LifePoint Health · Beckley, WV
2 of 5
CMS star rating
300
Beds
8,473
Inpatient discharges a year
$207.2M
Net patient revenue a year
30
In-network payers
Raleigh General Hospital is a 300-bed proprietary hospital in Beckley, WV, affiliated with LifePoint Health. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 160 disclosed rate categories.
The 24 services Raleigh 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, or start a free trial.
Gynecology
CPT 58558
$9,082 - $20,603
from 4 insurers · median $13,895
19 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74177
$1,765 - $3,531
from 4 insurers · median $2,778
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$35,271 - $47,621
from 4 insurers · median $44,440
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$17,150 - $29,596
from 4 insurers · median $23,288
26 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74176
$1,231 - $3,377
from 4 insurers · median $2,651
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$18,693 - $30,977
from 4 insurers · median $25,416
26 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Orthopedics and pain
CPT 63030
$33,170 - $55,580
from 4 insurers · median $46,284
54 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 71275
$846 - $3,538
from 3 insurers · median $2,672
Common here, based on CMS Medicare volume
Urology
CPT 50590
$19,073 - $26,613
from 3 insurers · median $25,251
44 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Medicine & Surgery
CPT 55700
$8,482 - $15,535
from 4 insurers · median $13,686
79 Medicare claims in Level 3 Urology and Related Services (CMS 2024)
Gynecology
CPT 57288
$13,261 - $25,384
from 4 insurers · median $18,031
20 Medicare claims in Level 5 Gynecologic Procedures (CMS 2024)
Nuclear imaging
CPT 78452
$4,862 - $6,518
from 4 insurers · median $5,921
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$394 - $568
from 4 insurers · median $465
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$560 - $956
from 4 insurers · median $717
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$38,728
negotiated rate
15 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58661
$12,535 - $29,200
from 4 insurers · median $24,510
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,765 - $3,867
from 4 insurers · median $3,477
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$169 - $404
from 4 insurers · median $319
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$14,191 - $122,424
from 4 insurers · median $19,295
26 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$4,305 - $5,908
from 4 insurers · median $4,957
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$475 - $2,402
from 4 insurers · median $1,483
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$3,446 - $5,908
from 4 insurers · median $4,212
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$1,158 - $2,416
from 4 insurers · median $1,811
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$519 - $665
from 4 insurers · median $595
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* | 23 | 599% | 18 | 3 |
| Insurer B* | 22 | 524% | 21 | 1 |
| Insurer C* | 23 | 479% | 14 | 1 |
| Insurer D* | 23 | 472% | 18 | 1 |
How we chose these services: 9 appear in this hospital's own Medicare claims, 13 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 Raleigh General Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
2 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$207.2M net patient revenue
Ownership and leadership
Owned by Dsb Acquisition LLC
The employer identification numbers (EINs) health plans and networks list for Raleigh General 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 |
|---|---|---|
| 55-0261260Raleigh General Hospital | 55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 50 more | 1629015698 Raleigh General Hospital LLC1679902860 The Neurology Center Professional Corporation1114475746 Raleigh General Hospital LLCand 16 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.
1710 Harper Road, Beckley, WV 25801
(304) 256-4100
How Raleigh General Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
2 of 5
Lower than 73% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Worse on 1 of 7 measures
0 better, 6 no different, 1 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 2 of 5 measures
2 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 7 measures
0 better, 5 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
2 of 5
Lower than 81% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
51%
Lower than 97% 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
Higher than 64% 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
194 min
Higher than 78% 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
36%
Lower than 94% 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 | 2 of 5 | |
| Death rates | Worse on 1 of 7 measures | |
| Safety | Better on 2 of 5 measures | |
| Readmissions | Worse on 2 of 7 measures | |
| Patient survey ratingCMS: Summary star rating | 2 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 51% | 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 | 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 | 194 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 36% | 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 Raleigh General Hospital's inpatient payments for its readmissions, quality and cost results.
-0.77% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.10% 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 Raleigh General 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 | Raleigh General 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 · 2,367 cases | 4.7 | 3.9 | 4.241 | Worse than 83% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 203 cases | 11.6 | 11.8 | 12.04 | Better than 56% of US hospitals | |
| 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 · 97 cases | 7.7 | 8.5 | 8.375 | Better than 70% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 186 cases | 12 | 11 | 11.19 | Worse than 69% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 342 cases | 15.2 | 15.2 | 16.12 | Worse than 50% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 212 cases | 12.6 | 11.6 | 12.3 | Worse than 65% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 3,910 cases | 0.19 | 0.51 | 0.8007 | No Different Than the National Rate | Better than 92% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 55 cases | 156 | 173 | 175 | No Different Than the National Rate | Better than 80% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 4,487 cases | 0.29 | 0.2 | 0.2268 | No Different Than the National Rate | Worse than 92% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 4,543 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 · 935 cases | 3.38 | 2.29 | 2.396 | No Different Than the National Rate | Worse than 98% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 221 cases | 2.04 | 1.63 | 1.739 | No Different Than the National Rate | Worse than 90% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 224 cases | 13.26 | 8.88 | 9.477 | No Different Than the National Rate | Worse than 90% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 978 cases | 3.19 | 3.4 | 3.488 | No Different Than the National Rate | Better than 68% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 213 cases | 4.63 | 5.105 | 5.634 | No Different Than the National Rate | Better than 78% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 148 cases | 1.68 | 1.72 | 1.765 | No Different Than the National Rate | Better than 67% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 662 cases | 1.45 | 1.02 | 1.136 | No Different Than the National Rate | Worse than 94% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Raleigh General Hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 188 cases | 29.2 | 4.2 | 2.054 | Worse than 84% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 219 cases | 47.2 | 1.25 | 25.34 | Worse than 91% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 333 cases | 53.4 | 3.85 | 15.44 | Worse than 94% 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 · 613 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 · 178 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 · 326 cases | 14.8 | 14.4 | 14.69 | Worse than 69% of US hospitals | |
| 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 · 240 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 · 376 cases | 23.6 | 21.3 | 22.1 | Worse than 95% 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 · 574 cases | 17.6 | 17.2 | 17.6 | Worse than 63% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Raleigh General 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 | 0.142 | 0.172 | 0.2946 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.522 | 1.504 | 1.545 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 5,868 | 1,370 | 3,333 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 5.366 | 0.9835 | 3.216 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 2.239 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.559 | 0.484 | 0.5729 | No Different than National Benchmark | Worse than 57% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.16 | 0.138 | 0.2609 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.717 | 1.392 | 1.663 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 4,057 | 1,799 | 3,665 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 4.756 | 1.377 | 4.479 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 2.708 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.631 | 0.399 | 0.447 | No Different than National Benchmark | Worse than 71% of US hospitals |
| 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 | 33 | 61 | 83.54 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.963 | 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 | 10 | 38 | 71.57 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.092 | 0.328 | 0.6594 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 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 | 0.117 | 0.193 | 0.3062 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.297 | 1.855 | 2.435 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 41,029 | 14,451 | 31,991 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 2.877 | 0.567 | 2.527 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 2.425 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.695 | 0.597 | 0.9144 | No Different than National Benchmark | Worse than 59% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.055 | 0.127 | 0.3019 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.418 | 0.747 | 1.785 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 39,814 | 13,646 | 30,456 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 23.1 | 5.683 | 14.4 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 4 | 2 | 8.075 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.173 | 0.279 | 0.6149 | Better than the National Benchmark | Better than 66% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Raleigh General Hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 1,162 cases | 63 | 73 | 76.5 | Worse than 87% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 1,162 cases | 14 | 8 | 7.214 | Worse than 86% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 1,162 cases | 23 | 18 | 16.29 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 1,162 cases | 82 | 87 | 88.49 | Worse than 83% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 1,162 cases | 2 | 4 | 3.703 | Worse than 83% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 1,162 cases | 77 | 80 | 83.57 | Worse than 65% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 1,162 cases | 90 | 91 | 93.19 | Worse than 66% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,162 cases | 6 | 4 | 3.286 | Worse than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 1,162 cases | 3 | 3 | 4.054 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 1,162 cases | 17 | 16 | 13.14 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 1,162 cases | 74 | 79 | 82.31 | Worse than 83% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 1,162 cases | 88 | 91 | 92.16 | Worse than 83% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 1,162 cases | 8 | 5 | 4.31 | Worse than 84% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 1,162 cases | 2 | 3 | 3.649 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 1,162 cases | 18 | 16 | 13.38 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 1,162 cases | 57 | 61 | 65.98 | Worse than 72% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 1,162 cases | 74 | 77 | 80 | Worse than 72% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 1,162 cases | 24 | 19 | 16.29 | Worse than 78% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 1,162 cases | 2 | 3 | 3.405 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 1,162 cases | 19 | 19 | 17.74 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 1,162 cases | 83 | 86 | 87.05 | Worse than 74% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 1,162 cases | 17 | 13 | 12.36 | Worse than 79% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 1,162 cases | 3 | 3 | 3.622 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 1,162 cases | 83 | 87 | 87.64 | Worse than 79% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,162 cases | 19 | 14 | 13.5 | Worse than 80% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 1,162 cases | 81 | 86 | 86.5 | Worse than 80% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,162 cases | 69 | 74 | 77.5 | Worse than 81% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,162 cases | 9 | 7 | 5.4 | Worse than 75% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,162 cases | 22 | 19 | 17.1 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 1,162 cases | 71 | 77 | 80.38 | Worse than 86% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,162 cases | 8 | 6 | 4.85 | Worse than 77% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 1,162 cases | 21 | 17 | 14.78 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,162 cases | 81 | 85 | 87.63 | Worse than 80% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,162 cases | 5 | 3 | 2.925 | Worse than 73% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,162 cases | 14 | 11 | 9.45 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 1,162 cases | 15 | 8 | 7.214 | Worse than 92% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 1,162 cases | 28 | 20 | 18.64 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 1,162 cases | 57 | 72 | 74.14 | Worse than 94% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 1,162 cases | 82 | 88 | 89.14 | Worse than 93% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 1,162 cases | 2 | 3 | 3.541 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 1,162 cases | 71 | 74 | 77.93 | Worse than 69% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 1,162 cases | 13 | 9 | 8.075 | Worse than 80% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 1,162 cases | 16 | 16 | 14 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 1,162 cases | 73 | 75 | 78.93 | Worse than 60% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 1,162 cases | 7 | 5 | 4.475 | Worse than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 1,162 cases | 20 | 20 | 16.6 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 1,162 cases | 75 | 77 | 81.18 | Worse than 58% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 1,162 cases | 7 | 4 | 3.5 | Worse than 81% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 1,162 cases | 18 | 19 | 15.33 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,162 cases | 82 | 86 | 89.1 | Worse than 78% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,162 cases | 4 | 3 | 2.175 | Worse than 72% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 1,162 cases | 14 | 11 | 8.725 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 1,162 cases | 48 | 59 | 58.24 | Worse than 84% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 1,162 cases | 16 | 9 | 9.571 | Worse than 83% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 1,162 cases | 36 | 31 | 32.19 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 1,162 cases | 76 | 82 | 82.27 | Worse than 80% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 1,162 cases | 2 | 3 | 3.459 | Worse than 76% 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 · 1,162 cases | 9 | 5 | 5.071 | Worse than 82% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 1,162 cases | 51 | 71 | 72.57 | Worse than 97% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 1,162 cases | 79 | 87 | 88.19 | Worse than 93% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 1,162 cases | 40 | 23 | 22.36 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 1,162 cases | 2 | 4 | 3.892 | Worse than 85% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 1,162 cases | 43 | 47 | 53.48 | Worse than 70% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 1,162 cases | 35 | 30 | 25.43 | Worse than 74% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 1,162 cases | 22 | 22 | 21.1 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 1,162 cases | 2 | 3 | 3.73 | Worse than 81% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,162 cases | 14 | 12 | 11.38 | Worse than 63% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 1,162 cases | 86 | 88 | 88.63 | Worse than 63% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Raleigh General Hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| 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 · 15,797 cases | 11 | 8 | 10.58 | Worse than 70% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 2,227 cases | 2 | 1 | 0.8 | Worse than 72% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 4,010 cases | 0 | 0 | 0 | The best result, shared by 84% of US hospitals | |
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,833 cases | 67 | 79 | 86.73 | Worse than 68% 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 · 443 cases | 196 | 154 | 152 | Worse than 75% 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 · 414 cases | 194 | 148 | 145 | Worse than 78% 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 · 26 cases | 350 | 293 | 340 | Worse than 72% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 32,437 cases | 1 | 1 | 1.676 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 11 cases | 55 | 74 | 51.41 | Worse than 81% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 106 cases | 100 | 97 | 87.04 | The best result, shared by 27% 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 · 2,220 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 · 184 cases | 36 | 65 | 58.07 | Worse than 94% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 32 cases | 72 | 73 | 68.71 | Worse than 51% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 14 cases | 64 | 88 | 81.06 | Worse than 92% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 184 cases | 58 | 82 | 73.97 | Worse than 96% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 79 cases | 68 | 94 | 92.48 | Worse than 97% 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 | Not Available | 90.26 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Raleigh General Hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 14.1 | 5 | 6.323 | Worse than 96% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 1.1 | 6.6 | 7.414 | Better than 99% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Raleigh General 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 | 1.03 | 0.99 | 1.001 | Worse than 70% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Raleigh General Hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 35 | 20 | 16.67 | Better than 76% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 8.75 | 5 | 4.224 | Better than 75% 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 | 33 | 34 | 30.4 | Worse than 52% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 8.25 | 8.75 | 7.896 | Worse than 53% of US hospitals | |
| VBP safety domain scoreFY 2026 | 42 | 40 | 32.14 | Better than 53% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 10.5 | 10 | 8.035 | Better than 53% of US hospitals | |
| VBP total performance scoreFY 2026 | 27.5 | 29.5 | 24 | Worse than 57% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2025 | FY 2026 |
|---|---|---|---|---|
| VBP clinical outcomes domain score | 20 | 45 | 17.5 | 35 |
| VBP clinical outcomes weighted domain score | 5 | 11.25 | 4.375 | 8.75 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 10 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 2.5 | 0 |
| VBP person and community engagement domain score | 9 | Not Available | 10 | 33 |
| VBP person and community engagement weighted domain score | 2.25 | Not Available | 2.5 | 8.25 |
| VBP safety domain score | 60 | Not Available | 35 | 42 |
| VBP safety weighted domain score | 15 | Not Available | 8.75 | 10.5 |
| VBP total performance score | 22.25 | Not Available | 18.13 | 27.5 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Raleigh General Hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 196 cases | 1.057 | 0.9995 | 1.005 | Worse than 82% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.016 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 113 cases | 0.933 | 0.9969 | 1.007 | Better than 95% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 204 cases | 1.107 | 0.9983 | 1.029 | Worse than 95% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9747 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 343 cases | 1.106 | 0.9955 | 1.024 | Worse than 93% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.097 | 1.1 | 1.069 | 1.064 | 1.112 | 1.057 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.005 | 1.032 | 0.9845 | 1.01 | 0.9797 | 0.933 |
| READM-30-HF-HRRP | 1.129 | 1.106 | 1.112 | 1.1 | 1.09 | 1.107 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.038 | 1.058 | 1.046 | 1.019 | 1.047 | 1.106 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Raleigh General Hospital | US median | WV average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.73 | 0.489 | 0.8067 | Worse than 73% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.625 | 0.346 | 0.7351 | Worse than 83% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.166 | 0.559 | 0.9215 | Better than 83% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.69 | 0.6405 | 0.8799 | Worse than 55% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9964 | 0.9628 | 1.078 | Worse than 64% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 3.127 | 0.7945 | 1.102 | Worse than 99% of US hospitals | |
| Total HAC scoreFY 2026 | 0.4315 | -0.0453 | 0.5259 | Worse than 77% 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 | Yes | Yes | Yes |
| Total HAC score | 0.3047 | -0.1919 | 0 | 0.8974 | 0.9285 | 0.4315 |
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 2021)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
300
Medicare-certified beds
385
Registered nurses (full-time equivalent)
1969
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Raleigh General Hospital reported to Medicare in its latest cost report, covering Jun 1, 2024 to May 31, 2025.
8,473
Inpatient discharges
Medicare 30%, Medicaid 6%
41,922
Inpatient days
38% of available bed days used
900
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 821376). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Raleigh General Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 11,547 | 8,193 | 22,182 | 41,922 |
| Discharges | 2,570 | 511 | 5,392 | 8,473 |
| Average length of stay | 4.5 days | 16.0 days | 4.1 days | 4.9 days |
| Average daily census | 31.6 | 22.4 | 60.8 | 114.9 |
14,651
Medicare Advantage days
2,988 discharges
690
Medicaid managed care days
1,260 discharges
2,443
