worse than 59% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 129 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 · 129 cases | 6 | 5 | 5.071 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 129 cases | 62 | 71 | 72.57 | Worse than 81% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 129 cases | 85 | 87 | 88.19 | Worse than 67% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 129 cases | 32 | 23 | 22.36 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 129 cases | 3 | 4 | 3.892 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 129 cases | 52 | 47 | 53.48 | Better than 72% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 129 cases | 22 | 30 | 25.43 | Better than 84% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 129 cases | 26 | 22 | 21.1 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 129 cases | 4 | 3 | 3.73 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 129 cases | 11 | 12 | 11.38 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 129 cases | 89 | 88 | 88.63 | Better than 59% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Pleasant Valley 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 · 1,666 cases | 5 | 8 | 10.58 | Better than 70% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 316 cases | 0 | 1 | 0.8 | The best result, shared by 34% of US hospitals | |
| 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 · 415 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 · 402 cases | 109 | 154 | 152 | Better than 87% 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 · 368 cases | 104 | 148 | 145 | Better than 87% 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 · 14 cases | 131 | 247 | 251 | Better than 93% of US hospitals | |
| 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 · 20 cases | 263 | 293 | 340 | Better than 63% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 10,460 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 | 97 | 97 | 87.04 | Better than 46% 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 · 202 cases | 18 | 15 | 14.95 | Worse than 73% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 83 cases | 45 | 65 | 58.07 | Worse than 87% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 28 cases | 29 | 73 | 68.71 | Worse than 99% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 81.06 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 84 cases | 77 | 82 | 73.97 | Worse than 67% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 49 cases | 96 | 94 | 92.48 | Better than 60% 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 · 212 cases | 89 | 97 | 90.26 | Worse than 83% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Pleasant Valley Hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 2.1 | 5 | 6.323 | Better than 84% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 4.2 | 6.6 | 7.414 | Better than 81% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Pleasant Valley 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 | 0.99 | 1.001 | Worse than 53% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Pleasant Valley 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 | 20 | 10 | 16.5 | Better than 57% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 5 | 2.5 | 4.25 | Better than 57% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 23 | 34 | 30.4 | Worse than 73% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 5.75 | 8.75 | 7.896 | Worse than 73% of US hospitals | |
| VBP safety domain scoreFY 2026 | 15 | 40 | 32.14 | Worse than 90% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 3.75 | 10 | 8.035 | Worse than 91% of US hospitals | |
| VBP total performance scoreFY 2026 | 14.5 | 29.5 | 24 | Worse than 96% of US hospitals |
| By fiscal year | FY 2021 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|
| VBP clinical outcomes domain score | 46 | 0 | 0 | 0 |
| VBP clinical outcomes weighted domain score | 15.33 | 0 | 0 | 0 |
| VBP efficiency and cost reduction domain score | 60 | 0 | 50 | 20 |
| VBP efficiency and cost reduction weighted domain score | 20 | 0 | 16.67 | 5 |
| VBP person and community engagement domain score | 28 | 15 | 7 | 23 |
| VBP person and community engagement weighted domain score | 9.333 | 3.75 | 2.333 | 5.75 |
| VBP safety domain score | Not Available | 80 | Not Available | 15 |
| VBP safety weighted domain score | Not Available | 20 | Not Available | 3.75 |
| VBP total performance score | 44.67 | 23.75 | 19 | 14.5 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Pleasant Valley 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 | 1.023 | 0.9969 | 1.007 | Worse than 71% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 44 cases | 1.071 | 0.9983 | 1.029 | Worse than 86% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 · 0 cases | N/A | 0.9747 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 64 cases | 1.025 | 0.9955 | 1.024 | Worse than 68% 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 | 0.9686 | 0.9925 | 0.9866 | 0.9947 | 0.9998 | 1.023 |
| READM-30-HF-HRRP | 1.016 | 1.037 | 1.048 | 1.041 | 1.09 | 1.071 |
| READM-30-HIP-KNEE-HRRP | 0.9503 | 0.9192 | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.034 | 1.007 | 0.9683 | 0.9896 | 1.008 | 1.025 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Pleasant Valley Hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.571 | 0.489 | 0.8067 | Worse than 58% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.962 | 0.346 | 0.7351 | Worse than 96% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.559 | 0.9215 | The best result, shared by 14% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| 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 | 0.9751 | 0.9628 | 1.078 | Worse than 56% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 1.102 | |||
| Total HAC scoreFY 2026 | 0.1878 | -0.0453 | 0.5259 | Worse than 64% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | Yes | Yes | N/A | Yes | Yes | No |
| Total HAC score | 0.9126 | 0.6793 | 0 | 1.587 | 0.4324 | 0.1878 |
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 2019)
Accreditation
Limited
Medical school affiliation
Private (not for profit)
Ownership type
201
Medicare-certified beds
82
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Pleasant Valley Hospital reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
748
Inpatient discharges
Medicare 28%, Medicaid 4%
6,114
Inpatient days
39% of available bed days used
303
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 827656). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Pleasant Valley Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,437 | 104 | 4,573 | 6,114 |
| Discharges | 211 | 30 | 507 | 748 |
| Average length of stay | 6.8 days | 3.5 days | 9.0 days | 8.2 days |
| Average daily census | 3.9 | 0.3 | 12.5 | 16.8 |
1,270
Medicare Advantage days
271 discharges
655
Medicaid managed care days
86 discharges
948
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 38 | 2,883 | 690 | 21% |
| Intensive care unit | 5 | 668 | 148 | 37% |
Source: CMS cost report (HCRIS, Form 2552-10), report 827656, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Pleasant Valley Hospital treats Medicare patients for most often, in 2024. 114 Medicare discharges in 6 published DRGs; 0% surgical; 67% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 24 | $22,050 | $4,786 | $9,614 | 0.81 |
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 24 | $35,103 | $11,174 | $15,305 | 1.98 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 18 | $33,488 | $7,858 | $14,601 | 1.33 |
| Heart failure and shock with MCCMS-DRG 291, medical | 18 | $25,334 | $6,768 | $11,046 | 1.28 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 16 | $27,405 | $4,767 | $11,949 | 0.82 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 14 | $27,393 | $5,893 | $11,943 | 1.03 |
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) Pleasant Valley Hospital billed Medicare for most in 2024: 246 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 114 | 70 | $8,317 | $1,499 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 93 | 82 | $12,962 | $1,758 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 15 | 14 | $42,722 | $9,102 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 12 | 12 | $7,761 | $1,055 | $1,220 |
| Level 2 Vascular ProceduresAPC 5182 | 12 | 12 | $6,442 | $956 | $1,204 |
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 Pleasant Valley 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 442 in 2020 to 331 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 25550 | 167 | 50% | 723 | $5.7M | 33% | 36% |
| 25287 | 28 | 8% | 132 | $1M | 100% | 100% |
| 25123 | 23 | 7% | 77 | $640,475 | 17% | 18% |
| 25260 | 22 | 7% | 115 | $817,845 | 28% | 27% |
| 25515 | 21 | 6% | 107 | $782,617 | 20% | 27% |
| 25253 | 20 | 6% | 78 | $602,974 | 28% | 40% |
| 25265 | 17 | 5% | 63 | $561,798 | 40% | 27% |
| 45631 | 17 | 5% | 66 | $507,468 | 2% | 5% |
| 25106 | 16 | 5% | 76 | $568,299 | 100% | 41% |
Source: CMS Hospital Service Area file. Shares are of the 331 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 Pleasant Valley Hospital reported at its latest Medicare certification survey (2010). Counts are people, not full-time equivalents.
4
Operating rooms
1
Endoscopy rooms
6
Rehabilitation unit beds
6
Off-site locations
1
Off-site emergency departments
82
Registered nurses
5
Licensed practical nurses
21
Physicians
7
Nurse practitioners
4
Pharmacists
4
Respiratory therapists
3
Physical therapists
2
Occupational therapists
2
Speech pathologists and audiologists
10
Radiology technicians
3
Nuclear medicine technicians
12
Laboratory technicians
5
Medical technologists
2
Dietitians
1
Social workers
318
Other personnel
Source: CMS Provider of Services file.
159 clinicians who bill Medicare list Pleasant Valley 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.
Gustav Blomquist, MD
Diagnostic Radiology Physician
NPI 1710104484
See commercial rates for Gustav Blomquist, MDMark Akers, MD
Diagnostic Radiology Physician
NPI 1508077892
See commercial rates for Mark Akers, MDDean Siciliano, M.D.
Diagnostic Radiology Physician
NPI 1699715300
See commercial rates for Dean Siciliano, M.D.Steven Conley, MD
Diagnostic Radiology Physician
NPI 1063673085
See commercial rates for Steven Conley, MDKyle Curry, NP-C
Nurse Practitioner
NPI 1407101405
See commercial rates for Kyle Curry, NP-CPeter Chirico, MD
Diagnostic Radiology Physician
NPI 1295712016
See commercial rates for Peter Chirico, MDJoshua Gibson, MD
Diagnostic Radiology Physician
NPI 1073712576
See commercial rates for Joshua Gibson, MDNathan Hill, MD
Diagnostic Radiology Physician
NPI 1306166764
See commercial rates for Nathan Hill, MDGrant Petty, MD
Diagnostic Radiology Physician
NPI 1154438315
See commercial rates for Grant Petty, MDPaul Akers, MD
Diagnostic Radiology Physician
NPI 1982681607
See commercial rates for Paul Akers, MDJames Toothman, D.O.
Internal Medicine Physician
NPI 1992758411
See commercial rates for James Toothman, D.O.Matthew Maxwell, MD
Diagnostic Radiology Physician
NPI 1538309737
See commercial rates for Matthew Maxwell, MDRobert Cure, MD
Diagnostic Radiology Physician
NPI 1972580561
See commercial rates for Robert Cure, MDZaveen Kureishy, M.D.
Internal Medicine Physician
NPI 1467455915
See commercial rates for Zaveen Kureishy, M.D.Marsha Leaberry, MD
Diagnostic Radiology Physician
NPI 1205810918
See commercial rates for Marsha Leaberry, MDEsam Baryun, MD
Cardiovascular Disease Physician
NPI 1962504829
See commercial rates for Esam Baryun, MDDonald Lewis, MD
Diagnostic Radiology Physician
NPI 1891772604
See commercial rates for Donald Lewis, MDMichael Collins, D.O.
Nephrology Physician
NPI 1770593063
See commercial rates for Michael Collins, D.O.Torin Walters, MD
Diagnostic Radiology Physician
NPI 1063499655
See commercial rates for Torin Walters, MDRichard Hartman, MD
Diagnostic Radiology Physician
NPI 1922008283
See commercial rates for Richard Hartman, MDChristopher Skaggs, M.D.
Internal Medicine Physician
NPI 1598739476
See commercial rates for Christopher Skaggs, M.D.Shardan Radmanesh, M.D.
Diagnostic Radiology Physician
NPI 1245475649
See commercial rates for Shardan Radmanesh, M.D.Choudhary Rayani, MD
Clinical Cardiac Electrophysiology Physician
NPI 1376596692
See commercial rates for Choudhary Rayani, MDWesley Hatfield, MD
Diagnostic Radiology Physician
NPI 1194256644
See commercial rates for Wesley Hatfield, MDSource: 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 Pleasant Valley Hospital reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $176.7M | 403.7% |
| Inpatient | $31.1M | 71.1% |
| Outpatient | $145.5M | 332.6% |
| Contractual allowances and discounts | -$132.9M | -303.7% |
| Net patient revenue | $43.8M | 100.0% |
| Operating expenses | -$72.8M | -166.4% |
| Operating income from patient care | -$29.1M | -66.4% |
| Other income | $6.3M | 14.4% |
| Investment income | $807,365 | 1.8% |
| Other | $5.5M | 12.5% |
| Net income | -$22.8M | -52.0% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $20.9M | 11.8% |
| Medicaid (including managed care) | $31.2M | 17.5% |
| Other payers and self-pay | $126M | 70.7% |
| Total charges | $178.1M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 827656, 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 Pleasant Valley Hospital's latest cost report.
