Summers County Arh Hospital
115 Summers Hospital Road, Hinton, WV 25951 · 77 Priced Procedures · 76% Patient Recommendation
Typical commercial prices here are 13% below the fair benchmark (0.87×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Uniform Value Leader · Low-Cost Across Departments
Summers County Arh Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.86× Fair BaseRate) and emergency/ancillary services (0.9× Medicare, p75 0.89× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 13% below peer Fair BaseRate (0.87×)
- Self-pay cash beats commercial insurance on 71% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (71/100 safety score) with 76% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (31.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
- Commercial insurance median sits at 0.86× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 16.4× Medicare (14¢ 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 Summers County Arh Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 77 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $26,434 | 1.4× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $10,609 | 1.3× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $4,322 | 8.5× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $4,247 | 9.5× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $3,231 | 10.7× |
| MRI, lower back (no contrast) CPT Code: 72148 | $3,053 | 9.0× |
| MRI, knee or other leg joint CPT Code: 73721 | $3,050 | 8.3× |
| MRI, brain (no contrast) CPT Code: 70551 | $3,010 | 8.8× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,377 | 4.1× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,240 | 8.7× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,970 | 11.7× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,869 | 11.1× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,773 | 10.6× |
| CT scan, pelvis CPT Code: 72192 | $1,700 | 10.4× |
| Trauma team activation HCPCS Code: G0390 | $1,603 | 1.1× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,577 | 6.5× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,441 | 9.0× |
| CT scan, sinuses CPT Code: 70486 | $1,463 | 8.8× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $857 | 6.4× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $806 | 3.0× |
| Ultrasound, pelvis CPT Code: 76856 | $716 | 5.5× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $643 | 4.9× |
| Blood transfusion CPT Code: 36430 | $603 | unverified |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $519 | 4.1× |
| X-ray, lower back CPT Code: 72110 | $445 | 4.0× |
Audit a Bill or Quote at Summers County Arh Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $19,667
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (31.0% of gross = $19,667).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Summers County Arh Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($63,442) is $44,355 above the denoised Fair BaseRate ($19,087) and 4.5× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (31.0% 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
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (66 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 Summers County Arh 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.