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 268 | 31,301 | 6,242 | 32% |
| Intensive care unit | 16 | 5,030 | 4,421 | 86% |
| Coronary care unit | 16 | 3,867 | 884 | 66% |
| Nursery | 1,724 |
Source: CMS cost report (HCRIS, Form 2552-10), report 821376, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Raleigh General Hospital treats Medicare patients for most often, in 2024. 1,958 Medicare discharges in 65 published DRGs; 16% surgical; 71% 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 | 245 | $54,720 | $11,231 | $12,422 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 99 | $29,889 | $6,973 | $6,785 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 69 | $52,303 | $9,809 | $11,873 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 68 | $37,232 | $7,545 | $8,452 | 1.33 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 62 | $41,318 | $8,874 | $9,379 | 1.59 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 52 | $32,787 | $6,656 | $7,443 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 49 | $24,798 | $4,188 | $5,629 | 0.81 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 46 | $28,062 | $6,163 | $6,370 | 1.10 |
| Renal failure with CCMS-DRG 683, medical | 46 | $23,151 | $4,580 | $5,255 | 0.90 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 41 | $105,359 | $10,186 | $23,916 | 1.82 |
| Syncope and collapseMS-DRG 312, medical | 40 | $31,874 | $4,620 | $7,235 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 40 | $130,117 | $17,162 | $29,536 | 2.87 |
| Renal failure with MCCMS-DRG 682, medical | 40 | $34,828 | $8,431 | $7,906 | 1.50 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 39 | $23,396 | $3,941 | $5,311 | 0.79 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 37 | $34,113 | $4,748 | $7,744 | 0.91 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 36 | $55,032 | $10,646 | $12,492 | 1.79 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 36 | $159,397 | $28,416 | $36,183 | 5.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 34 | $30,044 | $4,918 | $6,820 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 34 | $30,309 | $4,047 | $6,880 | 0.80 |
| Chest painMS-DRG 313, medical | 33 | $21,632 | $3,515 | $4,910 | 0.72 |
See all 65 Medicare inpatient DRGs at Raleigh General Hospital
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) Raleigh General Hospital billed Medicare for most in 2024: 1,127 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 117 | 112 | $15,887 | $1,754 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 80 | 46 | $7,235 | $1,053 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 79 | 75 | $14,842 | $1,358 | $1,516 |
| Level 2 Upper GI ProceduresAPC 5302 | 74 | 68 | $16,898 | $1,284 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 71 | 63 | $38,603 | $3,445 | $3,918 |
| Level 3 Endovascular ProceduresAPC 5193 | 70 | 69 | $85,288 | $7,474 | $8,874 |
| Level 2 Urology and Related ServicesAPC 5372 | 70 | 56 | $1,460 | $445 | $502 |
| Level 1 Endovascular ProceduresAPC 5191 | 65 | 65 | $23,638 | $1,948 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 54 | 54 | $50,517 | $4,742 | $5,339 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 53 | 53 | $13,989 | $1,915 | $2,141 |
See all 26 Medicare outpatient services at Raleigh General Hospital
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 Raleigh General 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 5,237 in 2020 to 4,933 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 25801 | 1,160 | 24% | 5,533 | $76.5M | 47% | 51% |
| 25901 | 284 | 6% | 1,443 | $20.3M | 40% | 42% |
| 25880 | 227 | 5% | 1,059 | $13.9M | 54% | 50% |
| 25813 | 169 | 3% | 738 | $10.7M | 44% | 49% |
| 24870 | 167 | 3% | 847 | $12.3M | 58% | 50% |
| 25832 | 155 | 3% | 685 | $10.7M | 61% | 52% |
| 24874 | 152 | 3% | 749 | $10.7M | 61% | 55% |
| 25921 | 146 | 3% | 842 | $10.8M | 61% | 66% |
| 25918 | 137 | 3% | 613 | $8.9M | 46% | 50% |
| 25840 | 135 | 3% | 639 | $9.4M | 28% | 46% |
| 25823 | 123 | 2% | 690 | $8.5M | 59% | 62% |
| 25827 | 117 | 2% | 534 | $7.4M | 53% | 50% |
| 25865 | 73 | 1% | 376 | $5M | 59% | 75% |
| 25844 | 72 | 1% | 384 | $4.9M | 63% | 72% |
| 25951 | 69 | 1% | 299 | $4.6M | 16% | 13% |
| 25976 | 69 | 1% | 288 | $6.5M | 39% | 34% |
| 25882 | 68 | 1% | 320 | $4.5M | 67% | 69% |
| 25917 | 68 | 1% | 304 | $4.2M | 46% | 48% |
| 25962 | 68 | 1% | 271 | $4.6M | 26% | 23% |
| 25825 | 67 | 1% | 340 | $5M | 56% | 48% |
| 24740 | 55 | 1% | 290 | $6.6M | 4% | 4% |
| 25839 | 53 | 1% | 267 | $3.6M | 67% | 84% |
| 24818 | 40 | 1% | 162 | $2M | 50% | 46% |
| 25871 | 40 | 1% | 154 | $2.6M | 74% | 57% |
| 25007 | 39 | 1% | 172 | $2.7M | 100% | 100% |
Source: CMS Hospital Service Area file. Shares are of the 4,933 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 Raleigh General Hospital reported at its latest Medicare certification survey (2009). Counts are people, not full-time equivalents.
8
Operating rooms
6
Endoscopy rooms
2
Cardiac catheterization rooms
1
Off-site locations
1
Off-site emergency departments
385
Registered nurses
100
Licensed practical nurses
4
Physicians
6
Physician assistants
16
Pharmacists
34
Respiratory therapists
7
Physical therapists
26
Radiology technicians
7
Nuclear medicine technicians
6
Laboratory technicians
19
Medical technologists
2
Dietitians
3
Social workers
538
Other personnel
Source: CMS Provider of Services file.
328 clinicians who bill Medicare list Raleigh General 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.
Wassim Saikali, MD
Rheumatology Physician
NPI 1992755201
See commercial rates for Wassim Saikali, MDStacy Moulton, M.D.
Diagnostic Radiology Physician
NPI 1356332449
See commercial rates for Stacy Moulton, M.D.Jakob Schutz, MD
Diagnostic Radiology Physician
NPI 1710049002
See commercial rates for Jakob Schutz, MDNarinder Sethi, MD, MS
Diagnostic Radiology Physician
NPI 1013125764
See commercial rates for Narinder Sethi, MD, MSJohn Statler, M.D.
Diagnostic Radiology Physician
NPI 1609840685
See commercial rates for John Statler, M.D.Rajiv Khanna, MD
Medical Oncology Physician
NPI 1518955913
See commercial rates for Rajiv Khanna, MDDavid Glasser, M.D.
