Minnie Hamilton Health System
186 Hospital Drive, Grantsville, WV 26147 · 71 Priced Procedures
Typical commercial prices here are +62% above the fair benchmark (1.62×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Minnie Hamilton Health System prices routine shoppable procedures at 2.1× Medicare (median 1.54× Fair BaseRate) while upper-quartile commercial rates jump +31% to 2.02× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.07× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 7% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (85/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (70.1% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 2.6× markup over Medicare rates
- Commercial insurance median sits at 1.54× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.02×) jump +31% above the median procedure ratio (Q50 1.54×)
- Unnegotiated chargemaster list prices average 5.2× Medicare (32¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Minnie Hamilton Health System
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 71 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $4,338 | 0.5× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $791 | 1.8× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $652 | 1.1× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $560 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $472 | 2.8× |
| CT scan, chest (no contrast) CPT Code: 71250 | $466 | 2.8× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $485 | 1.9× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $445 | 2.6× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $410 | 1.4× |
| CT scan, sinuses CPT Code: 70486 | $356 | 2.1× |
| CT scan, pelvis CPT Code: 72192 | $330 | 2.0× |
| Screening mammogram (both breasts) CPT Code: 77067 | $355 | unverified |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $300 | 2.2× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $323 | unverified |
| Ultrasound, pelvis CPT Code: 76856 | $276 | 2.1× |
| CT scan, head (no contrast) CPT Code: 70450 | $265 | 1.7× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $232 | 1.8× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $217 | unverified |
| X-ray, lower back CPT Code: 72110 | $173 | 1.5× |
| New patient office visit (30-44 min) CPT Code: 99203 | $163 | 1.5× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $176 | 0.9× |
| X-ray, pelvis CPT Code: 72170 | $150 | 1.4× |
| X-ray, chest (two views) CPT Code: 71046 | $161 | unverified |
| X-ray, shoulder CPT Code: 73030 | $132 | 1.4× |
| X-ray, hip CPT Code: 73502 | $111 | 1.2× |
Audit a Bill or Quote at Minnie Hamilton Health System (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $4,520
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (70.1% of gross = $4,520).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Minnie Hamilton Health System's published 45 CFR § 180 self-pay cash rate is $6,447 (vs. $4,338 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $8,223 Fair BaseRate ($5,676 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($8,223).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (70.1% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Minnie Hamilton Health System.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.