How many shoppable procedure prices are published for Clinch Valley Medical Center?

Clinch Valley Medical Center in Richlands, VA currently has 108 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Clinch Valley Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Clinch Valley Medical Center's median negotiated commercial rate is 1.9× the regionally adjusted fair BaseRate benchmark.

What is Clinch Valley Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Clinch Valley Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 151 Beds · rural Updated: 7/14/2026

Clinch Valley Medical Center

6801 Governor Gc Perry Highway, Richlands, VA 24641 · 108 Priced Procedures · 65% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.94×vs. Fair Market Price

Typical commercial prices here are +94% above the fair benchmark (1.94×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 15% of the Time

File Completeness90

Price Logic97

Peer Alignment76

Clean Billing42

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.94× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +40% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Clinch Valley Medical Center prices routine shoppable procedures at 2.7× Medicare (median 1.73× Fair BaseRate) while upper-quartile commercial rates jump +40% to 2.42× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#73 of 75 in VA · 96th State Percentile#3,052 of 3,385 in U.S. · 90th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.59× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 15% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (73/100 safety score) with 65% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
Commercial insurance median sits at 1.73× Fair BaseRate (2.7× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.42×) jump +40% above the median procedure ratio (Q50 1.73×)
Consolidated metro market (HHI 5,912) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.7× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.41× Divergence

1.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+40% Upper Tail

Q25 1.59× · Q50 1.73× · Q75 2.42×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.7× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.3× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.5× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

15% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 73/100Fair

Procedure Prices at Clinch Valley Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 108 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$21,713	$22,619	$13,413	1.7×
Total knee replacement CPT Code: `27447`	$32,577	$22,619	$13,523	1.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$22,174	$22,174	$6,109	3.6×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$31,291	$15,240	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$55,391	$14,645	$19,432	0.8×
Inguinal hernia repair CPT Code: `49505`	$14,182	$14,182	$3,629	3.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$31,895	$14,053	$17,936	0.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$10,850	$10,850	$3,372	3.2×
Breast lump removal CPT Code: `19120`	$9,668	$9,668	$3,875	2.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$16,871	$6,061	$8,223	0.7×
Cataract surgery with lens implant CPT Code: `66984`	$5,522	$5,522	$2,540	2.2×
Upper endoscopy with biopsy CPT Code: `43239`	$3,679	$3,679	$987	3.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,765	$2,765	$1,021	2.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,655	$2,655	$583	4.6×
Colonoscopy with biopsy CPT Code: `45380`	$4,091	$2,131	$1,256	1.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,673	$1,673	$272	6.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$3,285	$1,633	$981	1.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$6,542	$818	$511	1.6×
MRI, brain (no contrast) CPT Code: `70551`	$2,985	$818	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$4,722	$818	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$4,205	$818	$369	unverified
Rabies immune globulin HCPCS Code: `90375`	$1,284	$533	$322	1.7×
Blood transfusion CPT Code: `36430`	$547	$547	$498	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$2,145	$468	$160	2.9×
CT scan, pelvis CPT Code: `72192`	$2,476	$468	$163	2.9×
CT scan, sinuses CPT Code: `70486`	$3,093	$468	$166	2.8×
CT scan, chest (no contrast) CPT Code: `71250`	$974	$468	$167	2.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$3,593	$468	$168	2.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$3,150	$468	$169	2.8×
CT scan, head (with contrast) CPT Code: `70460`	$2,394	$468	$242	1.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,565	$468	$258	1.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,854	$468	$303	1.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,598	$468	$448	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$342	$342	$110	3.1×
Office visit, established patient (30-39 min) CPT Code: `99214`	$342	$342	$123	2.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$260	$260	$64	4.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$268	$268	$87	3.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,333	$261	$151	1.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,335	$206	$126	1.6×
Ultrasound, pelvis CPT Code: `76856`	$1,308	$206	$130	1.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,326	$206	$132	1.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,556	$206	$134	1.5×
Breathing treatment (nebulizer) CPT Code: `94640`	$229	$229	$201	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$159	$159	$14	11.4×
X-ray, chest (single view) CPT Code: `71045`	$179	$161	$92	1.8×
X-ray, shoulder CPT Code: `73030`	$673	$161	$92	1.8×
X-ray, foot CPT Code: `73630`	$627	$161	$92	1.8×
X-ray, chest (two views) CPT Code: `71046`	$472	$161	$93	1.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$599	$161	$93	1.7×
X-ray, hand CPT Code: `73130`	$635	$161	$93	1.7×
X-ray, hip CPT Code: `73502`	$372	$161	$93	1.7×
X-ray, ankle CPT Code: `73610`	$681	$161	$93	1.7×
X-ray, pelvis CPT Code: `72170`	$509	$161	$110	1.5×
X-ray, lower back CPT Code: `72110`	$1,187	$161	$112	1.4×
Screening mammogram (both breasts) CPT Code: `77067`	$451	$173	$123	1.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$559	$173	$148	1.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$70	$173	$35	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$85	$144	$34	4.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$166	$144	$35	4.1×
Physical therapy (functional capacity test) CPT Code: `97750`	$146	$146	$38	3.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$151	$144	$38	3.8×
Occupational therapy (self-care training) CPT Code: `97535`	$91	$144	$38	3.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$127	$144	$40	3.6×
Speech therapy (language evaluation) CPT Code: `92507`	$317	$144	$86	1.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$125	$125	$86	1.5×
Orthotic fitting and training CPT Code: `97760`	$96	$144	$51	unverified
Physical therapy (gait training) CPT Code: `97116`	$106	$106	$33	unverified
Prosthetic fitting and training CPT Code: `97761`	$87	$87	$45	unverified
Hepatitis C antibody test CPT Code: `86803`	$634	$634	$15	42.3×
Typhoid vaccine HCPCS Code: `90675`	$598	$624	$347	1.8×
Blood test, liver function panel CPT Code: `80076`	$588	$588	$9	65.3×
Blood test, vitamin B12 CPT Code: `82607`	$508	$508	$16	31.8×
Culture, blood CPT Code: `87040`	$451	$451	$11	41.0×
Blood test, vitamin D CPT Code: `82306`	$373	$373	$31	12.0×
Blood test, basic metabolic panel CPT Code: `80048`	$334	$334	$9	37.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$298	$298	$14	21.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$234	$234	$3	78.0×
Blood test, amylase CPT Code: `82150`	$256	$256	$7	36.6×
Blood test, lipase CPT Code: `83690`	$254	$254	$7	36.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$245	$245	$11	22.3×
Pneumococcal vaccine HCPCS Code: `90732`	$166	$267	$140	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$239	$239	$203	1.2×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$203	$203	$4	50.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$199	$199	$4	49.8×
Blood test, sodium CPT Code: `84295`	$197	$197	$5	39.4×
Culture, bacterial CPT Code: `87070`	$205	$205	$9	22.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$178	$178	$8	22.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$195	$195	$20	9.8×
Blood test, magnesium CPT Code: `83735`	$151	$151	$7	21.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$173	$173	$14	12.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$138	$138	$18	7.7×
Flu vaccine injection HCPCS Code: `G0008`	$147	$147	$48	3.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$147	$147	$49	3.0×
Blood test, calcium CPT Code: `82310`	$113	$113	$5	22.6×
Blood test, potassium CPT Code: `84132`	$109	$109	$5	21.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$99	$99	$5	19.8×
Blood antibody screen CPT Code: `86850`	$116	$116	$46	2.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$111	$111	$56	2.0×
Drug screening test HCPCS Code: `G0480`	$130	$130	$116	1.1×
Blood test, hemoglobin CPT Code: `85018`	$75	$75	$3	25.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$82	$82	$6	13.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$87	$87	$10	8.7×
Blood test, PSA (prostate screen) CPT Code: `84153`	$96	$96	$19	5.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$104	$104	$27	3.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$51	$51	$5	10.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$65	$45	$25	1.8×
Hepatitis B vaccine HCPCS Code: `90744`	$97	$63	$37	1.7×
Colorectal cancer screening HCPCS Code: `G0010`	$42	$42	$49	0.9×

Showing top 25 high-impact procedures of 108 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Clinch Valley Medical Center (Zero PHI Required)

CMS CCN: 490060

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $21,713

Insurer Median $22,619

1. Amount on Your Bill or Quote ($) Pre-filled with Clinch Valley Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $32,570 Paying Cash

Self-Pay Cash Rate ($21,713) Beats Your Bill

Clinch Valley Medical Center's published 45 CFR § 180 self-pay cash rate is $21,713 (vs. $22,619 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$40,870 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($54,283) is $40,870 above the denoised Fair BaseRate ($13,413) and 4.1× the $13,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 541058953

Public IRS & CMS ownership records classify Clinch Valley Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite73/100

Would Recommend65%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait176 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Clinch Valley Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-07·administrative_or_closure
Met Requirements
Recorded
2025-04-14·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (394 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Clinch Valley Medical Center.

Price Index: 1.00× regional baseline

Quality: 71/100 CMS composite

Median Household Income$45,788U.S. Census ACS

Local Uninsured Share4.7%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 82/100 · Corroborated CMS CCN 490060 EIN 541058953

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 490060) ↗ Verify IRS Form 990 (EIN 541058953) ↗ CMS HCRIS Cost Reports ↗

Published MRF File541058953_clinch-valley-medical-center_standardcharges.csv.zip!541058953_clinch-valley-medical-center_standardcharges.csv

Publication / Vintage7/14/2026 · 1.62 MB

Validated Rate Rows166 (CMS v3.0.0)

File Integrity Digest039075ba56bad6ac5cac…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy