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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Thomas Memorial Hospital

Thomas Health System · South Charleston, WV

4605 Maccorkle Avenue Sw, South Charleston, WV 25309(304) 766-3600

1 of 5

CMS star rating

263

Beds

11,116

Inpatient discharges a year

$495.4M

Net patient revenue a year

25

In-network payers

About this hospital

Thomas Memorial Hospital is a 263-bed voluntary non-profit - private hospital in South Charleston, WV, affiliated with Thomas Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 25 in-network payers and 207 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • ACO participant
CCN
510029
NPI
1316925506
Health system
Thomas Health System
Teaching
No Medicare-funded residents
County
Kanawha County
Metro area
Charleston, WV MSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11401)
In Medicare since
1966
Last CMS survey
2009

Prices for common services

The 24 services Thomas Memorial 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.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$1,428 - $4,759

from 4 insurers · median $3,929

Aetna$3,230
Insurer A*$1,428
Insurer B*est.$4,629
Insurer C*est.$4,759
Medicare $312Nearby hospitals $4,1956% below nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$12,303 - $17,544

from 2 insurers · median $14,924

Blue Cross$17,544
Insurer A*$12,303

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

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$15,567 - $30,512

from 4 insurers · median $25,825

Blue Cross$21,976
Insurer A*$15,567
Insurer B*est.$29,674
Insurer C*est.$30,512
Medicare $5,414Nearby hospitals $16,70855% above nearby hospitals

137 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

Digestive procedures

Laparoscopic repair of an initial inguinal hernia

CPT 49650

$26,858 - $43,019

from 4 insurers · median $37,716

Aetna$33,596
Insurer A*$26,858
Insurer B*est.$41,837
Insurer C*est.$43,019
Medicare $5,414Nearby hospitals $20,41785% above nearby hospitals

137 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Thomas Memorial Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*21
729%
75
Insurer B*23
709%
64
Insurer C*21
386%
87
Insurer D*24
385%
116

How we chose these services: 6 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 5 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 Thomas Memorial Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Aspirus Health PlanAvera Health PlansBanner HealthEMI HealthHarvard Pilgrim Health Care (Point32Health)Health Alliance

More about this hospital

  • Quality

    1 of 5 stars

    • 205 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.72%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 43 services, including trauma care
    • 760 affiliated clinicians
    See doctors and services
  • Finances

    $495.4M net patient revenue

    • Operating margin on patient care -3.0%
    • $38.7M unreimbursed and uncompensated care
    • $39M net income
    See finances
  • Ownership and leadership

    Owned by West Virginia United Health System, Inc

    • Private (not for profit)
    • James G Rosencrance, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Thomas Memorial Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
55-0404900Herbert J Thomas Memorial Hospital Assoc55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 50 more1316925506 Herbert J. Thomas Memorial Hospital Association1104681014 Herbert J Thomas Memorial Hospital Association1275620809 Herbert J Thomas Memorial Hospital Associationand 11 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.

Location

4605 Maccorkle Avenue Sw, South Charleston, WV 25309

(304) 766-3600

Get directions

Frequently asked questions

About Thomas Memorial Hospital's rates and hospital price transparency.

How much does an MRI cost at Thomas Memorial Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Thomas Memorial Hospital range from $1,373 to $5,388 across 4 insurers. Blue Cross Blue Shield's rate is $1,373. The median at nearby comparable hospitals is $4,593. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Thomas Memorial Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Thomas Memorial Hospital range from $1,428 to $4,759 across 4 insurers. Aetna's rate is $3,230. The median at nearby comparable hospitals is $4,195. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Thomas Memorial Hospital?

For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Thomas Memorial Hospital range from $2,071 to $7,496 across 4 insurers. Aetna's rate is $2,071. The median at nearby comparable hospitals is $3,984. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Thomas Memorial Hospital?

For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at Thomas Memorial Hospital range from $12,303 to $17,544 across 2 insurers. Blue Cross Blue Shield's rate is $17,544. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Thomas Memorial Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Thomas Memorial Hospital range from $332 to $606 across 4 insurers. Aetna's rate is $540. The median at nearby comparable hospitals is $365. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Thomas Memorial Hospital's CMS star rating?

Thomas Memorial Hospital has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.

Is Thomas Memorial Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Thomas Memorial Hospital for fiscal year 2027.

Does Medicare penalize Thomas Memorial Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Thomas Memorial Hospital's base inpatient payments by an estimated 0.72% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Thomas Memorial Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (144 discharges), heart failure and shock with mcc (94 discharges), circulatory disorders except ami, with cardiac catheterization without mcc (78 discharges).

What is Thomas Memorial Hospital's case mix index?

Thomas Memorial Hospital's Medicare case mix index is 1.81 for fiscal year 2027, higher than 63% of hospitals paid under the inpatient prospective payment system.

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
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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.

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CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
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