▸ Hospital · WV · CCN 510008

Berkeley Medical Center

DRY RUN ROAD, MARTINSBURG, WV, 25401

161 bedsAcute Care Hospitals2

Compliance grade

86/100

Rates published

2,576

last crawl 2026-05-24

Procedures tracked

170

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All WV hospitals JSON

Source MRF: https://wvumedicine.org/wp-content/uploads/2026/03/550383321_City-Hospital-Inc._standardcharges-1.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	0	—	—	—	—	—
Psychiatric diagnostic evaluation	CPT	90791	0	$182	$91	—	—	—
Psychiatric eval with medical services	CPT	90792	0	$409	$204.5	—	—	—
Psychotherapy 30 minutes	CPT	90832	0	$195	$97.5	—	—	—
Psychotherapy 45 minutes	CPT	90834	0	$291	$145.5	—	—	—
Psychotherapy 60 minutes	CPT	90837	0	$182	$91	—	—	—
Crisis psychotherapy 60 minutes	CPT	90839	0	$362	$181	—	—	—
emergency
ED visit level 1	CPT	99281	0	$328	$164	—	—	—
ED visit level 2	CPT	99282	0	$403	$201.5	—	—	—
ED visit level 3	CPT	99283	0	$628	$314	—	—	—
ED visit level 4	CPT	99284	0	$960	$480	—	—	—
ED visit level 5	CPT	99285	0	$2,410	$1,205	—	—	—
Critical care, first hour	CPT	99291	0	$2,182	$1,091	—	—	—
imaging
CT head without contrast	CPT	70450	0	$1,701	$850.5	—	—	—
CT head with contrast	CPT	70460	0	$2,163	$1,081.5	—	—	—
CT head with and without contrast	CPT	70470	0	$2,520	$1,260	—	—	—
CT neck with contrast	CPT	70491	0	$2,163	$1,081.5	—	—	—
MRI brain without contrast	CPT	70551	0	$2,529	$1,264.5	—	—	—
MRI brain with contrast	CPT	70552	0	$2,834	$1,417	—	—	—
MRI brain with and without contrast	CPT	70553	0	$3,953	$1,976.5	—	—	—
Chest X-ray single view	CPT	71045	0	$344	$172	—	—	—
Chest X-ray 2 views	CPT	71046	0	$344	$172	—	—	—
Chest X-ray 3 views	CPT	71047	0	$247	$123.5	—	—	—
CT chest without contrast	CPT	71250	0	$1,645	$822.5	—	—	—
CT chest with contrast	CPT	71260	0	$2,100	$1,050	—	—	—
CT chest with and without contrast	CPT	71270	0	$2,494	$1,247	—	—	—
MRI chest without contrast	CPT	71550	0	$2,227	$1,113.5	—	—	—
MRI chest with and without contrast	CPT	71552	0	$3,718	$1,859	—	—	—
Lumbosacral spine X-ray	CPT	72100	0	$385	$192.5	—	—	—
CT cervical spine without contrast	CPT	72125	0	$1,696	$848	—	—	—
CT thoracic spine without contrast	CPT	72128	0	$1,645	$822.5	—	—	—
CT lumbar spine without contrast	CPT	72131	0	$1,645	$822.5	—	—	—
MRI cervical spine without contrast	CPT	72141	0	$2,529	$1,264.5	—	—	—
MRI thoracic spine without contrast	CPT	72146	0	$2,417	$1,208.5	—	—	—
MRI lumbar spine without contrast	CPT	72148	0	$2,417	$1,208.5	—	—	—
MRI lumbar spine with and without contrast	CPT	72149	0	$2,707	$1,353.5	—	—	—
MRI cervical spine with and without contrast	CPT	72156	0	$3,892	$1,946	—	—	—
MRI lumbar spine with contrast	CPT	72158	0	$3,719	$1,859.5	—	—	—
CT pelvis without contrast	CPT	72192	0	$1,645	$822.5	—	—	—
CT pelvis with contrast	CPT	72193	0	$2,276	$1,138	—	—	—
Shoulder X-ray	CPT	73030	0	$708	$354	—	—	—
Humerus X-ray	CPT	73060	0	$708	$354	—	—	—
Hand X-ray 3 views	CPT	73130	0	$708	$354	—	—	—
MRI upper extremity joint without contrast	CPT	73221	0	$4,454	$2,227	—	—	—
MRI upper extremity joint with and without contrast	CPT	73223	0	$3,718	$1,859	—	—	—
Knee X-ray 1-2 views	CPT	73560	0	$708	$354	—	—	—
Ankle X-ray 3 views	CPT	73610	0	$385	$192.5	—	—	—
MRI lower extremity joint without contrast	CPT	73721	0	$4,460	$2,230	—	—	—
MRI lower extremity joint with and without contrast	CPT	73723	0	$3,718	$1,859	—	—	—
CT abdomen without contrast	CPT	74150	0	$1,645	$822.5	—	—	—
CT abdomen with contrast	CPT	74160	0	$2,100	$1,050	—	—	—
CT abdomen with and without contrast	CPT	74170	0	$2,494	$1,247	—	—	—
CT abdomen and pelvis without contrast	CPT	74176	0	$3,129	$1,564.5	—	—	—
CT abdomen and pelvis with contrast	CPT	74177	0	$4,324	$2,162	—	—	—
CT abdomen and pelvis with and without contrast	CPT	74178	0	$4,900	$2,450	—	—	—
MRI abdomen without contrast	CPT	74181	0	$2,417	$1,208.5	—	—	—
MRI abdomen with and without contrast	CPT	74183	0	$3,718	$1,859	—	—	—
Abdominal ultrasound complete	CPT	76700	0	$876	$438	—	—	—
Abdominal ultrasound limited	CPT	76705	0	$875	$437.5	—	—	—
Retroperitoneal ultrasound complete	CPT	76770	0	$876	$438	—	—	—
Obstetric ultrasound first trimester	CPT	76801	0	$904	$452	—	—	—
Obstetric ultrasound after first trimester	CPT	76805	0	$890	$445	—	—	—
Obstetric ultrasound with fetal anatomy	CPT	76811	0	$981	$490.5	—	—	—
Transvaginal ultrasound	CPT	76830	0	$876	$438	—	—	—
Pelvic ultrasound complete	CPT	76856	0	$876	$438	—	—	—
Scrotal ultrasound	CPT	76870	0	$876	$438	—	—	—
Diagnostic mammography unilateral	CPT	77065	0	$429	$214.5	—	—	—
Diagnostic mammography bilateral	CPT	77066	0	$696	$348	—	—	—
Screening mammography bilateral	CPT	77067	0	$660	$330	—	—	—
EKG tracing only	CPT	93005	0	$612	$306	—	—	—
Transthoracic echocardiogram complete	CPT	93306	0	$3,198	$1,599	—	—	—
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	0	—	—	—	—	—
Intracranial hemorrhage/CVA w CC	MS-DRG	065	0	—	—	—	—	—
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	0	—	—	—	—	—
Respiratory infections & inflammations w MCC	MS-DRG	177	0	—	—	—	—	—
COPD w MCC	MS-DRG	190	0	—	—	—	—	—
COPD w CC	MS-DRG	191	0	—	—	—	—	—
COPD w/o CC/MCC	MS-DRG	192	0	—	—	—	—	—
Simple pneumonia & pleurisy w CC	MS-DRG	194	0	—	—	—	—	—
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	0	—	—	—	—	—
AMI discharged alive w MCC	MS-DRG	280	0	—	—	—	—	—
AMI discharged alive w CC	MS-DRG	281	0	—	—	—	—	—
AMI discharged alive w/o CC/MCC	MS-DRG	282	0	—	—	—	—	—
Heart failure & shock w MCC	MS-DRG	291	0	—	—	—	—	—
Heart failure & shock w CC	MS-DRG	292	0	—	—	—	—	—
Heart failure & shock w/o CC/MCC	MS-DRG	293	0	—	—	—	—	—
Cardiac arrhythmia w MCC	MS-DRG	308	0	—	—	—	—	—
Cardiac arrhythmia w CC	MS-DRG	309	0	—	—	—	—	—
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	0	—	—	—	—	—
GI hemorrhage w CC	MS-DRG	378	0	—	—	—	—	—
GI hemorrhage w/o CC/MCC	MS-DRG	379	0	—	—	—	—	—
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	0	—	—	—	—	—
Fractures of femur w/o MCC	MS-DRG	533	0	—	—	—	—	—
Kidney/UTI w MCC	MS-DRG	689	0	—	—	—	—	—
Kidney/UTI w/o MCC	MS-DRG	690	0	—	—	—	—	—
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	0	—	—	—	—	—
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	0	—	—	—	—	—
lab
Basic metabolic panel (BMP)	CPT	80048	0	$78	$39	—	—	—
General health panel	CPT	80050	0	$611	$305.5	—	—	—
Electrolyte panel	CPT	80051	0	$275	$137.5	—	—	—
Comprehensive metabolic panel	CPT	80053	0	$98	$49	—	—	—
Lipid panel	CPT	80061	0	$125	$62.5	—	—	—
Renal function panel	CPT	80069	0	$80	$40	—	—	—
Hepatic function panel	CPT	80076	0	$76	$38	—	—	—
Urinalysis non-automated	CPT	81002	0	$28	$14	—	—	—
Urinalysis automated	CPT	81003	0	$40	$20	—	—	—
Glucose quantitative	CPT	82947	0	$53	$26.5	—	—	—
Hemoglobin A1c	CPT	83036	0	$151	$75.5	—	—	—
Thyroid stimulating hormone (TSH)	CPT	84443	0	$140	$70	—	—	—
Complete blood count with automated differential	CPT	85025	0	$101	$50.5	—	—	—
Complete blood count without differential	CPT	85027	0	$130	$65	—	—	—
Urine culture bacterial	CPT	87086	0	$139	$69.5	—	—	—
Urine culture identification	CPT	87088	0	$147	$73.5	—	—	—
Tissue exam by pathologist level IV	CPT	88305	0	$1,608	$804	—	—	—
maternity
Fetal non-stress test	CPT	59025	0	$1,096	$548	—	—	—
office
Office visit, new patient, 15-29 min	CPT	99202	0	$172	$86	—	—	—
