Spencer, WV
23
In-network payers
166
Disclosed rate categories
60
Beds
Roane General Hospital is a 60-bed voluntary non-profit - private hospital in Spencer, WV. Below you'll find publicly disclosed negotiated rates and facility details, including 23 in-network payers and 166 disclosed rate categories.
CCN (Medicare provider number)
511306
NPI
1316907322
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
60
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Roane General Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$299 - $3,935
from 4 insurers · median $3,687
Typical for a hospital with this service line
CT imaging
CPT 70450
$127 - $1,760
from 4 insurers · median $1,575
Typical for a hospital with this service line
CT imaging
CPT 74176
$219 - $3,542
from 4 insurers · median $2,157
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$232 - $2,476
from 4 insurers · median $2,149
Typical for a hospital with this service line
CT imaging
CPT 71275
$330 - $2,946
from 4 insurers · median $2,594
Typical for a hospital with this service line
Mammography
CPT 77067
$148 - $585
from 4 insurers · median $490
Typical for a hospital with this service line
Medicine & Surgery
CPT 29826
$626 - $46,269
from 4 insurers · median $44,776
Typical for a hospital with this service line
MRI imaging
CPT 70553
$375 - $5,486
from 4 insurers · median $3,292
Typical for a hospital with this service line
Digestive procedures
CPT 43235
$2,445 - $18,042
from 3 insurers · median $18,042
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$2,589 - $10,988
from 4 insurers · median $9,540
Typical for a hospital with this service line
MRI imaging
CPT 74183
$1,058 - $5,486
from 4 insurers · median $5,268
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$496 - $4,507
from 4 insurers · median $4,057
Hospital reports nuclear medicine services to CMS
Digestive procedures
CPT 43239
$493 - $2,062
from 4 insurers · median $1,836
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$446 - $3,078
from 4 insurers · median $2,188
Typical for a hospital with this service line
MRI imaging
CPT 72197
$5,076 - $5,669
from 4 insurers · median $5,486
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$18,631 - $41,340
from 3 insurers · median $40,006
Typical for a hospital with this service line
MRI imaging
CPT 72148
$227 - $3,428
from 4 insurers · median $2,042
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$39 - $363
from 4 insurers · median $225
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$18,631 - $27,548
from 4 insurers · median $26,660
Typical for a hospital with this service line
Medicine & Surgery
CPT 29881
$4,098 - $17,473
from 4 insurers · median $14,390
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$14 - $205
from 4 insurers · median $169
Typical for a hospital with this service line
Ultrasound
CPT 76705
$84 - $811
from 4 insurers · median $491
Typical for a hospital with this service line
Medicine & Surgery
CPT 49505
$11,796 - $23,392
from 4 insurers · median $22,637
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$401 - $2,431
from 3 insurers · median $1,066
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 689% | 0 | 0 |
| Insurer B* | 24 | 408% | 19 | 0 |
| Insurer C* | 23 | 405% | 0 | 0 |
| Insurer D* | 23 | 112% | 8 | 13 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Roane General Hospital.
200 Hospital Drive, Spencer, WV 25276
(304) 927-4444
The nearest hospitals of similar type and size. Their rates are compared with Roane General Hospital for the same insurers and services above.
Minnie Hamilton Health System
â–¼ Rates typically 61% lower than Roane General Hospital (9 services)
Jackson General Hospital
â–² Rates typically 197% higher than Roane General Hospital (23 services)
Braxton County Memorial Hospital
â–² Rates typically 132% higher than Roane General Hospital (23 services)
Montgomery General Hospital
â–¼ Rates typically 12% lower than Roane General Hospital (22 services)
Selby General Hospital
Rates about the same as Roane General Hospital (19 services)
Webster County Memorial Hospital
â–¼ Rates typically 34% lower than Roane General Hospital (16 services)
Summers County Arh Hospital
Potomac Valley Hospital
Grant Memorial Hospital
About Roane General Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Roane General Hospital range from $375 to $5,486 across 4 insurers. UnitedHealthcare's rate is $1,578. The median at nearby comparable hospitals is $1,791. 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 Roane General Hospital range from $299 to $3,935 across 4 insurers. Aetna's rate is $299. The median at nearby comparable hospitals is $1,558. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Roane General Hospital range from $446 to $3,078 across 4 insurers. Blue Cross Blue Shield's rate is $3,078. The median at nearby comparable hospitals is $1,488. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Roane General Hospital range from $148 to $585 across 4 insurers. UnitedHealthcare's rate is $432. The median at nearby comparable hospitals is $195. What a patient pays depends on their plan's deductible, coinsurance and network status.
Roane General Hospital has 60 beds. Facility type: Critical Access Hospital.
Roane General Hospital is located at 200 Hospital Drive, Spencer, WV 25276. Its main phone number is (304) 927-4444.
Roane General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 511306.
The National Provider Identifier (NPI) on file for Roane General Hospital is 1316907322.
Roane General Hospital lists 23 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
166 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers