CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$438 - $2,216
from 2 insurers · median $1,327
Typical for a hospital with this service line
Wheeling Hospital · Sistersville, WV
25
In-network payers
85
Disclosed rate categories
12
Beds
Sistersville General Hospital is a 12-bed voluntary non-profit - private hospital in Sistersville, WV, affiliated with Wheeling Hospital. Below you'll find publicly disclosed negotiated rates and facility details, including 25 in-network payers and 85 disclosed rate categories.
CCN (Medicare provider number)
511304
NPI
1861495335
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
12
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 Sistersville 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
$438 - $2,216
from 2 insurers · median $1,327
Typical for a hospital with this service line
CT imaging
CPT 70450
$136 - $1,335
from 2 insurers · median $735
Typical for a hospital with this service line
CT imaging
CPT 74176
$208 - $2,216
from 2 insurers · median $1,212
Typical for a hospital with this service line
CT imaging
CPT 71275
$399 - $2,216
from 2 insurers · median $1,308
Typical for a hospital with this service line
MRI imaging
CPT 70553
$429 - $2,946
from 2 insurers · median $1,687
Typical for a hospital with this service line
Mammography
CPT 77067
$167 - $184
from 2 insurers · median $175
Typical for a hospital with this service line
MRI imaging
CPT 72148
$247 - $2,903
from 2 insurers · median $1,575
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$47 - $259
from 2 insurers · median $153
Typical for a hospital with this service line
MRI imaging
CPT 70551
$259 - $2,443
from 2 insurers · median $1,351
Typical for a hospital with this service line
MRI imaging
CPT 73721
$284 - $2,903
from 2 insurers · median $1,594
Typical for a hospital with this service line
Ultrasound
CPT 76705
$117 - $826
from 2 insurers · median $472
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$16 - $173
from 2 insurers · median $94
Typical for a hospital with this service line
Ultrasound
CPT 76830
$169 - $574
from 2 insurers · median $372
Typical for a hospital with this service line
Ultrasound
CPT 76642
$104 - $485
from 2 insurers · median $295
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$194 - $501
from 2 insurers · median $347
Typical for a hospital with this service line
Ultrasound
CPT 76856
$144 - $574
from 2 insurers · median $359
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$1,019 - $2,916
from 2 insurers · median $1,967
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$303 - $906
from 2 insurers · median $605
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$321 - $418
from 2 insurers · median $370
Typical for a hospital with this service line
Mammography
CPT 77065
$175 - $324
from 2 insurers · median $249
Typical for a hospital with this service line
Mammography
CPT 77066
$222 - $405
from 2 insurers · median $313
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$51 - $283
from 2 insurers · median $167
Typical for a hospital with this service line
X-ray and bone density
CPT 72100
$58 - $430
from 2 insurers · median $244
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$1,068 - $2,916
from 2 insurers · median $1,992
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* | 24 | 538% | 1 | 1 |
| Insurer B* | 24 | 121% | 5 | 19 |
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 Sistersville General Hospital.
314 South Wells Street, Sistersville, WV 26175
(304) 652-2611
About Sistersville General Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Sistersville General Hospital range from $429 to $2,946 across 2 insurers. Aetna's rate is $429. The median at nearby comparable hospitals is $3,032. 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 Sistersville General Hospital range from $438 to $2,216 across 2 insurers. Aetna's rate is $438. The median at nearby comparable hospitals is $1,804. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Sistersville General Hospital range from $321 to $418 across 2 insurers. The median at nearby comparable hospitals is $2,092. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sistersville General Hospital range from $167 to $184 across 2 insurers. UnitedHealthcare's rate is $167. The median at nearby comparable hospitals is $293. What a patient pays depends on their plan's deductible, coinsurance and network status.
Sistersville General Hospital has 12 beds. Facility type: Critical Access Hospital.
Sistersville General Hospital is located at 314 South Wells Street, Sistersville, WV 26175. Its main phone number is (304) 652-2611.
Sistersville General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 511304.
The National Provider Identifier (NPI) on file for Sistersville General Hospital is 1861495335.
Sistersville General Hospital is affiliated with Wheeling Hospital.
Sistersville General Hospital lists 25 in-network payers, including Aetna, Aspirus Health Plan, Avera Health Plans, Banner Health, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
85 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