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Short Term Acute Care HospitalGovernment - Local

Wetzel County Hospital

West Virginia University Health System · New Martinsville, WV

3 East Benjamin Drive, New Martinsville, WV 26155(304) 455-8000

3 of 5

CMS star rating

25

Beds

633

Inpatient discharges a year

$45.5M

Net patient revenue a year

36

In-network payers

About this hospital

Wetzel County Hospital is a 25-bed government - local hospital in New Martinsville, WV, affiliated with West Virginia University Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 201 disclosed rate categories.

  • Sole community hospital
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
510072
NPI
1376175240
Health system
West Virginia University Health System
Teaching
No Medicare-funded residents
County
Wetzel County
Medicare contractor
Jurisdiction M, Palmetto GBA (11401)
In Medicare since
1966
Last CMS survey
2005

Prices for common services

The 24 services Wetzel County 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.

Orthopedics and pain

Open carpal tunnel release

CPT 64721

$4,424 - $5,491

from 3 insurers · median $4,483

Cignaest.$4,483
Insurer A*est.$4,424
Insurer B*$5,491
Medicare $1,900Nearby hospitals $2,85457% above nearby hospitals

48 Medicare claims in Level 1 Nerve Procedures (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$2,131 - $3,610

from 4 insurers · median $3,190

Aetna$3,080
Insurer A*$2,131
Insurer B*est.$3,300
Insurer C*est.$3,610
Medicare $339Nearby hospitals $1,594100% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$965 - $3,119

from 4 insurers · median $2,593

Aetna$2,341
Insurer A*$965
Insurer B*est.$2,845
Insurer C*est.$3,119
Medicare $232Nearby hospitals $732254% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$708 - $1,270

from 4 insurers · median $1,108

Aetna$708
Insurer A*$963
Insurer B*est.$1,253
Insurer C*est.$1,270
Medicare $102Nearby hospitals $460141% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Wetzel County 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*20
742%
182
Insurer B*20
714%
172
Insurer C*24
576%
213
Insurer D*21
361%
109

How we chose these services: 1 appear in this hospital's own Medicare claims, 18 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 Wetzel County 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 HealthCenteneDean Health Plan

More about this hospital

  • Quality

    3 of 5 stars

    • 133 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.31%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

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

    $45.5M net patient revenue

    • Operating margin on patient care 0.4%
    • $903,252 unreimbursed and uncompensated care
    • $2.1M net income
    See finances
  • Ownership and leadership

    Owned by West Virginia United Health System Inc

    • Local
    • Sean Smith, 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 Wetzel County 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
84-3480493Wetzel County Hospital INC53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 48 more1376175240 Wetzel County Hospital Inc.1255963120 Wetzel County Hospital Inc.1548893068 Wetzel County Hospital Inc.and 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

3 East Benjamin Drive, New Martinsville, WV 26155

(304) 455-8000

Get directions

Frequently asked questions

About Wetzel County Hospital's rates and hospital price transparency.

How much does an MRI cost at Wetzel County Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Wetzel County Hospital range from $2,021 to $5,101 across 4 insurers. Blue Cross Blue Shield's rate is $2,021. The median at nearby comparable hospitals is $1,405. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Wetzel County Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Wetzel County Hospital range from $2,131 to $3,610 across 4 insurers. Aetna's rate is $3,080. The median at nearby comparable hospitals is $1,594. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Wetzel County Hospital?

For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Wetzel County Hospital range from $1,395 to $9,977 across 4 insurers. Aetna's rate is $1,878. The median at nearby comparable hospitals is $2,284. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Wetzel County Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Wetzel County Hospital range from $250 to $540 across 4 insurers. UnitedHealthcare's rate is $467. The median at nearby comparable hospitals is $177. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Wetzel County Hospital's CMS star rating?

Wetzel County Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Wetzel County Hospital a teaching hospital?

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

Does Medicare penalize Wetzel County Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Wetzel County Hospital's base inpatient payments by an estimated 0.31% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Wetzel County Hospital?

In 2024, the most common were simple pneumonia and pleurisy with mcc (24 discharges), septicemia or severe sepsis without mv >96 hours with mcc (22 discharges), chronic obstructive pulmonary disease with mcc (17 discharges).

What is Wetzel County Hospital's case mix index?

Wetzel County 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 Wetzel County Hospital admit?

Wetzel County Hospital reported 633 inpatient discharges and 1,692 inpatient days from Jan 1, 2025 to Dec 31, 2025.

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
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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
  • 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
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