How many shoppable procedure prices are published for Reynolds Memorial Hospital, Inc?

Reynolds Memorial Hospital, Inc in Glen Dale, WV currently has 121 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Reynolds Memorial Hospital, Inc's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Reynolds Memorial Hospital, Inc's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Reynolds Memorial Hospital, Inc's CMS Care Compare overall star rating?

CMS Care Compare assigns Reynolds Memorial Hospital, Inc an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 94 Beds · urban Updated: 7/9/2026

Reynolds Memorial Hospital, Inc

800 Wheeling Ave, Glen Dale, WV 26038 · 121 Priced Procedures · 70% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Good Deal · Below Fair Market

0.89×vs. Fair Market Price

Typical commercial prices here are 11% below the fair benchmark (0.89×) after accounting for local nurse/doctor wages and patient complexity.

90/100 · Verified

90/100Self-Pay Cash Beats Insurance 12% of the Time

File Completeness95

Price Logic96

Peer Alignment67

Clean Billing90

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.89× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Reynolds Memorial Hospital, Inc maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.88× Fair BaseRate) and emergency/ancillary services (1.1× Medicare, p75 1.02× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#12 of 28 in WV · 39th State Percentile#609 of 3,385 in U.S. · 17th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 11% below peer Fair BaseRate (0.89×)
Self-pay cash beats commercial insurance on 12% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 70% patient recommendation (72/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (14.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.5× markup over Medicare rates
Captive ER (4.4×) & laboratory (1.3×) services average 1.22× higher multiples than routine shoppable care (0.9×)
Upper-quartile procedures (Q75 1.02×) jump +16% above the median procedure ratio (Q50 0.88×)
Consolidated metro market (HHI 5,174) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.9× Medicare

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

Back-Door Captive & ER1.22× Divergence

1.1× Medicare

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

Quantile Tail Spread+16% Upper Tail

Q25 0.67× · Q50 0.88× · Q75 1.02×

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

0.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.5× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.6× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

