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Critical Access Hospital

Summersville Regional Medical Center

West Virginia University Health System · Summersville, WV

400 Fairview Heights Road, Summersville, WV 266513048722891

7

In-network payers

7

Disclosed rate categories

77

Beds

About this hospital

Summersville Regional Medical Center is a 77-bed hospital in Summersville, WV, affiliated with West Virginia University Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 7 in-network payers and 7 disclosed rate categories.

CCN (Medicare provider number)

510082

NPI

1104813740

Type

Critical Access Hospital

Beds

77

Insurance Accepted

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.

Medicare
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Avera Health PlansHarvard Pilgrim Health Care (Point32Health)Kaiser PermanenteMass General Brigham (formerly AllWays Health Partners)MedicaSentara Health Plans (Optima Health)

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

United

Facility

RC Behavioral Health Accommodations

Range: 1000 - 1009

Percentage of Bill Charged

-

United

Facility

RC Intensive Care Unit

Range: 0200 - 0209

Percentage of Bill Charged

-

United

Facility

RC Room and Board (3 and 4 beds)

Range: 0130 - 0139

Percentage of Bill Charged

-

United

Facility

RC Room and Board Deluxe Private

Range: 0140 - 0149

Percentage of Bill Charged

-

United

Facility

RC Room and Board Private (one bed)

Range: 0110 - 0119

Percentage of Bill Charged

-

United

Facility

RC Room and Board Semi-private (two beds)

Range: 0120 - 0129

Percentage of Bill Charged

-

United

Facility

RC Room and Board Ward

Range: 0150 - 0159

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

Showing 1 - 7 of 7

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Location

400 Fairview Heights Road, Summersville, WV 26651

3048722891

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Frequently asked questions

About Summersville Regional Medical Center's rates and hospital price transparency.

How many beds does Summersville Regional Medical Center have?

Summersville Regional Medical Center has 77 beds. Facility type: Critical Access Hospital.

Where is Summersville Regional Medical Center and what is its phone number?

Summersville Regional Medical Center is located at 400 Fairview Heights Road, Summersville, WV 26651. Its main phone number is 3048722891.

What is Summersville Regional Medical Center's CCN (Medicare provider number)?

Summersville Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 510082.

What is Summersville Regional Medical Center's NPI number?

The National Provider Identifier (NPI) on file for Summersville Regional Medical Center is 1104813740.

What health system is Summersville Regional Medical Center part of?

Summersville Regional Medical Center is affiliated with West Virginia University Health System.

Which insurance plans are in network at Summersville Regional Medical Center?

Summersville Regional Medical Center lists 7 in-network payers, including Avera Health Plans, Harvard Pilgrim Health Care (Point32Health), Kaiser Permanente, Mass General Brigham (formerly AllWays Health Partners), and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for Summersville Regional Medical Center?

7 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.

What is a hospital price transparency MRF?

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.

What is a chargemaster review?

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

Running price transparency at a hospital like this one?

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.

Compliance MRF

Publish a CMS-compliant machine-readable file

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

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster