Berkeley Medical Center
Berkeley Medical Center in Martinsburg, WV charges 3.9x the Medicare reimbursement rate across 44 analyzed procedures at this nonprofit-private hospital.
Martinsburg, WV 25401 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
C
Average
Avg markup vs Medicare
3.89x
Charge / Medicare rate
Max markup
5.79x
Worst procedure
Procedures analyzed
44
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $62,757 | $31,379 | — | 5.8x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $25,777 | $12,889 | — | 5.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $30,409 | $15,205 | — | 5.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $20,447 | $10,223 | — | 5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $19,089 | $9,544 | — | 4.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $95,711 | $47,856 | — | 4.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $21,147 | $10,574 | — | 4.9x |
| CELLULITIS WITHOUT MCC | 603 | $25,366 | $12,683 | — | 4.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $47,258 | $23,629 | — | 4.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $45,157 | $22,579 | — | 4.6x |
| DIABETES WITH MCC | 637 | $39,425 | $19,713 | — | 4.6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $56,742 | $28,371 | — | 4.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $24,598 | $12,299 | — | 4.5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $24,618 | $12,309 | — | 4.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $26,481 | $13,241 | — | 4.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $27,006 | $13,503 | — | 4.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $53,541 | $26,771 | — | 4.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $18,537 | $9,269 | — | 4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $26,925 | $13,462 | — | 4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $23,650 | $11,825 | — | 4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $28,392 | $14,196 | — | 3.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $28,010 | $14,005 | — | 3.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $28,338 | $14,169 | — | 3.7x |
| RENAL FAILURE WITH CC | 683 | $19,361 | $9,681 | — | 3.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $16,211 | $8,106 | — | 3.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $14,586 | $7,293 | — | 3.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $27,755 | $13,878 | — | 3.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $15,206 | $7,603 | — | 3.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $45,420 | $22,710 | — | 3.4x |
| SEIZURES WITHOUT MCC | 101 | $16,958 | $8,479 | — | 3.3x |
| RENAL FAILURE WITH MCC | 682 | $31,341 | $15,670 | — | 3.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $39,500 | $19,750 | — | 3.2x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $22,295 | $11,147 | — | 3.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $34,409 | $17,205 | — | 3.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $106,064 | $53,032 | — | 3.1x |
| SYNCOPE AND COLLAPSE | 312 | $15,773 | $7,886 | — | 3.1x |
| DIABETES WITH CC | 638 | $16,897 | $8,449 | — | 3.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $20,435 | $10,217 | — | 3.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $23,510 | $11,755 | — | 3.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $58,101 | $29,051 | — | 3.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $24,103 | $12,052 | — | 3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $30,238 | $15,119 | — | 3x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $28,844 | $14,422 | — | 2.7x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $31,665 | $15,833 | — | 2.3x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use