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Short Term Acute Care HospitalGovernment - State

Welch Community Hospital

Welch, WV

454 Mcdowell Street, Welch, WV 24801(304) 436-8461

Not rated by CMS

CMS star rating

49

Beds

336

Inpatient discharges a year

$13.3M

Net patient revenue a year

31

In-network payers

About this hospital

Welch Community Hospital is a 49-bed government - state hospital in Welch, WV. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 90 disclosed rate categories.

  • Sole community hospital
  • Disproportionate share hospital
CCN
510086
NPI
1134158900
Teaching
No Medicare-funded residents
County
McDowell County
Medicare contractor
Jurisdiction M, Palmetto GBA (11401)
In Medicare since
1985
Last CMS survey
2024

Prices for common services

The 24 services Welch Community 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

$1,982 - $2,559

from 2 insurers · median $2,271

Aetna$2,559
Insurer A*$1,982
Medicare $324Nearby hospitals $818178% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$1,571 - $2,029

from 2 insurers · median $1,800

Aetna$2,029
Insurer A*$1,571
Medicare $222Nearby hospitals $539234% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT of the chest, with contrast

CPT 71260

$1,254 - $1,619

from 2 insurers · median $1,436

Aetna$1,619
Insurer A*$1,254
Medicare $163Nearby hospitals $476202% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$1,119

negotiated rate

Aetna$1,119
Medicare $97Nearby hospitals $160599% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Welch Community 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
536%
191
Insurer B*23
283%
912

How we chose these services: 0 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 7 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 Welch Community 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)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)Centene

More about this hospital

  • Quality

    Not rated by CMS

    • 199 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings

  • Doctors and services

    No Medicare-funded residents

    • 20 services
    • 44 affiliated clinicians
    See doctors and services

  • Finances

    $13.3M net patient revenue

    • Operating margin on patient care -180.2%
    • $790,825 unreimbursed and uncompensated care
    • -$17.6M net income
    See finances

  • Ownership and leadership

    Owned by State Of West Virginia Welch Community Hospital

    • State
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Welch Community 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
55-6000821Welch Community Hospital49Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 44 more1134158900 State Of West Virginia Welch Community Hospital1588749188 State Of West Virginia Welch Community Hospital1912082512 State Of West Virginia Welch Emergency Hospitaland 1 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

454 Mcdowell Street, Welch, WV 24801

(304) 436-8461

Get directions

Frequently asked questions

About Welch Community Hospital's rates and hospital price transparency.

How much does a CT scan cost at Welch Community Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Welch Community Hospital range from $1,982 to $2,559 across 2 insurers. Aetna's rate is $2,559. The median at nearby comparable hospitals is $818. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Welch Community Hospital?

For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Welch Community Hospital range from $1,870 to $3,416 across 2 insurers. Blue Cross Blue Shield's rate is $1,870. The median at nearby comparable hospitals is $3,955. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Welch Community Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Welch Community Hospital range from $167 to $216 across 2 insurers. Aetna's rate is $216. The median at nearby comparable hospitals is $124. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Welch Community Hospital a teaching hospital?

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

Does Medicare penalize Welch Community Hospital for readmissions?

No. Welch Community Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Welch Community Hospital?

In 2024, the most common were kidney and urinary tract infections without mcc (13 discharges).

What is Welch Community Hospital's case mix index?

Welch Community Hospital's Medicare case mix index is 1.15 for fiscal year 2027, higher than 5% of hospitals paid under the inpatient prospective payment system.

How many patients does Welch Community Hospital admit?

Welch Community Hospital reported 336 inpatient discharges and 1,419 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does Welch Community Hospital have?

Welch Community Hospital reported 149 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does Welch Community Hospital make?

Welch Community Hospital reported $13.3M in net patient revenue on $40.8M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -180.2%, and net income of -$17.6M.

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