Raleigh General Hospital
Raleigh General Hospital in Beckley, WV charges 5.7x the Medicare reimbursement rate on average across 67 analyzed procedures at this for-profit facility.
Beckley, WV 25801 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
D
High
Avg markup vs Medicare
5.65x
Charge / Medicare rate
Max markup
12.43x
Worst procedure
Procedures analyzed
67
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 |
|---|---|---|---|---|---|
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $264,458 | $132,229 | — | 12.4x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $59,346 | $29,673 | — | 10.2x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $293,495 | $146,747 | — | 8.4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $32,128 | $16,064 | — | 8.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $97,094 | $48,547 | — | 8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $136,889 | $68,445 | — | 8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $85,233 | $42,616 | — | 7.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $85,132 | $42,566 | — | 7.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $13,980 | $6,990 | — | 7.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $21,174 | $10,587 | — | 6.9x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $26,737 | $13,369 | — | 6.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $117,106 | $58,553 | — | 6.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $29,758 | $14,879 | — | 6.7x |
| DIABETES WITH CC | 638 | $28,241 | $14,121 | — | 6.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $75,087 | $37,544 | — | 6.6x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $25,397 | $12,699 | — | 6.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $37,056 | $18,528 | — | 6.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $32,260 | $16,130 | — | 6.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $25,407 | $12,703 | — | 6.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $31,715 | $15,858 | — | 6.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $27,709 | $13,855 | — | 6.3x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $18,730 | $9,365 | — | 6.2x |
| BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | 478 | $79,331 | $39,666 | — | 6.1x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $194,452 | $97,226 | — | 5.9x |
| SYNCOPE AND COLLAPSE | 312 | $24,278 | $12,139 | — | 5.9x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $43,264 | $21,632 | — | 5.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $22,058 | $11,029 | — | 5.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $99,166 | $49,583 | — | 5.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $18,608 | $9,304 | — | 5.6x |
| CELLULITIS WITHOUT MCC | 603 | $24,807 | $12,404 | — | 5.6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $23,063 | $11,532 | — | 5.4x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $85,664 | $42,832 | — | 5.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $26,841 | $13,421 | — | 5.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $28,732 | $14,366 | — | 5.4x |
| DIABETES WITH MCC | 637 | $38,359 | $19,179 | — | 5.4x |
| SEIZURES WITHOUT MCC | 101 | $23,854 | $11,927 | — | 5.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $141,220 | $70,610 | — | 5.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $53,530 | $26,765 | — | 5.2x |
| CHEST PAIN | 313 | $17,169 | $8,585 | — | 5.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $33,534 | $16,767 | — | 5.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $43,992 | $21,996 | — | 5.1x |
| HYPERTENSION WITHOUT MCC | 305 | $16,046 | $8,023 | — | 5x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $18,073 | $9,037 | — | 4.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $19,260 | $9,630 | — | 4.8x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $38,446 | $19,223 | — | 4.8x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $92,175 | $46,088 | — | 4.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $41,644 | $20,822 | — | 4.7x |
| RENAL FAILURE WITH CC | 683 | $21,338 | $10,669 | — | 4.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $21,848 | $10,924 | — | 4.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $29,588 | $14,794 | — | 4.6x |
Showing 50 of 67 procedures
How RALEIGH GENERAL HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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