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Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Braxton County Memorial Hospital, Inc

100 HOYLMAN DRIVE, Gassaway, WV 26624

CMS Overall Rating No CMS Rating
Factual Overview

Braxton County Memorial Hospital, Inc is a Critical Access Hospitals (Voluntary non-profit - Private) operating in Gassaway, WV. Mapped commercial insurance prices across 93 procedures average 10.00x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 420

Patient Experience

Recommendation Rate: 71% High Patient Rating: 74% ER Wait Time (Med): 102 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 93 codes Avg Markup vs Medicare: 10.00x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 $466 —
Total hip replacement
CPT Code: 27130
 $1,338 —
Total knee replacement
CPT Code: 27447
 $1,336 —
Bunion correction surgery
CPT Code: 28296
 $540 —
Knee arthroscopy with meniscus repair
CPT Code: 29881
 $578 —
Blood transfusion
CPT Code: 36430
 $440 —
Upper endoscopy with biopsy
CPT Code: 43239
 $150 —
Colonoscopy (diagnostic)
CPT Code: 45378
 $200 —
Colonoscopy with biopsy
CPT Code: 45380
 $218 —
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $744 —
Inguinal hernia repair
CPT Code: 49505
 $588 —
Vaginal delivery (full package)
CPT Code: 59400
 $2,615 —
C-section delivery (full package)
CPT Code: 59510
 $2,946 —
Cataract surgery with lens implant
CPT Code: 66984
 $508 —
CT scan, head (no contrast)
CPT Code: 70450
 $325 —
CT scan, head (with contrast)
CPT Code: 70460
 $657 —
CT scan, head (with and without contrast)
CPT Code: 70470
 $436 —
CT scan, sinuses
CPT Code: 70486
 $174 —
MRI, brain (no contrast)
CPT Code: 70551
 $472 —
MRI, brain (with and without contrast)
CPT Code: 70553
 $734 —
X-ray, chest (single view)
CPT Code: 71045
 $26 —
X-ray, chest (two views)
CPT Code: 71046
 $76 —
CT scan, chest (no contrast)
CPT Code: 71250
 $351 —
X-ray, neck (cervical spine)
CPT Code: 72040
 $66 —
X-ray, lower back
CPT Code: 72110
 $149 —
CT scan, neck (cervical spine)
CPT Code: 72125
 $391 —
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $592 —
MRI, lower back (no contrast)
CPT Code: 72148
 $473 —
X-ray, pelvis
CPT Code: 72170
 $55 —
CT scan, pelvis
CPT Code: 72192
 $301 —
X-ray, shoulder
CPT Code: 73030
 $88 —
X-ray, hand
CPT Code: 73130
 $65 —
X-ray, hip
CPT Code: 73502
 $48 —
X-ray, ankle
CPT Code: 73610
 $65 —
X-ray, foot
CPT Code: 73630
 $65 —
MRI, knee or other leg joint
CPT Code: 73721
 $470 —
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $628 —
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $706 —
Ultrasound, thyroid and neck
CPT Code: 76536
 $112 —
Ultrasound, abdomen (complete)
CPT Code: 76700
 $119 —
Ultrasound, abdomen (limited)
CPT Code: 76705
 $90 —
Ultrasound, pelvis
CPT Code: 76856
 $108 —
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $139 —
Screening mammogram (both breasts)
CPT Code: 77067
 $114 —
Blood test, basic metabolic panel
CPT Code: 80048
 $39 —
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $49 —
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $62 —
Blood test, liver function panel
CPT Code: 80076
 $38 —
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $22 —
Blood test, amylase
CPT Code: 82150
 $38 —
Blood test, vitamin D
CPT Code: 82306
 $34 —
Blood test, calcium
CPT Code: 82310
 $24 —
Blood test, creatinine (kidney)
CPT Code: 82565
 $28 —
Blood test, vitamin B12
CPT Code: 82607
 $56 —
Blood test, ferritin (iron stores)
CPT Code: 82728
 $30 —
Blood test, glucose (blood sugar)
CPT Code: 82947
 $30 —
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $49 —
Blood test, lipase
CPT Code: 83690
 $25 —
Blood test, magnesium
CPT Code: 83735
 $22 —
Blood test, potassium
CPT Code: 84132
 $24 —
Blood test, PSA (prostate screen)
CPT Code: 84153
 $42 —
Blood test, sodium
CPT Code: 84295
 $24 —
Blood test, thyroid (TSH)
CPT Code: 84443
 $53 —
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $28 —
Blood test, hemoglobin
CPT Code: 85018
 $12 —
Blood test, complete blood count (CBC)
CPT Code: 85025
 $36 —
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $35 —
Blood test, clotting time (PTT)
CPT Code: 85730
 $66 —
Hepatitis C antibody test
CPT Code: 86803
 $39 —
Blood antibody screen
CPT Code: 86850
 $27 —
Culture, blood
CPT Code: 87040
 $62 —
Culture, bacterial
CPT Code: 87070
 $34 —
Psychiatric evaluation (first visit)
CPT Code: 90791
 $156 —
Psychotherapy session (45 minutes)
CPT Code: 90834
 $138 —
Psychotherapy session (60 minutes)
CPT Code: 90837
 $162 —
Family therapy session
CPT Code: 90847
 $144 —
Group therapy session
CPT Code: 90853
 $98 —
Speech therapy (language evaluation)
CPT Code: 92507
 $112 —
Electrocardiogram (ECG/EKG)
CPT Code: 93000
 $170 —
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $96 —
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $204 —
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $188 —
Breathing treatment (nebulizer)
CPT Code: 94640
 $66 Calc
Neurobehavioral status check
CPT Code: 96116
 $82 —
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $30 —
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $46 —
Physical therapy (gait training)
CPT Code: 97116
 $36 —
Physical therapy (manual therapy)
CPT Code: 97140
 $41 —
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $34 —
Occupational therapy (self-care training)
CPT Code: 97535
 $76 —
New patient office visit (30-44 min)
CPT Code: 99203
 $86 —
Office visit, established patient (20-29 min)
CPT Code: 99213
 $69 —
Office visit, established patient (30-39 min)
CPT Code: 99214
 $101 —