▸ Hospital · WV · CCN 511310
Summers County Arh Hospital
TERRACE STREET, HINTON, WV, 25951
25 bedsCritical Access Hospitals2
Compliance grade
A
100/100
Procedures tracked
92
of 209 target codes
Payers
12
with negotiated rates
Rates published
8,208
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychiatric eval with medical services | CPT | 90792 | 11 | $270 | $162 | $54 | $56.97 | $237.6 |
| Psychotherapy 30 minutes | CPT | 90832 | 11 | $170 | $102 | $34 | $35.87 | $149.6 |
| Psychotherapy 45 minutes | CPT | 90834 | 11 | $230 | $138 | $46 | $48.53 | $202.4 |
| Psychotherapy 60 minutes | CPT | 90837 | 11 | $310 | $186 | $62 | $65.41 | $272.8 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 12 | $236 | $141.6 | $20 | $47.67 | $207.68 |
| ED visit level 2 | CPT | 99282 | 12 | $465 | $279 | $50 | $93.93 | $409.2 |
| ED visit level 3 | CPT | 99283 | 12 | $630 | $378 | $97.75 | $127.26 | $554.4 |
| ED visit level 4 | CPT | 99284 | 12 | $920 | $552 | $184 | $191.8 | $809.6 |
| ED visit level 5 | CPT | 99285 | 12 | $2,294 | $1,376.4 | $260.6 | $463.39 | $2,018.72 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 11 | $2,401 | $1,440.6 | $480.2 | $506.61 | $2,112.88 |
| CT head with contrast | CPT | 70460 | 11 | $2,629 | $1,577.4 | $525.8 | $554.72 | $2,313.52 |
| CT head with and without contrast | CPT | 70470 | 11 | $3,734 | $2,240.4 | $746.8 | $787.88 | $3,285.92 |
| CT neck with contrast | CPT | 70491 | 11 | $3,078 | $1,846.8 | $615.6 | $649.46 | $2,708.64 |
| MRI brain without contrast | CPT | 70551 | 11 | $5,017 | $3,010.2 | $1,003.4 | $1,058.59 | $4,414.96 |
| MRI brain with and without contrast | CPT | 70553 | 11 | $7,204 | $4,322.4 | $1,440.8 | $1,520.05 | $6,339.52 |
| Chest X-ray single view | CPT | 71045 | 11 | $356 | $213.6 | $71.2 | $75.12 | $313.28 |
| Chest X-ray 2 views | CPT | 71046 | 11 | $419 | $251.4 | $83.8 | $88.41 | $368.72 |
| CT chest without contrast | CPT | 71250 | 11 | $2,955 | $1,773 | $591 | $623.51 | $2,600.4 |
| CT chest with contrast | CPT | 71260 | 11 | $4,038 | $2,422.8 | $807.6 | $852.02 | $3,553.44 |
| CT chest with and without contrast | CPT | 71270 | 11 | $4,833 | $2,899.8 | $966.6 | $1,019.77 | $4,253.04 |
| MRI chest without contrast | CPT | 71550 | 11 | $5,017 | $3,010.2 | $1,003.4 | $1,058.59 | $4,414.96 |
| MRI chest with and without contrast | CPT | 71552 | 11 | $5,342 | $3,205.2 | $1,068.4 | $1,127.16 | $4,700.96 |
| Lumbosacral spine X-ray | CPT | 72100 | 11 | $443 | $265.8 | $88.6 | $93.48 | $389.84 |
| CT cervical spine without contrast | CPT | 72125 | 11 | $3,283 | $1,969.8 | $656.6 | $692.72 | $2,889.04 |
| CT thoracic spine without contrast | CPT | 72128 | 11 | $3,350 | $2,010 | $670 | $706.85 | $2,948 |
| CT lumbar spine without contrast | CPT | 72131 | 11 | $3,115 | $1,869 | $623 | $657.27 | $2,741.2 |
| MRI cervical spine without contrast | CPT | 72141 | 11 | $4,778 | $2,866.8 | $955.6 | $1,008.16 | $4,204.64 |
| MRI thoracic spine without contrast | CPT | 72146 | 11 | $5,342 | $3,205.2 | $1,068.4 | $1,127.16 | $4,700.96 |
| MRI lumbar spine without contrast | CPT | 72148 | 11 | $5,089 | $3,053.4 | $1,017.8 | $1,073.78 | $4,478.32 |
| MRI cervical spine with and without contrast | CPT | 72156 | 11 | $7,614 | $4,568.4 | $1,522.8 | $1,606.56 | $6,700.32 |
