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Short Term Acute Care HospitalGovernment - Local

Princeton Community Hospital

West Virginia University Health System · Princeton, WV

122 12th Street, Princeton, WV 24740(304) 487-7260

2 of 5

CMS star rating

186

Beds

8,397

Inpatient discharges a year

$310.1M

Net patient revenue a year

28

In-network payers

About this hospital

Princeton Community Hospital is a 186-bed government - local hospital in Princeton, WV, affiliated with West Virginia University Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 156 disclosed rate categories.

  • Sole community hospital
  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
CCN
510046
NPI
1558313213
Health system
West Virginia University Health System
Teaching
No Medicare-funded residents
County
Mercer County
Metro area
Bluefield, WV-VA MicroSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11401)
In Medicare since
1970
Last CMS survey
2017

Prices for common services

The 24 services Princeton Community 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.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$12,008

negotiated rate

Blue Cross$12,008

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

Cesarean delivery, hospital stay

MS-DRG 788

$13,937

negotiated rate

Blue Cross$13,937

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

Laparoscopic cholecystectomy

CPT 47562

$11,396 - $24,466

from 2 insurers · median $17,931

Blue Cross$24,466
Insurer A*est.$11,396
Medicare $5,627Nearby hospitals $23,63224% below nearby hospitals

79 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

Digestive procedures

Laparoscopic repair of an initial inguinal hernia

CPT 49650

$19,630 - $27,257

from 2 insurers · median $23,444

Blue Cross$27,257
Insurer A*est.$19,630
Medicare $5,627Nearby hospitals $23,632In line with nearby hospitals

79 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Princeton Community Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
428%
163
Insurer B*20
285%
62
Insurer C*8
89%
07
Insurer D*6
60%
06

How we chose these services: 9 appear in this hospital's own Medicare claims, 8 are common here based on CMS Medicare volume, and 7 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 Princeton Community Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneComPsych

More about this hospital

  • Quality

    2 of 5 stars

    • 172 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.14%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

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

    $310.1M net patient revenue

    • Operating margin on patient care -2.0%
    • $42.2M unreimbursed and uncompensated care
    • -$710,351 net income
    See finances
  • Ownership and leadership

    Owned by West Virginia United Health System, Inc

    • Local
    • Karen L Bowling, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
55-0483245(multi-state) Princeton Community Hospital Association INC51Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 46 more1093917643 Princeton Community Hospital Assn Inc.1558313213 Princeton Community Hospital Assn. Inc.1619053329 Princeton Community Hospital Assn. 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.

Location

122 12th Street, Princeton, WV 24740

(304) 487-7260

Get directions

Frequently asked questions

About Princeton Community Hospital's rates and hospital price transparency.

How much does a CT scan cost at Princeton Community Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Princeton Community Hospital range from $311 to $3,840 across 4 insurers. Aetna's rate is $311. The median at nearby comparable hospitals is $2,116. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Princeton Community Hospital?

For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Princeton Community Hospital range from $292 to $4,049 across 3 insurers. Blue Cross Blue Shield's rate is $3,462. The median at nearby comparable hospitals is $3,672. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Princeton Community Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Princeton Community Hospital range from $12,008 to $12,008 across 1 insurers. Blue Cross Blue Shield's rate is $12,008. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Princeton Community Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Princeton Community Hospital range from $86 to $458 across 4 insurers. Aetna's rate is $86. The median at nearby comparable hospitals is $337. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Princeton Community Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Princeton Community Hospital range from $24,228 to $24,228 across 1 insurers. Blue Cross Blue Shield's rate is $24,228. The median at nearby comparable hospitals is $36,102. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Princeton Community Hospital's CMS star rating?

Princeton Community Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Princeton Community Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Princeton Community Hospital for fiscal year 2027.

Does Medicare penalize Princeton Community Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Princeton Community Hospital's base inpatient payments by an estimated 0.14% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Princeton Community Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (250 discharges), heart failure and shock with mcc (126 discharges), respiratory infections and inflammations with mcc (105 discharges).

What is Princeton Community Hospital's case mix index?

Princeton Community Hospital's Medicare case mix index is 1.51 for fiscal year 2027, higher than 29% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

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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.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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