-66.4%
Operating margin
Operating income from patient care / net patient revenue
-45.5%
Total margin
Net income / net patient revenue plus other income
-41.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
45% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$33.99
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-46.1%
Return on assets
Net income for a year / total assets
1.17
Current ratio
Current assets / current liabilities
0.53
Quick ratio
Cash, temporary investments and net receivables / current liabilities
14 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
26 days
Days in patient receivables
Net patient receivables / daily net patient revenue
56 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.01
Asset turnover
Total revenue for a year / total assets
Source: CMS cost report (HCRIS, Form 2552-10), report 827656, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Pleasant Valley Hospital owned and owed at the end of its reporting period (Sep 2025), across all fund types: $49.4M in total assets and a -$18.6M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $2.7M | 5.5% |
| Patient receivables, net | $3.1M | 6.2% |
| Inventory | $1.7M | 3.5% |
| Total current assets | $12.7M | 25.6% |
| Property and equipment, net of depreciation | $21.6M | 43.7% |
| Investments and other assets | $15.2M | 30.7% |
| Total assets | $49.4M | 100.0% |
| Current liabilities | $10.9M | 22.0% |
| Long-term debt | $1.1M | 2.3% |
| Total liabilities | $68M | 137.6% |
| Fund balance (net assets) | -$18.6M | -37.6% |
Source: CMS cost report (HCRIS, Form 2552-10), report 827656, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Pleasant Valley Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.7M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$2.9M
Bad debt
Patient bills written off as uncollectible, at charges
$6M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$5.2M
Total unreimbursed and uncompensated care
7.2% 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 827656, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Pleasant Valley Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $43.7M | $40.1M | $39.9M | $42.7M | $43.1M | $43.8M |
| Operating expenses | $57.8M | $54.7M | $59M | $59.4M | $64.3M | $72.8M |
| Operating margin | -32.2% | -36.3% | -48.1% | -39.2% | -49.1% | -66.4% |
| Net income | -$189,428 | $2.3M | -$17.1M | -$4.1M | -$7.7M | -$22.8M |
| Total assets | $53.1M | $44M | $30.7M | $31.1M | $40.3M | $49.4M |
| Discharges | 1,050 | 971 | 932 | 835 | 844 | 748 |
| Inpatient days | 5,279 | 5,784 | 5,993 | 6,206 | 6,165 | 6,114 |
| Medicare Advantage days | 547 | 681 | 928 | 952 | 1,366 | 1,270 |
| Beds | 149 | 49 | 49 | 49 | 49 | 43 |
| Employees (FTE) | 266 | 315 | 315 | 310 | 332 | 303 |
Source: CMS cost report (HCRIS, Form 2552-10), report 827656, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Pleasant Valley 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 | $10.5M | $15.3M | 0.69 | ||
| Rural health clinic ii | $2.9M | $7.9M | $9.8M | 0.80 | 23,935 |
| Laboratory | $1.4M | $6.4M | $39.7M | 0.16 | 4,491 |
| Operating room | $800,487 | $4M | $11.9M | 0.34 | 7,580 |
| Radiology-diagnostic | $1.1M | $3.9M | $36.4M | 0.11 | 10,186 |
| Emergency | $1.4M | $3.9M | $14M | 0.28 | 5,354 |
| Observation beds (non-distinct part | $1.9M | $5.8M | 0.33 | ||
| Rural health clinic | $869,218 | $1.9M | $2.1M | 0.91 | 6,750 |
| Suite g11 | $291,163 | $1.5M | $1.1M | 1.30 | 2,280 |
| Physical therapy | $680,451 | $1.2M | $6.5M | 0.18 | 6,522 |
| Intravenous therapy | $922,237 | $861,447 | $2M | 0.43 | 1,682 |
| Respiratory therapy | $395,557 | $805,812 | $1.6M | 0.49 | 1,836 |
| Occupational therapy | $216,669 | $703,553 | $3.1M | 0.23 | 887 |
| Medical supplies charged to patient | $662,450 | $1.8M | 0.38 | ||
| Suite 211 | $243,459 | $578,713 | $2.2M | 0.26 | |
| Recovery room | $225,553 | $516,539 | $1.7M | 0.31 | 969 |
| Suite 113 | $249,621 | $511,113 | $2.5M | 0.21 | 3,890 |
| Impl. dev. charged to patients | $399,210 | $1.2M | 0.34 | ||
| Wound center | $23,663 | $387,925 | $2.4M | 0.16 | 2,540 |
| Gallipolis ferry | $418,282 | $339,046 | $595,324 | 0.57 | 2,400 |
| Speech pathology | $155,159 | $314,950 | $875,542 | 0.36 | |
| Gallipolis family clinic | $238,828 | $293,005 | $376,459 | 0.78 | |
| Cardiopulmonary | $73,800 | $229,357 | $145,505 | 1.58 | 1,601 |
