West Virginia University Health System · Buckhannon, WV
29
In-network payers
214
Disclosed rate categories
51
Beds
3
Care quality
St. Josephs Hospital Of Buckhannon is a 51-bed voluntary non-profit - private hospital in Buckhannon, WV, affiliated with West Virginia University Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 214 disclosed rate categories.
CCN (Medicare provider number)
511321
NPI
1124005061
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
51
Care Quality
3
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 St. Josephs Hospital Of Buckhannon 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
$1,454 - $3,263
from 4 insurers · median $1,946
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$8,097
negotiated rate
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
CT imaging
CPT 70450
$713 - $1,310
from 3 insurers · median $1,304
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 788
$9,692
negotiated rate
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
CT imaging
CPT 74176
$1,339 - $2,249
from 4 insurers · median $1,752
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$1,061 - $2,054
from 4 insurers · median $1,336
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,397 - $4,073
from 4 insurers · median $2,795
Typical for a hospital with this service line
CT imaging
CPT 71275
$1,244 - $2,220
from 4 insurers · median $1,352
Typical for a hospital with this service line
Gynecology
CPT 58571
$13,120 - $18,364
from 4 insurers · median $15,187
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$214 - $343
from 4 insurers · median $266
Typical for a hospital with this service line
Mammography
CPT 77067
$141 - $608
from 4 insurers · median $214
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,511 - $1,893
from 4 insurers · median $1,569
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$7,660 - $13,081
from 4 insurers · median $7,839
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,101 - $2,112
from 4 insurers · median $1,560
Typical for a hospital with this service line
Digestive procedures
CPT 49650
$9,060 - $33,597
from 4 insurers · median $10,961
Typical for a hospital with this service line
MRI imaging
CPT 74183
$2,378 - $4,074
from 4 insurers · median $2,953
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,321 - $2,052
from 4 insurers · median $1,537
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,320 - $2,118
from 4 insurers · median $1,529
Typical for a hospital with this service line
Ultrasound
CPT 76705
$433 - $726
from 4 insurers · median $554
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$755 - $1,138
from 4 insurers · median $941
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,776 - $5,316
from 4 insurers · median $1,862
Hospital reports nuclear medicine services to CMS
Childbirth · Inpatient
MS-DRG 807
$8,097
negotiated rate
CMS lists this service as CPT 59610, 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
Medicine & Surgery
CPT 66984
$2,579 - $4,533
from 4 insurers · median $2,750
Typical for a hospital with this service line
Gynecology
CPT 58661
$4,863 - $11,629
from 4 insurers · median $8,480
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* | 21 | 544% | 14 | 0 |
| Insurer B* | 23 | 247% | 5 | 4 |
| Insurer C* | 21 | 232% | 6 | 5 |
| Insurer D* | 21 | 231% | 0 | 10 |
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 St. Josephs Hospital Of Buckhannon.
1 Amalia Drive, Buckhannon, WV 26201
(304) 472-2000
The nearest hospitals of similar type and size. Their rates are compared with St. Josephs Hospital Of Buckhannon for the same insurers and services above.
Broaddus Hospital Association
▼ Rates typically 26% lower than St. Josephs Hospital Of Buckhannon (14 services)
Grafton City Hospital
▼ Rates typically 34% lower than St. Josephs Hospital Of Buckhannon (17 services)
Webster County Memorial Hospital
▼ Rates typically 23% lower than St. Josephs Hospital Of Buckhannon (14 services)
Mon Health Preston Memorial Hospital
▲ Rates typically 56% higher than St. Josephs Hospital Of Buckhannon (19 services)
Minnie Hamilton Health System
▼ Rates typically 61% lower than St. Josephs Hospital Of Buckhannon (8 services)
Pocahontas Memorial Hospital
Rates about the same as St. Josephs Hospital Of Buckhannon (12 services)
Jefferson Medical Center - Wvu Medicine
Potomac Valley Hospital
Braxton County Memorial Hospital
Grant Memorial Hospital
About St. Josephs Hospital Of Buckhannon's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St. Josephs Hospital Of Buckhannon range from $2,397 to $4,073 across 4 insurers. Aetna's rate is $3,182. The median at nearby comparable hospitals is $1,701. 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 St. Josephs Hospital Of Buckhannon range from $1,454 to $3,263 across 4 insurers. Aetna's rate is $3,263. The median at nearby comparable hospitals is $2,557. 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 St. Josephs Hospital Of Buckhannon range from $1,511 to $1,893 across 4 insurers. Blue Cross Blue Shield's rate is $1,893. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at St. Josephs Hospital Of Buckhannon range from $8,097 to $8,097 across 1 insurers. Blue Cross Blue Shield's rate is $8,097. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St. Josephs Hospital Of Buckhannon range from $141 to $608 across 4 insurers. Aetna's rate is $608. The median at nearby comparable hospitals is $339. What a patient pays depends on their plan's deductible, coinsurance and network status.
St. Josephs Hospital Of Buckhannon has 51 beds. Facility type: Critical Access Hospital.
St. Josephs Hospital Of Buckhannon is located at 1 Amalia Drive, Buckhannon, WV 26201. Its main phone number is (304) 472-2000.
St. Josephs Hospital Of Buckhannon's CMS Certification Number (CCN), also called its Medicare provider number, is 511321.
The National Provider Identifier (NPI) on file for St. Josephs Hospital Of Buckhannon is 1124005061.
St. Josephs Hospital Of Buckhannon is affiliated with West Virginia University Health System.
St. Josephs Hospital Of Buckhannon lists 29 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.
214 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