| MRI lumbar spine with contrast | CPT | 72158 | 11 | $6,258 | $3,754.8 | $1,251.6 | $1,320.44 | $5,507.04 |
| CT pelvis without contrast | CPT | 72192 | 11 | $2,834 | $1,700.4 | $566.8 | $597.98 | $2,493.92 |
| Shoulder X-ray | CPT | 73030 | 11 | $770 | $462 | $76.8 | $155.54 | $677.6 |
| Humerus X-ray | CPT | 73060 | 11 | $770 | $462 | $76.8 | $155.54 | $677.6 |
| Hand X-ray 3 views | CPT | 73130 | 11 | $772 | $463.2 | $77.2 | $155.94 | $679.36 |
| MRI upper extremity joint without contrast | CPT | 73221 | 11 | $4,778 | $2,866.8 | $955.6 | $1,008.16 | $4,204.64 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 11 | $5,017 | $3,010.2 | $1,003.4 | $1,058.59 | $4,414.96 |
| Knee X-ray 1-2 views | CPT | 73560 | 11 | $728 | $436.8 | $72.8 | $147.06 | $640.64 |
| Ankle X-ray 3 views | CPT | 73610 | 11 | $838 | $502.8 | $83.8 | $169.28 | $737.44 |
| MRI lower extremity joint without contrast | CPT | 73721 | 11 | $6,778 | $4,066.8 | $677.8 | $1,369.16 | $5,964.64 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 11 | $5,462 | $3,277.2 | $1,092.4 | $1,152.48 | $4,806.56 |
| CT abdomen without contrast | CPT | 74150 | 11 | $2,555 | $1,533 | $511 | $539.11 | $2,248.4 |
| CT abdomen with contrast | CPT | 74160 | 11 | $3,154 | $1,892.4 | $630.8 | $665.5 | $2,775.52 |
| CT abdomen with and without contrast | CPT | 74170 | 11 | $3,761 | $2,256.6 | $752.2 | $793.57 | $3,309.68 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 11 | $5,385 | $3,231 | $1,077 | $1,136.24 | $4,738.8 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 11 | $7,079 | $4,247.4 | $1,415.8 | $1,493.67 | $6,229.52 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 11 | $8,247 | $4,948.2 | $1,649.4 | $1,740.12 | $7,257.36 |
| MRI abdomen without contrast | CPT | 74181 | 11 | $3,977 | $2,386.2 | $795.4 | $839.15 | $3,499.76 |
| MRI abdomen with and without contrast | CPT | 74183 | 11 | $4,175 | $2,505 | $835 | $880.93 | $3,674 |
| Abdominal ultrasound complete | CPT | 76700 | 11 | $1,429 | $857.4 | $285.8 | $301.52 | $1,257.52 |
| Abdominal ultrasound limited | CPT | 76705 | 11 | $865 | $519 | $173 | $182.52 | $761.2 |
| Obstetric ultrasound first trimester | CPT | 76801 | 11 | $1,349 | $809.4 | $269.8 | $284.64 | $1,187.12 |
| Pelvic ultrasound complete | CPT | 76856 | 11 | $1,193 | $715.8 | $238.6 | $251.73 | $1,049.84 |
| Scrotal ultrasound | CPT | 76870 | 11 | $1,349 | $809.4 | $269.8 | $284.64 | $1,187.12 |
| EKG tracing only | CPT | 93005 | 11 | $397 | $238.2 | $79.4 | $83.77 | $349.36 |
| Transthoracic echocardiogram complete | CPT | 93306 | 11 | $3,961 | $2,376.6 | $792.2 | $835.77 | $3,485.68 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 3 | — | — | $2,478 | $21,265 | $21,265 |
| COPD w MCC | MS-DRG | 190 | 3 | — | — | $2,478 | $15,074 | $15,074 |
| COPD w CC | MS-DRG | 191 | 3 | — | — | $2,478 | $11,472 | $11,472 |
| COPD w/o CC/MCC | MS-DRG | 192 | 3 | — | — | $2,478 | $8,736.34 | $8,736.34 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 3 | — | — | $2,478 | $10,967 | $10,967 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 3 | — | — | $2,478 | $8,552.63 | $8,552.63 |
| AMI discharged alive w MCC | MS-DRG | 280 | 3 | — | — | $2,478 | $21,829 | $21,829 |
| AMI discharged alive w CC | MS-DRG | 281 | 3 | — | — | $2,478 | $12,507 | $12,507 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 3 | — | — | $2,478 | $9,839.94 | $9,839.94 |
| Heart failure & shock w MCC | MS-DRG | 291 | 3 | — | — | $2,478 | $17,470 | $17,470 |
| Heart failure & shock w CC | MS-DRG | 292 | 3 | — | — | $2,478 | $11,553 | $11,553 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 3 | — | — | $2,478 | $7,702.13 | $7,702.13 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 3 | — | — | $2,478 | $16,384 | $16,384 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 3 | — | — | $2,478 | $7,703.49 | $7,703.49 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 3 | — | — | $2,478 | $10,609 | $10,609 |
| Kidney/UTI w MCC | MS-DRG | 689 | 3 | — | — | $2,478 | $15,789 | $15,789 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 3 | — | — | $2,478 | $11,016 | $11,016 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 3 | — | — | $2,478 | $26,434 | $26,434 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 3 | — | — | $2,478 | $13,925 | $13,925 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 12 | $248 | $148.8 | $7.61 | $50.1 | $218.24 |
| Electrolyte panel | CPT | 80051 | 12 | $195 | $117 | $6.31 | $39.39 | $171.6 |
| Comprehensive metabolic panel | CPT | 80053 | 12 | $288 | $172.8 | $9.5 | $58.18 | $253.44 |
| Lipid panel | CPT | 80061 | 12 | $411 | $246.6 | $12.05 | $83.02 | $361.68 |
| Renal function panel | CPT | 80069 | 12 | $356 | $213.6 | $7.81 | $71.91 | $313.28 |
| Hepatic function panel | CPT | 80076 | 12 | $316 | $189.6 | $7.35 | $63.83 | $278.08 |
| Urinalysis non-automated | CPT | 81002 | 12 | $23 | $13.8 | $3.13 | $4.65 | $20.24 |
| Urinalysis automated | CPT | 81003 | 12 | $97 | $58.2 | $2.03 | $19.36 | $85.36 |
| Glucose quantitative | CPT | 82947 | 12 | $218 | $130.8 | $3.54 | $44.04 | $191.84 |
| Hemoglobin A1c | CPT | 83036 | 12 | $134 | $80.4 | $8.74 | $27.07 | $117.92 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 12 | $307 | $184.2 | $15.12 | $62.01 | $270.16 |
| Complete blood count with automated differential | CPT | 85025 | 12 | $137 | $82.2 | $6.99 | $27.67 | $120.56 |
| Complete blood count without differential | CPT | 85027 | 12 | $107 | $64.2 | $5.82 | $21.61 | $94.16 |
| Urine culture bacterial | CPT | 87086 | 12 | $213 | $127.8 | $7.26 | $43.03 | $187.44 |
| Tissue exam by pathologist level IV | CPT | 88305 | 11 | $164 | $98.4 | $32.8 | $34.61 | $144.32 |
| maternity | ||||||||
| Vaginal delivery only | CPT | 59409 | 12 | $5,641 | $3,384.6 | $1,128.2 | $1,241.02 | $4,964.08 |
| office | ||||||||
| Office visit, established patient, 5 min | CPT | 99211 | 11 | $689 | $413.4 | $137.8 | $145.38 | $606.32 |
Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.
Payer mix (top 12)
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 92 | $2,136.84 |
| umr | 92 | $2,238.86 |
| UnitedHealthcare | 92 | $916.05 |
| optum ccn region 1 | 73 | $252.1 |
| optum ccn region 2 | 73 | $252.1 |
| the health plan | 73 | $250.8 |
| the health plan hmo | 73 | $1,048.32 |
| WellCare | 73 | $252.1 |
| Anthem BCBS | 73 | $252.1 |
| Humana | 73 | $252.1 |
| Aetna | 73 | $592.35 |
| unicare of west virginia | 20 | $8.28 |