| Sleep lab | $66,162 | $206,237 | $537,100 | 0.38 | |
| Womens center | $444,955 | $132,999 | $384,001 | 0.35 | |
| Anesthesiology | $92,070 | $1.7M | 0.06 | 947 | |
| Suite 212 | $84,513 | $14,430 | 5.86 | 1,853 | |
| Electrocardiology | $39,449 | $1.5M | 0.03 | ||
| Outpatient procedure room | $117 | $17,263 | $7,090 | 2.43 | 192 |
| Jackson pike diabetes & family care | $16,605 | $774 | $183,907 | 0.00 | 800 |
| Diabetes education | $9 | $1,369 | 0.01 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $3.4M | $7.7M | $7.2M | 1.07 | 16,878 |
| Intensive care unit | $918,067 | $2.5M | $3.5M | 0.72 | 2,868 |
| Subprovider - irf | $394,530 | 8,660 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.9M | $13.5M | 115,431 | $24.84 | 16,262 |
| Employee benefits department | $5.2M | 4,385 | $16.97 | ||
| Pharmacy | $864,685 | $3.4M | 18,530 | $46.66 | 1,969 |
| Maintenance & repairs | $513,483 | $2.5M | 26,165 | $19.62 | 11,428 |
| Cap rel costs-mvble equip | $1.3M | ||||
| Nursing administration | $1M | $1.3M | 19,441 | $51.64 | 821 |
| Cap rel costs-bldg & fixt | $885,031 | 204,878 | |||
| Dietary | $419,639 | $694,792 | 21,793 | $19.26 | 2,834 |
| Medical records & library | $432,563 | $689,346 | 15,605 | $27.72 | 2,417 |
| Housekeeping | $260,482 | $378,886 | 18,908 | $13.78 | 1,089 |
| Laundry & linen service | $175,891 | 633 | |||
| Wellness center | $74,429 | $138,504 | 7,331 | ||
| Central services & supply | $32,251 | $65,477 | 1,999 | $16.13 | 984 |
Source: CMS cost report (HCRIS, Form 2552-10), report 827656, 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 Pleasant Valley Hospital for an inpatient stay.
1.19
Case mix index
Higher than 6% 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).
22.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
211
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 | 1.14 | 1.14 | 1.21 | 1.33 | 1.22 | 1.24 | 1.19 |
| Wage index | 0.791 | 0.783 | 0.785 | 0.786 | 0.758 | 0.898 | 0.853 |
| Readmissions adjustment | -0.16% | -0.33% | -0.22% | -0.23% | -0.16% | -0.46% | -0.59% |
| Value-based purchasing adjustment | +0.47% | +0.87% | +0.87% | 0.00% | +0.25% | -0.30% | -1.00% |
| Medicare inpatient stays | 589 | 589 | 392 | 324 | 296 | 286 | 211 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Pleasant Valley Hospital reports to Medicare as owners or with operational control.
Marshall Health Network Inc
5% or greater direct ownership interest, 100%, since 2023
Sources: CMS Hospital All Owners.
The officers and board members on Pleasant Valley 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 10 of 11 are shown.
| Name | Title |
|---|---|
| Kevin Yingling | Mhn President & CEO - Ended March 2025 |
| Larry Dial | Mhn Ex Officio Cpe & Chief Clinical Officer Ct |
| Hoyt Burdick | Mhn VP CMO |
| David M Ward | Mhn Senior VP & CFO - Ended August 2025 |
| Regina M Campbell | Mhn Chief Operating Officer |
| Paul E Smith | Mhn Chief Admin Officer-ended 9/30/25 |
| Melissa E Leasure | Mhn Chief Legal Officer - System VP |
| Chadwick Smith | Mhn Chief Population Health Officer |
| Lisa C Stump | Mhn Chief Strategy Officer - System VP |
| Mark A Morgan | Mhn VP Phys Services |
| Beth Hammers | Mhn Chief Engagement Officer |
| Susan T Robinson | Mhn Chief Human Resources Officer - Ended J |
| Dennis Lee | Mhn System VP & Chief Information Officer |
| Eduardo Pino | Mhn Cmio |
| Andy Mullins | Mhn Chief Nursing Officer |
| Aaron Blevins | Mhn Chief Pharmacy Officer |
| Bradley Burck | Mhn VP Corp Fdn & Dnr Phil - Ended July 202 |
| Chad S Fisher | Mhn VP Of Orthopedics |
| Fareed Aziz | Mhn VP Of Revenue Cycle Mgmt |
| Christopher Hoffman | Mhn VP Of Oncology Services |
| Kenneth Jackson | Mhn VP Facility & Support Services |
| Molly Frick | Mhn Chief Human Resources Officer - Started Jan 20 |
| Melanie Akers | Mhn VP Of Women/child Service Line |
| Shawn Bastin | Rivers Health President |
| Lori A Mcfarland | Rh Cheif Nursing Officer |
| Kristi Arrowood | Mhn Interim VP Corp Fdn - Started July 2025 |
| Michael Sellards | Chair/trustee |
| Rocky Sturgeon | Vice Chair/trustee |
| Dallas Kayser | Secretary/trustee |
| Eddie Lanham | Treasurer (chair Finance) |
| Bryon S Raynes | Mhn Ex Officio President & CEO |
| Kevin Barr | Mhn Interim CFO |
Board members: Robert Tayengco MD, Maurice Cooley, Claire Cottrill, and 3 more on the return.
