71/100
#622 nationally
Rivers Health
2520 Valley Drive, Point Pleasant, WV 25550 · (304) 675-4340
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Rivers Health billed $3.99 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
- 4.0x
- volume-weighted across all its priced work
- Procedures priced
- 11
- inpatient and outpatient combined
- Rank in WV
- #6
- lower markup ranks higher
- CMS quality stars
- 1/5
- 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 62% of U.S. hospitals.
Better than 70% of U.S. hospitals.
Better than 75% of U.S. hospitals.
Better than 95% 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 |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
114 | $8,317 | $1,889 | -29% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
93 | $12,962 | $2,217 | -33% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
24 | $22,050 | $5,942 | -26% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
24 | $35,103 | $12,364 | -46% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
18 | $33,488 | $8,944 | -28% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
18 | $25,334 | $8,262 | -42% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
16 | $27,405 | $5,889 | -14% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
15 | $42,722 | $10,742 | -32% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
14 | $27,393 | $7,175 | -30% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
12 | $7,761 | $1,325 | -23% |
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 |
|---|---|---|---|
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$27,405 | $5,889 | -14% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$7,761 | $1,325 | -23% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$6,442 | $1,222 | -25% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$22,050 | $5,942 | -26% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$33,488 | $8,944 | -28% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$8,317 | $1,889 | -29% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$27,393 | $7,175 | -30% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$42,722 | $10,742 | -32% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$35,103 | $12,364 | -46% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$25,334 | $8,262 | -42% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$12,962 | $2,217 | -33% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$42,722 | $10,742 | -32% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$27,393 | $7,175 | -30% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$8,317 | $1,889 | -29% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$33,488 | $8,944 | -28% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$22,050 | $5,942 | -26% |
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.