4.4× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

1.3× MedicareGood

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

0.7× MedicareGood

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

12% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 72/100Fair

Procedure Prices at Reynolds Memorial Hospital, Inc

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 121 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$24,439	$30,775	0.8×
Total hip replacement CPT Code: `27130`	$16,993	$18,383	$13,413	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$14,964	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$14,864	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$14,513	$17,936	0.8×
Total knee replacement CPT Code: `27447`	$8,401	$12,868	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,409	$8,223	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$14,589	$6,117	$6,109	1.0×
Breast lump removal CPT Code: `19120`	$4,738	$5,606	$3,875	1.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,837	$4,685	$3,372	1.4×
Colonoscopy with biopsy CPT Code: `45380`	$760	$1,177	$1,256	0.9×
Injection procedure for pain management HCPCS Code: `G0260`	$1,638	$1,011	$855	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$1,097	$932	$981	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$1,022	$909	$987	0.9×
Trauma team activation HCPCS Code: `G0390`	$668	$668	$1,453	unverified
Mental health services (assessment) HCPCS Code: `H0031`	$567	$567	$140	4.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,166	$537	$583	0.9×
Psychological testing by technician CPT Code: `96138`	$524	$412	$395	1.0×
Blood transfusion CPT Code: `36430`	$855	$434	$498	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,977	$343	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,644	$343	$511	0.7×
Rabies immune globulin HCPCS Code: `90375`	$4,035	$302	$322	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$1,386	$282	$369	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$1,495	$282	$343	unverified
Neurobehavioral status check CPT Code: `96116`	$582	$217	$231	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$644	$235	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,371	$235	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,465	$235	$338	0.7×
Psychotherapy session (45 minutes) CPT Code: `90834`	$163	$178	$166	1.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$227	$178	$181	1.0×
CT scan, head (with contrast) CPT Code: `70460`	$1,176	$172	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,348	$176	$258	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$374	$177	$151	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$211	$185	$185	unverified
Family therapy session CPT Code: `90847`	$217	$185	$173	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$183	$183	$86	unverified
Psychological testing evaluation CPT Code: `96136`	$241	$131	$128	1.0×
Group therapy session CPT Code: `90853`	$102	$102	$100	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$447	$103	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$458	$103	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$458	$103	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$458	$103	$134	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$754	$103	$160	0.6×
CT scan, pelvis CPT Code: `72192`	$711	$103	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$711	$103	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$711	$103	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$711	$103	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$823	$103	$169	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$114	$114	$201	0.6×
Typhoid vaccine HCPCS Code: `90675`	$326	$352	$347	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$179	$179	$203	0.9×
Drug screening test HCPCS Code: `G0480`	$96	$110	$116	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$105	$105	$140	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$81	$81	$111	0.7×
Blood antibody screen CPT Code: `86850`	$61	$51	$46	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$57	$75	$86	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$65	$74	$123	0.6×
X-ray, pelvis CPT Code: `72170`	$207	$60	$110	0.5×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$76	$76	$27	unverified
Blood test, vitamin D CPT Code: `82306`	$40	$32	$31	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$47	$47	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$29	$47	$49	1.0×
Orthotic fitting and training CPT Code: `97760`	$95	$46	$51	0.9×
Prosthetic fitting and training CPT Code: `97761`	$81	$40	$45	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	$65	$63	$110	0.6×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$82	$35	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$80	$33	$38	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$87	$33	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$61	$32	$38	0.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$86	$50	$87	0.6×
X-ray, chest (single view) CPT Code: `71045`	$207	$50	$92	0.5×
X-ray, shoulder CPT Code: `73030`	$316	$50	$92	0.5×
X-ray, foot CPT Code: `73630`	$316	$50	$92	0.5×
X-ray, chest (two views) CPT Code: `71046`	$212	$50	$93	0.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$212	$50	$93	0.5×
X-ray, hand CPT Code: `73130`	$316	$50	$93	0.5×
X-ray, hip CPT Code: `73502`	$212	$50	$93	0.5×
X-ray, ankle CPT Code: `73610`	$212	$50	$93	0.5×
X-ray, lower back CPT Code: `72110`	$327	$60	$112	0.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$301	$69	$148	0.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$160	$34	$64	0.5×
Screening mammogram (both breasts) CPT Code: `77067`	$286	$52	$123	0.4×
Blood test, calcium CPT Code: `82310`	$50	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$46	$6	$5	1.2×
Blood test, potassium CPT Code: `84132`	$44	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$40	$6	$5	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$87	$21	$18	1.2×
Blood test, basic metabolic panel CPT Code: `80048`	$39	$10	$9	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$64	$15	$14	1.1×
Blood test, liver function panel CPT Code: `80076`	$38	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$27	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$53	$7	$7	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$33	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$52	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$38	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$63	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$74	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$46	$7	$7	1.0×
Physical therapy (gait training) CPT Code: `97116`	$83	$29	$33	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$94	$29	$35	0.8×
Blood test, hemoglobin CPT Code: `85018`	$12	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$38	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$51	$5	$5	1.0×
Culture, bacterial CPT Code: `87070`	$75	$9	$9	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$88	$13	$14	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$94	$28	$34	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$50	$28	$35	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$150	$15	$25	0.6×
Community mental health services HCPCS Code: `H0038`	$9	$9	$16	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$14	$11	$25	0.4×
Hepatitis B vaccine HCPCS Code: `90744`	$21	$11	$37	0.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$27	$11	$39	0.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$36	$11	$56	0.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$49	$12	$11	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$64	$26	$19	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$36	$5	$4	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$59	$8	$6	unverified
Hepatitis C antibody test CPT Code: `86803`	$35	$20	$15	unverified
Culture, blood CPT Code: `87040`	$151	$13	$11	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$29	$29	$49	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$36	$29	$20	unverified

Showing top 25 high-impact procedures of 121 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 14.8%

Audit a Bill or Quote at Reynolds Memorial Hospital, Inc (Zero PHI Required)

CMS CCN: 510013

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $24,439

1. Amount on Your Bill or Quote ($) Pre-filled with Reynolds Memorial Hospital, Inc’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 501(r) AGB Cap: $8,698 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $8,698

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (14.8% of gross = $8,698).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Reynolds Memorial Hospital, Inc's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$27,879 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($58,654) is $27,879 above the denoised Fair BaseRate ($30,775) and 2.5× the $23,504 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) 501(c)(3) Nonprofit Hospital

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

EIN: 550357045

Filing Period: 193311

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (14.8% 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.

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 Composite72/100

Would Recommend70%

Rated 9 or 10 (HCAHPS)70%

Median ER Wait161 min

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)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Reynolds Memorial Hospital, Inc. Prior administrative notices do not necessarily reflect current compliance status.

2024-10-11·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (460 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 Reynolds Memorial Hospital, Inc.

Price Index: 0.95× regional baseline

Quality: 67/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

CareSource

+73.0%

Median Household Income$60,329U.S. Census ACS

Local Uninsured Share5.7%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 90/100 · Verified CMS CCN 510013 EIN 550357045

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 510013) ↗ Verify IRS Form 990 (EIN 550357045) ↗ CMS HCRIS Cost Reports ↗

Published MRF File550357045_Reynolds-Memorial-Hospital-Inc._standardcharges.csv

Publication / Vintage7/9/2026 · 100.92 MB

Validated Rate Rows6,342 (CMS v3.0.0)

File Integrity Digest21cd4de584bf685ba65b…

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