Pocahontas Memorial Hospital
150 Duncan Road, Buckeye, WV 24924 · 82 Priced Procedures · 84% Patient Recommendation
Typical commercial prices here are +180% above the fair benchmark (2.80×) 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
Pocahontas Memorial Hospital prices routine shoppable procedures at 3.9× Medicare (median 2.22× Fair BaseRate) while upper-quartile commercial rates jump +84% to 4.09× 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 1.85× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 71% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (73/100 safety score) with 84% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 4.9× markup over Medicare rates
- Commercial insurance median sits at 2.22× Fair BaseRate (3.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 4.09×) jump +84% above the median procedure ratio (Q50 2.22×)
- Unnegotiated chargemaster list prices average 5.9× 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 Pocahontas Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 82 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $17,494 | 0.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,307 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,170 | 4.2× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,803 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,628 | 4.8× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,604 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $1,628 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $1,513 | 4.7× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,372 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,214 | unverified |
| CT scan, pelvis CPT Code: 72192 | $1,085 | 6.7× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,078 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $1,023 | 6.4× |
| CT scan, sinuses CPT Code: 70486 | $1,031 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,000 | 5.9× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $776 | 2.9× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $667 | 1.1× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $548 | unverified |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $414 | 3.3× |
| Ultrasound, pelvis CPT Code: 76856 | $427 | 3.3× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $402 | 3.0× |
| X-ray, lower back CPT Code: 72110 | $271 | 2.4× |
| Screening mammogram (both breasts) CPT Code: 77067 | $265 | 2.2× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $278 | 1.9× |
| X-ray, chest (two views) CPT Code: 71046 | $222 | 2.4× |
Audit a Bill or Quote at Pocahontas Memorial Hospital (Zero PHI Required)
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.
Self-Pay Cash Rate ($17,494) Beats Your Bill
Pocahontas Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $17,494 (vs. $17,494 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($24,992) is $5,905 above the denoised Fair BaseRate ($19,087) and 1.8× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Pocahontas Memorial Hospital 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (92 completed HCAHPS patient surveys). 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 Pocahontas Memorial Hospital.
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.