How many shoppable procedure prices are published for Preston Memorial Hospital?

Preston Memorial Hospital in Kingwood, WV currently has 91 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

Hospital Profile Critical Access Hospital Proprietary 25 Beds · urban Updated: 2026-05-21

Preston Memorial Hospital

150 Memorial Drive, Kingwood, WV 26537 · 91 Priced Procedures · 83% Patient Recommendation

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

58/100 · Caution

58/100Self-Pay Cash Beats Insurance 83% of the Time

File Completeness100

Price Logic3

Peer Alignment48

Clean Billing52

Real Cash Discount100

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

Preston Memorial Hospital concentrates commercial margin in outpatient surgical suites (7.9× Medicare) and specialty drug infusions (3.7× Medicare) relative to routine diagnostics (8.6×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.

Regional Benchmark in WVU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 83% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (73/100 safety score) with 83% 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 7.9× markup over Medicare rates
Commercial insurance median sits at 1.00× Fair BaseRate (6.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Consolidated metro market (HHI 6,886) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

6.3× Medicare

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

Back-Door Captive & ER0.75× Divergence

4.7× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

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

6.3× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

7.9× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

8.6× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

4.8× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

6.4× MedicareWatchout

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

3.7× MedicareElevated

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

83% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 73/100Fair

Procedure Prices at Preston Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 91 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
MRI, brain (with and without contrast) CPT Code: `70553`	$3,183	$3,183	$511	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,309	$2,309	$448	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,875	$1,875	$303	6.2×
MRI, brain (no contrast) CPT Code: `70551`	$1,886	$1,886	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,843	$1,843	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,807	$1,807	$369	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$1,606	$1,606	$1,021	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,162	$1,162	$258	4.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,174	$1,174	$583	2.0×
Trauma team activation HCPCS Code: `G0390`	$1,094	$1,094	$1,453	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$973	$973	$167	5.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$972	$972	$168	5.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$974	$974	$169	5.8×
Rabies immune globulin HCPCS Code: `90375`	$984	$984	$322	unverified
CT scan, pelvis CPT Code: `72192`	$938	$938	$163	5.8×
CT scan, head (with contrast) CPT Code: `70460`	$958	$958	$242	4.0×
CT scan, sinuses CPT Code: `70486`	$909	$909	$166	5.5×
CT scan, head (no contrast) CPT Code: `70450`	$753	$753	$160	4.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$762	$762	$272	2.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$439	$439	$134	3.3×
Ultrasound, pelvis CPT Code: `76856`	$378	$378	$130	2.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$344	$344	$132	2.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$312	$312	$148	2.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$276	$276	$126	2.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$233	$233	$86	2.7×
Speech therapy (language evaluation) CPT Code: `92507`	$231	$231	$86	2.7×
Screening mammogram (both breasts) CPT Code: `77067`	$240	$240	$123	2.0×
X-ray, hip CPT Code: `73502`	$210	$210	$93	2.3×
Blood transfusion CPT Code: `36430`	$215	$215	$498	0.4×
X-ray, shoulder CPT Code: `73030`	$154	$154	$92	1.7×
X-ray, lower back CPT Code: `72110`	$178	$178	$112	1.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$154	$154	$185	0.8×
X-ray, chest (two views) CPT Code: `71046`	$126	$126	$93	1.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$122	$122	$93	1.3×
Psychotherapy session (60 minutes) CPT Code: `90837`	$138	$138	$181	0.8×
Orthotic fitting and training CPT Code: `97760`	$84	$84	$51	1.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$88	$88	$64	1.4×
X-ray, chest (single view) CPT Code: `71045`	$108	$108	$92	1.2×
X-ray, foot CPT Code: `73630`	$103	$103	$92	1.1×
X-ray, hand CPT Code: `73130`	$103	$103	$93	1.1×
X-ray, ankle CPT Code: `73610`	$103	$103	$93	1.1×
X-ray, pelvis CPT Code: `72170`	$91	$91	$110	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$89	$89	$123	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$93	$93	$166	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$109	$109	$201	0.5×
Typhoid vaccine HCPCS Code: `90675`	$346	$346	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$166	$166	$203	0.8×
Culture, blood CPT Code: `87040`	$119	$119	$11	10.8×
Blood test, vitamin D CPT Code: `82306`	$99	$99	$31	3.2×
Pneumococcal vaccine HCPCS Code: `90732`	$112	$112	$140	0.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$70	$70	$11	6.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$73	$73	$35	2.1×
Occupational therapy (self-care training) CPT Code: `97535`	$78	$78	$38	2.1×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$76	$76	$38	2.0×
Blood test, basic metabolic panel CPT Code: `80048`	$95	$95	$9	unverified
Blood test, liver function panel CPT Code: `80076`	$94	$94	$9	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$68	$68	$34	2.0×
Physical therapy (gait training) CPT Code: `97116`	$64	$64	$33	1.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$77	$77	$40	1.9×
Blood antibody screen CPT Code: `86850`	$78	$78	$46	1.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$87	$87	$111	0.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$43	$43	$19	2.3×
Blood test, amylase CPT Code: `82150`	$48	$48	$7	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$61	$61	$18	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$73	$73	$6	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$34	$34	$38	0.9×
Group therapy session CPT Code: `90853`	$44	$44	$100	0.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$27	$27	$87	0.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$19	$19	$14	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$42	$42	$3	unverified
Blood test, calcium CPT Code: `82310`	$22	$22	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$22	$22	$5	unverified
Blood test, vitamin B12 CPT Code: `82607`	$47	$47	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$22	$22	$14	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$25	$25	$4	unverified
Blood test, lipase CPT Code: `83690`	$40	$40	$7	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$10	$10	$10	unverified
Blood test, magnesium CPT Code: `83735`	$27	$27	$7	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$47	$47	$8	unverified
Culture, bacterial CPT Code: `87070`	$61	$61	$9	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$29	$29	$20	1.4×
Blood test, potassium CPT Code: `84132`	$20	$20	$5	unverified
Blood test, sodium CPT Code: `84295`	$21	$21	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$23	$23	$4	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$46	$46	$39	unverified
Blood test, hemoglobin CPT Code: `85018`	$12	$12	$3	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$26	$26	$5	unverified
Hepatitis C antibody test CPT Code: `86803`	$13	$13	$15	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$26	$26	$25	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$38	$38	$56	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$36	$36	$37	unverified

Showing top 25 high-impact procedures of 91 total

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

Audit a Bill or Quote at Preston Memorial Hospital (Zero PHI Required)

CMS CCN: 511312

CPT 70553

Select Procedure to Audit:

Fair BaseRate™ $511

Medicare Rate $356

Self-Pay Cash $3,183

Insurer Median $3,183

1. Amount on Your Bill or Quote ($) Pre-filled with Preston Memorial Hospital’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 $3,182 Paying Cash

Self-Pay Cash Rate ($3,183) Beats Your Bill

Preston Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $3,183 (vs. $3,183 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$5,854 Above Fair BaseRate

Negotiate Toward $511 Fair BaseRate ($356 Medicare)

Your bill ($6,365) is $5,854 above the denoised Fair BaseRate ($511) and 17.9× the $356 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: 311097818

Filing Period: 198406

Public IRS & CMS ownership records classify Preston 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.

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

Safety Composite73/100

Would Recommend83%

Rated 9 or 10 (HCAHPS)82%

Median ER Wait111 min

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (81 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 Quality & Price Benchmark Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Preston Memorial Hospital.

Price Index: 0.61× regional baseline

Quality: 57/100 CMS composite

Median Household Income$61,373U.S. Census ACS

Local Uninsured Share6.9%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 58/100 · Caution CMS CCN 511312 EIN 311097818

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 511312) ↗ Verify IRS Form 990 (EIN 311097818) ↗ CMS HCRIS Cost Reports ↗

Published MRF File311097818_preston-memorial-hospital_standardcharges.csv

Publication / Vintage2026-05-21 · 36.90 MB

Validated Rate Rows120 (CMS v3.0.0)

File Integrity Digest9a2c693429b0fb3cf1cf…

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