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Short Term Acute Care HospitalVoluntary Non-Profit - Church

Wheeling Hospital

West Virginia University Health System · Wheeling, WV

1 Medical Park, Wheeling, WV 26003(304) 243-3000

2 of 5

CMS star rating

336

Beds

14,294

Inpatient discharges a year

$629M

Net patient revenue a year

32

In-network payers

About this hospital

Wheeling Hospital is a 336-bed voluntary non-profit - church hospital in Wheeling, WV, affiliated with West Virginia University Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 271 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
CCN
510050
NPI
1104821305
Health system
West Virginia University Health System
Teaching
Teaching hospital
County
Ohio County
Metro area
Wheeling, WV-OH MSA
Medicare contractor
Jurisdiction M, Palmetto GBA (11401)
In Medicare since
1966
Last CMS survey
2006

Prices for common services

The 24 services Wheeling 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

$1,380 - $2,969

from 4 insurers · median $2,862

Aetna$2,835
Insurer A*$1,380
Insurer B*est.$2,888
Insurer C*est.$2,969
Medicare $306Nearby hospitals $1,093162% above nearby hospitals

Common here, based on CMS Medicare volume

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$11,664

negotiated rate

Blue Cross$11,664

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

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$12,376 - $21,316

from 4 insurers · median $19,692

Blue Cross$18,653
Insurer A*$12,376
Insurer B*est.$20,730
Insurer C*est.$21,316
Medicare $5,301Nearby hospitals $10,58186% above nearby hospitals

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

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$16,190

negotiated rate

Blue Cross$16,190

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

How the insurers pay at Wheeling 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
420%
192
Insurer B*21
407%
210
Insurer C*21
381%
121
Insurer D*24
375%
211

How we chose these services: 9 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 3 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 Wheeling 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)EMI Health

More about this hospital

  • Quality

    2 of 5 stars

    • 203 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.00%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 45 services, including trauma care
    • 769 affiliated clinicians
    See doctors and services
  • Finances

    $629M net patient revenue

    • Operating margin on patient care -0.7%
    • $41.9M unreimbursed and uncompensated care
    • $47.4M net income
    See finances
  • Ownership and leadership

    Owned by West Virginia United Health System, Inc

    • Church
    • Douglass Harrison, 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 Wheeling 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
55-0357057(multi-state) Wheeling Hospital INC63Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 58 more1104821305 Wheeling Hospital Inc1114913449 Wheeling Hospital Inc1922282581 Wheeling Hospital Inc.and 41 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

1 Medical Park, Wheeling, WV 26003

(304) 243-3000

Get directions

Frequently asked questions

About Wheeling Hospital's rates and hospital price transparency.

How much does an MRI cost at Wheeling Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Wheeling Hospital range from $1,436 to $3,533 across 4 insurers. Cigna's rate is $2,592. The median at nearby comparable hospitals is $1,109. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Wheeling Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Wheeling Hospital range from $1,380 to $2,969 across 4 insurers. Aetna's rate is $2,835. The median at nearby comparable hospitals is $1,093. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Wheeling Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Wheeling Hospital range from $11,664 to $11,664 across 1 insurers. Blue Cross Blue Shield's rate is $11,664. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Wheeling Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Wheeling Hospital range from $327 to $830 across 4 insurers. UnitedHealthcare's rate is $830. The median at nearby comparable hospitals is $198. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Wheeling Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Wheeling Hospital range from $22,421 to $22,421 across 1 insurers. Blue Cross Blue Shield's rate is $22,421. The median at nearby comparable hospitals is $17,334. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Wheeling Hospital's CMS star rating?

Wheeling Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Wheeling Hospital a teaching hospital?

Yes. CMS counts 0.12 Medicare-funded residents per bed at Wheeling Hospital for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Wheeling Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Wheeling Hospital's base inpatient payments by an estimated 1.00% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Wheeling Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (224 discharges), heart failure and shock with mcc (124 discharges), respiratory infections and inflammations with mcc (114 discharges).

What is Wheeling Hospital's case mix index?

Wheeling Hospital's Medicare case mix index is 1.76 for fiscal year 2027, higher than 58% 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
      }
    ]
  }]
}
  • 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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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
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