Office visit, new patient, 30-44 minutes	CPT	99203	0	$172	$86	—	—	—
Office visit, new patient, 45-59 min	CPT	99204	0	$172	$86	—	—	—
Office visit, new patient, 60-74 min	CPT	99205	0	$172	$86	—	—	—
Office visit, established patient, 5 min	CPT	99211	0	$177	$88.5	—	—	—
Office visit, established patient, 10-19 min	CPT	99212	0	$182	$91	—	—	—
Office visit, established patient, 20-29 minutes	CPT	99213	0	$187	$93.5	—	—	—
Office visit, established patient, 30-39 minutes	CPT	99214	0	$192	$96	—	—	—
Office visit, established patient, 40-54 min	CPT	99215	0	$172	$86	—	—	—
preventive
Upper GI endoscopy diagnostic	CPT	43235	0	$19,031	$9,515.25	—	—	—
Upper GI endoscopy with biopsy	CPT	43239	0	$2,064	$1,032	—	—	—
Sigmoidoscopy diagnostic	CPT	45330	0	$2,138	$1,069	—	—	—
Sigmoidoscopy with biopsy	CPT	45331	0	$1,160	$580	—	—	—
Colonoscopy diagnostic	CPT	45378	0	$2,255	$1,127.5	—	—	—
Colonoscopy with biopsy	CPT	45380	0	$2,056.67	$1,028.34	—	—	—
Colonoscopy with polyp removal	CPT	45385	0	$2,385	$1,192.5	—	—	—
surgery
Total shoulder arthroplasty	CPT	23472	0	$61,231	$30,616	—	—	—
Total hip replacement	CPT	27130	0	$43,048	$21,524	—	—	—
Total knee replacement	CPT	27447	0	$41,782	$20,891	—	—	—
Knee revision arthroplasty single component	CPT	27486	0	$27,138	$13,569	—	—	—
Knee revision arthroplasty all components	CPT	27487	0	$47,660	$23,830	—	—	—
Shoulder arthroscopy with decompression	CPT	29826	0	$5,276	$2,638	—	—	—
Shoulder arthroscopy with rotator cuff repair	CPT	29827	0	$10,552	$5,276	—	—	—
Knee arthroscopy with meniscectomy	CPT	29881	0	$15,051	$7,525.5	—	—	—
ACL reconstruction	CPT	29888	0	$26,026	$13,013	—	—	—
Major small/large bowel procedures w MCC	MS-DRG	329	0	—	—	—	—	—
Major small/large bowel procedures w CC	MS-DRG	330	0	—	—	—	—	—
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	0	—	—	—	—	—
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	0	—	—	—	—	—
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	0	—	—	—	—	—
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	0	—	—	—	—	—
Laparoscopic appendectomy	CPT	44970	0	$61,231	$30,616	—	—	—
Major joint replacement w MCC	MS-DRG	469	0	—	—	—	—	—
Major joint replacement w/o MCC	MS-DRG	470	0	—	—	—	—	—
Laparoscopic cholecystectomy	CPT	47562	0	$11,802	$5,901	—	—	—
Lap cholecystectomy with cholangiography	CPT	47563	0	$38,061	$19,031	—	—	—
Hip & femur procedures except major joint w MCC	MS-DRG	480	0	—	—	—	—	—
Hip & femur procedures except major joint w CC	MS-DRG	481	0	—	—	—	—	—
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	0	—	—	—	—	—
Lap inguinal hernia repair	CPT	49650	0	$51,633	$25,817	—	—	—
Total abdominal hysterectomy	CPT	58150	0	$53,874	$26,937	—	—	—
Lap-assisted vaginal hysterectomy	CPT	58550	0	$18,984	$9,492	—	—	—
Lap-assisted vaginal hysterectomy >250g	CPT	58552	0	$43,026	$21,513	—	—	—
Lap salpingo-oophorectomy	CPT	58661	0	$19,859	$9,929.5	—	—	—
OR procedure for obesity w MCC	MS-DRG	619	0	—	—	—	—	—
OR procedure for obesity w CC	MS-DRG	620	0	—	—	—	—	—
OR procedure for obesity w/o CC/MCC	MS-DRG	621	0	—	—	—	—	—
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	0	—	—	—	—	—
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	0	—	—	—	—	—
PCI single major coronary artery	CPT	92920	0	$13,793	$6,896.5	—	—	—
PCI with drug-eluting stent	CPT	92928	0	$25,769	$12,885	—	—	—
PCI bypass graft	CPT	92937	0	$16,588	$8,294	—	—	—
Left heart catheterization	CPT	93452	0	$12,891	$6,445.5	—	—	—
Coronary angiography with cath	CPT	93455	0	$10,408	$5,204	—	—	—
Coronary angiography with bypass cath	CPT	93458	0	$15,828	$7,914	—	—	—

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

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