Princeton Community Hospital Assn Inc
Princeton Community Hospital Association Inc in Princeton, WV charges 4.0x the Medicare reimbursement rate across 49 analyzed procedures at this government-owned facility.
Princeton, WV 24740 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
C
Average
Avg markup vs Medicare
4x
Charge / Medicare rate
Max markup
10.76x
Worst procedure
Procedures analyzed
49
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 |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $32,024 | $16,012 | — | 10.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $117,839 | $58,920 | — | 8.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $13,205 | $6,602 | — | 5.6x |
| CHEST PAIN | 313 | $18,380 | $9,190 | — | 5.4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $26,222 | $13,111 | — | 5.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $19,849 | $9,924 | — | 5x |
| SYNCOPE AND COLLAPSE | 312 | $20,668 | $10,334 | — | 4.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $24,970 | $12,485 | — | 4.7x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $49,272 | $24,636 | — | 4.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $30,045 | $15,023 | — | 4.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $24,764 | $12,382 | — | 4.3x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $20,312 | $10,156 | — | 4.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $16,263 | $8,132 | — | 4.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $29,878 | $14,939 | — | 4.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $19,114 | $9,557 | — | 4.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $49,722 | $24,861 | — | 4.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $16,267 | $8,134 | — | 4.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $29,388 | $14,694 | — | 4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $39,510 | $19,755 | — | 4x |
| BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | 462 | $61,598 | $30,799 | — | 3.9x |
| CELLULITIS WITHOUT MCC | 603 | $14,565 | $7,282 | — | 3.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $15,982 | $7,991 | — | 3.8x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $29,002 | $14,501 | — | 3.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $21,042 | $10,521 | — | 3.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $23,806 | $11,903 | — | 3.7x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $43,040 | $21,520 | — | 3.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $55,252 | $27,626 | — | 3.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $48,131 | $24,066 | — | 3.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $27,662 | $13,831 | — | 3.6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $15,426 | $7,713 | — | 3.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $16,487 | $8,244 | — | 3.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $25,994 | $12,997 | — | 3.4x |
| DIABETES WITH MCC | 637 | $25,011 | $12,506 | — | 3.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $65,402 | $32,701 | — | 3.4x |
| RENAL FAILURE WITH CC | 683 | $14,827 | $7,413 | — | 3.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $17,291 | $8,646 | — | 3.2x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $30,314 | $15,157 | — | 3.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $12,768 | $6,384 | — | 3.2x |
| DIABETES WITH CC | 638 | $15,083 | $7,541 | — | 3.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $23,430 | $11,715 | — | 3.2x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $44,804 | $22,402 | — | 3.2x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $26,077 | $13,039 | — | 3.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $19,937 | $9,968 | — | 3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $33,314 | $16,657 | — | 3x |
| RENAL FAILURE WITH MCC | 682 | $24,849 | $12,425 | — | 2.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $31,673 | $15,836 | — | 2.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $32,810 | $16,405 | — | 2.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $76,714 | $38,357 | — | 2.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $24,096 | $12,048 | — | 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