78/100
#390 nationally
Berkeley Medical Center
2500 Hospital Drive, Martinsburg, WV 25401 · (304) 264-1000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Berkeley Medical Center billed $3.37 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.4x
- volume-weighted across all its priced work
- Procedures priced
- 81
- inpatient and outpatient combined
- Rank in WV
- #3
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 74% of U.S. hospitals.
Better than 75% of U.S. hospitals.
Better than 82% of U.S. hospitals.
Better than 83% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
276 | $10,594 | $2,368 | -45% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
242 | $1,659 | $621 | -47% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
181 | $9,039 | $1,749 | -20% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
148 | $37,352 | $14,591 | -43% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
137 | $7,064 | $1,870 | -45% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
98 | $32,304 | $12,925 | -41% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
95 | $30,935 | $6,356 | -22% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
93 | $6,865 | $1,423 | -32% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
73 | $34,012 | $12,326 | -45% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
70 | $15,011 | $2,893 | -21% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$40,036 | $6,021 | +4% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$22,955 | $3,033 | about average |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$34,542 | $5,092 | about average |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$56,109 | $7,981 | -6% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$21,454 | $3,086 | -8% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
$30,457 | $5,377 | -11% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$55,276 | $11,402 | -12% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$72,894 | $17,075 | -12% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Cirrhosis and Alcoholic Hepatitis with Major Complications
MS-DRG 432 · Inpatient stay |
$30,413 | $13,792 | -62% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$20,089 | $9,212 | -59% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$15,177 | $7,113 | -59% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
$48,049 | $23,393 | -58% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$13,097 | $5,931 | -57% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$11,497 | $5,797 | -56% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$33,484 | $14,470 | -56% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
$19,895 | $7,370 | -55% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.