Diagnostic Radiology Physician
NPI 1467401133
See commercial rates for David Glasser, M.D.Neil Green, M.D.
Diagnostic Radiology Physician
NPI 1093768376
See commercial rates for Neil Green, M.D.Mayez El-Harake, MD
Medical Oncology Physician
NPI 1578550679
See commercial rates for Mayez El-Harake, MDGarrison Glavich, MD
Diagnostic Radiology Physician
NPI 1255837324
See commercial rates for Garrison Glavich, MDBarry Vaught, M.D.
Neurology Physician
NPI 1194770339
See commercial rates for Barry Vaught, M.D.James Schuster, M.D.
Diagnostic Radiology Physician
NPI 1295785665
See commercial rates for James Schuster, M.D.Edward Hwang, MD
Diagnostic Radiology Physician
NPI 1427179951
See commercial rates for Edward Hwang, MDRichard Doherty, M.D.
Vascular & Interventional Radiology Physician
NPI 1447209903
See commercial rates for Richard Doherty, M.D.Vishal Bindal, M.D.
Diagnostic Radiology Physician
NPI 1033376132
See commercial rates for Vishal Bindal, M.D.Deepak Raghavan, MD
Diagnostic Radiology Physician
NPI 1174784839
See commercial rates for Deepak Raghavan, MDRoni Talukdar, M.D.
Diagnostic Radiology Physician
NPI 1134260540
See commercial rates for Roni Talukdar, M.D.Paul Mathew, MD
Diagnostic Radiology Physician
NPI 1316365844
See commercial rates for Paul Mathew, MDDaryle Darden, M.D.
Diagnostic Radiology Physician
NPI 1164471355
See commercial rates for Daryle Darden, M.D.John Gleason, M.D.
Vascular & Interventional Radiology Physician
NPI 1578680302
See commercial rates for John Gleason, M.D.Ryan Leonen, M.D.
Diagnostic Radiology Physician
NPI 1346453164
See commercial rates for Ryan Leonen, M.D.Jeffrey Frazier, M.D.
Diagnostic Radiology Physician
NPI 1134178908
See commercial rates for Jeffrey Frazier, M.D.Salvador Trinidad, M.D.
Diagnostic Radiology Physician
NPI 1033166335
See commercial rates for Salvador Trinidad, M.D.David Landsnes, M.D.
Diagnostic Radiology Physician
NPI 1033168588
See commercial rates for David Landsnes, 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 Raleigh General Hospital reported to Medicare for Jun 1, 2024 to May 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $1.1B | 509.9% |
| Inpatient | $573M | 276.5% |
| Outpatient | $483.7M | 233.4% |
| Contractual allowances and discounts | -$849.5M | -409.9% |
| Net patient revenue | $207.2M | 100.0% |
| Operating expenses | -$217.3M | -104.9% |
| Operating income from patient care | -$10.1M | -4.9% |
| Other income | $698,776 | 0.3% |
| Investment income | $18,850 | 0.0% |
| Other | $679,926 | 0.3% |
| Net income | -$9.4M | -4.5% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $222.9M | 21.6% |
| Medicaid (including managed care) | $196.2M | 19.0% |
| Other payers and self-pay | $614.1M | 59.4% |
| Total charges | $1B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 821376, 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 Raleigh General Hospital's latest cost report.
-4.9%
Operating margin
Operating income from patient care / net patient revenue
-4.5%
Total margin
Net income / net patient revenue plus other income
-0.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
43% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$39.39
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-10.0%
Return on assets
Net income for a year / total assets
-4.7%
Return on equity
Net income for a year / fund balance
-0.64
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
2.23
Current ratio
Current assets / current liabilities
1.45
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
58 days
Days in patient receivables
Net patient receivables / daily net patient revenue
39 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.22
Asset turnover
Total revenue for a year / total assets
6.2 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 821376, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Raleigh General Hospital owned and owed at the end of its reporting period (May 2025), across all fund types: $93.9M in total assets and a $200.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $36,156 | 0.0% |
| Patient receivables, net | $32.7M | 34.9% |
| Inventory | $6M | 6.4% |
| Total current assets | $50.3M | 53.6% |
| Property and equipment, net of depreciation | $36.7M | 39.1% |
| Investments and other assets | $6.8M | 7.3% |
| Total assets | $93.9M | 100.0% |