Source: IRS Form 990 Part VII filed by Pleasant Valley Hospital (EIN 55-0440086), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2026
340B ID DSH510012, registered as a disproportionate share hospital; 3 registered outpatient sites; 12 active contract pharmacies. Authorizing official: Aaron Blevins, Mhn 340b Program Manager.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
Caravan Health ACO 43 LLC
ACO A4974, current agreement since 2022. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Pleasant Valley Hospital's legal name.
Helipad
Pleasant Valley Hospital
FAA location ID WV58, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Pleasant valley hospital
CCN 51T012, certified 2022, Medicare prospective payment
Pleasant valley hospital
CCN 51U012, certified 2018, Medicare prospective payment
Bend area clinic
CCN 513422, certified 2020, Medicare cost reimbursed
Pvh regional health center
CCN 513427, certified 2020, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Pleasant Valley Hospital's latest Medicare cost report (HCRIS).
About Pleasant Valley Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Pleasant Valley Hospital range from $2,192 to $4,000 across 4 insurers. Aetna's rate is $3,722. The median at nearby comparable hospitals is $3,186. 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 Pleasant Valley Hospital range from $2,243 to $4,313 across 4 insurers. Aetna's rate is $3,476. The median at nearby comparable hospitals is $4,328. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Pleasant Valley Hospital range from $2,251 to $2,648 across 2 insurers. Aetna's rate is $2,251. The median at nearby comparable hospitals is $2,996. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Pleasant Valley Hospital range from $247 to $294 across 4 insurers. UnitedHealthcare's rate is $294. The median at nearby comparable hospitals is $363. What a patient pays depends on their plan's deductible, coinsurance and network status.
Pleasant Valley 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 Pleasant Valley Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Pleasant Valley 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 kidney and urinary tract infections without mcc (24 discharges), septicemia or severe sepsis without mv >96 hours with mcc (24 discharges), simple pneumonia and pleurisy with mcc (18 discharges).
Pleasant Valley Hospital's Medicare case mix index is 1.19 for fiscal year 2027, higher than 6% of hospitals paid under the inpatient prospective payment system.
Pleasant Valley Hospital reported 748 inpatient discharges and 6,114 inpatient days from Oct 1, 2024 to Sep 30, 2025.
Pleasant Valley Hospital reported 303 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
Pleasant Valley Hospital reported $43.8M in net patient revenue on $176.7M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of -66.4%, and net income of -$22.8M.
Pleasant Valley Hospital reported $5.2M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $1.7M of charity care at cost.
Pleasant Valley Hospital's Medicare enrollment lists Russell Henchey as Vice President Of Finance since 2025. Its 2024 IRS Form 990 lists Kevin Yingling as Mhn President & CEO - Ended March 2025.
Insurers' price transparency files list Pleasant Valley Hospital under employer identification number 55-0440086 (Pleasant Valley Hospital). 44 health plans and networks list 55-0440086 for it.
Yes. HRSA's 340B database lists Pleasant Valley Hospital (340B ID DSH510012) as a participating disproportionate share hospital since 2026, with 12 active contract pharmacies.
159 clinicians who bill Medicare list Pleasant Valley Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (21), internal medicine physician (21), diagnostic radiology physician (19).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Pleasant Valley Hospital, effective 2019.
In its Medicare enrollment, Pleasant Valley Hospital reports Marshall Health Network Inc as 5% or greater direct ownership interest (100%).
CMS lists 39 services at Pleasant Valley Hospital, including Anesthesia, Audiology, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Chiropractic, Clinical Laboratory.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Pleasant Valley Hospital came from ZIP codes 25550 (167), 25287 (28), 25123 (23).
Pleasant Valley Hospital has 43 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 201 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Pleasant Valley Hospital is located at 2520 Valley Drive, Point Pleasant, WV 25550. Its main phone number is (304) 675-4340.
Pleasant Valley Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 510012.
The National Provider Identifier (NPI) on file for Pleasant Valley Hospital is 1598975120.
Pleasant Valley Hospital lists 26 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.
110 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