| Current liabilities | $22.6M | 24.0% |
| Long-term debt | -$129.5M | -138.0% |
| Total liabilities | -$107M | -114.0% |
| Fund balance (net assets) | $200.8M | 214.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 821376, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Raleigh General Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.5M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$8.5M
Bad debt
Patient bills written off as uncollectible, at charges
$14.4M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$14.6M
Total unreimbursed and uncompensated care
6.7% 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 821376, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Raleigh General Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | May 2020 | May 2021 | May 2022 | May 2023 | May 2024 | May 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $181.1M | $186.4M | $187.9M | $181.8M | $195.5M | $207.2M |
| Operating expenses | $173.1M | $179.3M | $201.3M | $193.6M | $204.8M | $217.3M |
| Operating margin | 4.4% | 3.8% | -7.1% | -6.5% | -4.7% | -4.9% |
| Net income | $8.8M | $14.6M | -$12.8M | -$8.2M | -$7.8M | -$9.4M |
| Total assets | $86.2M | $90.1M | $88.6M | $90.6M | $92.6M | $93.9M |
| Discharges | 11,508 | 10,877 | 10,258 | 8,034 | 18,239 | 8,473 |
| Inpatient days | 50,690 | 51,901 | 52,095 | 42,642 | 47,153 | 41,922 |
| Medicare Advantage days | 8,481 | 12,678 | 11,080 | 14,209 | 14,651 | |
| Beds | 300 | 300 | 300 | 300 | 300 | 300 |
| Employees (FTE) | 903 | 864 | 796 | 803 | 887 | 900 |
Source: CMS cost report (HCRIS, Form 2552-10), report 821376, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Raleigh General 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 |
|---|---|---|---|---|---|
| Operating room | $6.5M | $21.2M | $159.6M | 0.13 | 30,331 |
| Impl. dev. charged to patients | $15.5M | $87.6M | 0.18 | ||
| Drugs charged to patients | $1.9M | $11.9M | $67.2M | 0.18 | 3,188 |
| Laboratory | $2.1M | $10.6M | $82.7M | 0.13 | 4,347 |
| Medical supplies charged to patient | $668,381 | $9.9M | $86.5M | 0.11 | 417 |
| Emergency | $5.1M | $8.7M | $113.8M | 0.08 | 8,396 |
| Radiology-diagnostic | $2.1M | $8.5M | $47.1M | 0.18 | 9,573 |
| Cardiac catheterization | $2.5M | $7.4M | $68.9M | 0.11 | 4,702 |
| Delivery room & labor room | $1.5M | $2.7M | $8.6M | 0.32 | 377 |
| Ct scan | $923,830 | $2.6M | $67.4M | 0.04 | 3,133 |
| Respiratory therapy | $1.1M | $2.3M | $7.4M | 0.31 | 2,833 |
| Mri | $825,502 | $2.2M | $29.2M | 0.08 | 1,731 |
| Observation beds (non-distinct part | $2.1M | $14M | 0.15 | ||
| Recovery room | $480,758 | $1.8M | $14.8M | 0.12 | 2,448 |
| Hemo dialysis | $681,877 | $1.4M | $1.7M | 0.83 | 994 |
| Electrocardiology | $605,549 | $1.4M | $16.3M | 0.08 | 2,555 |
| Blood storing processing & trans. | $130,441 | $1.1M | $3.2M | 0.35 | 443 |
| Ultra sound | $522,583 | $957,985 | $10.1M | 0.09 | 825 |
| Anesthesiology | $873,191 | $31.8M | 0.03 | 475 | |
| Physical therapy | $273,542 | $863,462 | $5.4M | 0.16 | 547 |
| Wound care | $375,952 | $426,653 | $1.6M | 0.27 | 2,422 |
| Speech pathology | $402,697 | $3.1M | 0.13 | 80 | |
| Clinic | $231 | $87,844 | 0.00 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $14.3M | $28.6M | $50.6M | 0.56 | 85,038 |
| Intensive care unit | $3.2M | $14.6M | $41.1M | 0.35 | |
| Coronary care unit | $3.4M | $5.3M | $10.6M | 0.50 | 5,962 |
| Nursery | $983,343 | $2M | $3.1M | 0.64 | 4,430 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $6.8M | $29.7M | 183,090 | $37.16 | 39,992 |
| Employee benefits department | $392,138 | $10.2M | 9,590 | $40.89 | |
| Cap rel costs-mvble equip | $5.9M | ||||
| Operation of plant | $1.2M | $4.9M | 48,172 | $24.11 | 55,830 |
| Cap rel costs-bldg & fixt | $4.1M | 314,974 | |||
| Dietary | $823,222 | $1.8M | 42,557 | $19.34 | 6,346 |
| Nursing administration | $1.2M | $1.8M | 21,280 | $56.30 | 11,372 |
| Medical records & library | $381,733 | $1.7M | 18,922 | $20.17 | 3,690 |
| Housekeeping | $1.1M | $1.7M | 63,797 | $17.44 | 1,166 |
| Laundry & linen service | $846,587 | 135 | |||
| Cap rel costs-blgd & fixt - beckley | $152,261 | ||||
| Maintenance & repairs | $89,366 |
Source: CMS cost report (HCRIS, Form 2552-10), report 821376, 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 Raleigh General Hospital for an inpatient stay.
1.75
Case mix index
Higher than 57% 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).
30.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
2,466
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
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 | 1.64 | 1.64 | 1.77 | 1.80 | 1.71 | 1.72 | 1.75 |
| Wage index | 0.847 | 0.842 | 0.840 | 0.840 | 0.968 | 0.919 | 0.915 |
| Readmissions adjustment | -1.13% | -1.05% | -1.15% | -0.57% | -0.56% | -0.73% | -0.77% |
| Value-based purchasing adjustment | -0.61% | -0.57% | -0.57% | 0.00% | 0.00% | -0.38% | -0.10% |
| Medicare inpatient stays | 5,109 | 5,109 | 3,625 | 3,197 | 2,844 | 2,778 | 2,466 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Raleigh General Hospital reports to Medicare as owners or with operational control.
Dsb Acquisition LLC
5% or greater indirect ownership interest, 100%, since 2018
Legacy LifePoint Health LLC
5% or greater indirect ownership interest, 100%, since 2022
LifePoint Acquisition Corp
5% or greater indirect ownership interest, 100%, since 2005
LifePoint Health Inc
5% or greater indirect ownership interest, 100%, since 2018
LifePoint Wv Holdings Inc
5% or greater direct ownership interest, 100%, since 2006
LifePoint Corporate Services General Partnership
Operational/managerial control, since 2006
Sources: CMS Hospital All Owners.
The officers and board members on Raleigh General 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.
About Raleigh General Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Raleigh General Hospital range from $1,765 to $3,867 across 4 insurers. Aetna's rate is $3,639. The median at nearby comparable hospitals is $1,469. 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 Raleigh General Hospital range from $1,765 to $3,531 across 4 insurers. Blue Cross Blue Shield's rate is $1,765. The median at nearby comparable hospitals is $2,360. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Raleigh General Hospital range from $3,446 to $5,908 across 4 insurers. Aetna's rate is $5,908. The median at nearby comparable hospitals is $3,193. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Raleigh General Hospital range from $394 to $568 across 4 insurers. Aetna's rate is $568. The median at nearby comparable hospitals is $225. 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 Raleigh General Hospital range from $38,728 to $38,728 across 1 insurers. Blue Cross Blue Shield's rate is $38,728. The median at nearby comparable hospitals is $29,317. What a patient pays depends on their plan's deductible, coinsurance and network status.
Raleigh General 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.
CMS reports no Medicare-funded interns or residents at Raleigh General Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Raleigh General Hospital's base inpatient payments by an estimated 0.77% 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 (245 discharges), heart failure and shock with mcc (99 discharges), respiratory infections and inflammations with mcc (69 discharges).
Raleigh General Hospital's Medicare case mix index is 1.75 for fiscal year 2027, higher than 57% of hospitals paid under the inpatient prospective payment system.
Raleigh General Hospital reported 8,473 inpatient discharges and 41,922 inpatient days from Jun 1, 2024 to May 31, 2025.
Raleigh General Hospital reported 900 full-time-equivalent employees on payroll from Jun 1, 2024 to May 31, 2025.
Raleigh General Hospital reported $207.2M in net patient revenue on $1.1B of gross charges for Jun 1, 2024 to May 31, 2025, an operating margin of -4.9%, and net income of -$9.4M.
Raleigh General Hospital reported $14.6M of unreimbursed and uncompensated care for Jun 1, 2024 to May 31, 2025, including $1.5M of charity care at cost.
Raleigh General Hospital's Medicare enrollment lists William Haugh as President since 2022.
Insurers' price transparency files list Raleigh General Hospital under employer identification number 55-0261260 (Raleigh General Hospital). 55 health plans and networks list 55-0261260 for it.
328 clinicians who bill Medicare list Raleigh General Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (41), family nurse practitioner (39), diagnostic radiology physician (38).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Raleigh General Hospital, effective 2021.
In its Medicare enrollment, Raleigh General Hospital reports Dsb Acquisition LLC as 5% or greater indirect ownership interest (100%).
CMS lists 26 services at Raleigh General Hospital, including Acute Renal Dialysis, Anesthesia, Cardiac Catheterization Lab, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, Coronary Care Unit.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Raleigh General Hospital came from ZIP codes 25801 (1,160), 25901 (284), 25880 (227).
Raleigh General Hospital has 300 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Raleigh General Hospital is located at 1710 Harper Road, Beckley, WV 25801. Its main phone number is (304) 256-4100.
Raleigh General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 510070.
The National Provider Identifier (NPI) on file for Raleigh General Hospital is 1629015698.
Raleigh General Hospital is affiliated with LifePoint Health.
Raleigh General Hospital lists 30 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.
160 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