West Virginia / Berkeley Medical Center
CMS certification 510008 · Martinsburg, WV · 2 entries in CMS's price-transparency list
Berkeley Medical Center: charges and Medicare payments
Berkeley Medical Center reported 1,337 Medicare inpatient stays across 47 DRGs in 2024. Across them it charged 2.87 times what it was paid — among the lower ratios in West Virginia, number 16 of 19 hospitals with at least 100 stays (state median 3.88×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 148 stays at an average charge of $37,352, 59% below the national average. It also billed 1,873 outpatient services, charging 5.67 times what Medicare paid.
- 1Medicare inpatient stays 1,337
- 2Charge ÷ paid, inpatient 2.87×
- 3Rank in WV (highest ratio = 1) 16 of 19
- 4CMS price-transparency actions 2
Inpatient stays
For the 47 DRGs that can be compared with the national average, Berkeley Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 148 | $37,352 | -59% | $14,591 |
| 177 Respiratory Infections and Inflammations with MCC | 98 | $32,304 | -54% | $12,925 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 73 | $34,012 | -55% | $12,326 |
| 291 Heart Failure and Shock with MCC | 63 | $22,188 | -61% | $9,869 |
| 689 Kidney and Urinary Tract Infections with MCC | 50 | $23,026 | -55% | $9,496 |
| 189 Pulmonary Edema and Respiratory Failure | 43 | $27,138 | -53% | $10,028 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 43 | $24,255 | -52% | $8,133 |
| 690 Kidney and Urinary Tract Infections without MCC | 43 | $21,974 | -42% | $6,501 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 40 | $24,176 | -57% | $8,647 |
| 193 Simple Pneumonia and Pleurisy with MCC | 34 | $21,068 | -65% | $9,500 |
| 682 Renal Failure with MCC | 31 | $33,174 | -50% | $11,545 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 28 | $76,165 | -34% | $15,479 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 28 | $25,207 | -49% | $7,365 |
| 378 Gastrointestinal Hemorrhage with CC | 26 | $24,915 | -49% | $7,126 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 26 | $69,651 | -25% | $13,690 |
| 603 Cellulitis without MCC | 26 | $18,715 | -50% | $6,893 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 24 | $33,484 | -66% | $14,470 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 24 | $17,700 | -56% | $6,029 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 23 | $100,507 | -39% | $23,275 |
| 481 Hip and Femur Procedures except Major Joint with CC | 23 | $49,741 | -51% | $16,501 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 23 | $28,894 | -61% | $11,725 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 22 | $25,118 | -50% | $8,128 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $13,097 | -65% | $5,931 |
| 683 Renal Failure with CC | 22 | $17,372 | -57% | $6,790 |
| 811 Red Blood Cell Disorders with MCC | 22 | $28,201 | -59% | $10,365 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 21 | $19,414 | -46% | $5,728 |
| 377 Gastrointestinal Hemorrhage with MCC | 21 | $42,715 | -50% | $12,953 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $20,089 | -67% | $9,212 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 20 | $25,153 | -56% | $10,766 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 19 | $48,049 | -65% | $23,393 |
| 313 Chest Pain | 18 | $19,404 | -51% | $5,826 |
| 312 Syncope and Collapse | 17 | $15,177 | -67% | $7,113 |
| 638 Diabetes with CC | 16 | $16,615 | -60% | $6,835 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $27,078 | -56% | $9,168 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $106,455 | -54% | $38,667 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 14 | $18,996 | -56% | $5,572 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $61,504 | -40% | $19,613 |
| 637 Diabetes with MCC | 14 | $41,802 | -37% | $9,928 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 14 | $22,152 | -53% | $7,681 |
| 602 Cellulitis with MCC | 13 | $39,372 | -35% | $10,857 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 12 | $18,690 | -56% | $6,153 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 12 | $17,845 | -38% | $4,364 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 12 | $58,245 | -58% | $23,890 |
| 071 Other Cerebrovascular Disorders with CC | 11 | $19,895 | -61% | $7,370 |
| 178 Respiratory Infections and Inflammations with CC | 11 | $20,350 | -55% | $7,359 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 11 | $30,413 | -68% | $13,792 |
| 552 Medical Back Problems without MCC | 11 | $24,400 | -50% | $7,326 |
Outpatient services
Against the West Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Berkeley Medical Center charged $37,352 on average, 39% less than the West Virginia average of $61,080, and was paid $14,591 against a state average of $15,917. For Respiratory Infections and Inflammations with MCC (DRG 177), Berkeley Medical Center charged $32,304 on average, 31% less than the West Virginia average of $46,955, and was paid $12,925 against a state average of $12,783. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Berkeley Medical Center charged $34,012 on average, 30% less than the West Virginia average of $48,595, and was paid $12,326 against a state average of $12,502. For Heart Failure and Shock with MCC (DRG 291), Berkeley Medical Center charged $22,188 on average, 43% less than the West Virginia average of $39,062, and was paid $9,869 against a state average of $10,517. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,594 was 33% below the state average of $15,697. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,659 was 37% below the state average of $2,637. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $9,039 was 6% above the state average of $8,522. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $7,064 was 29% below the state average of $10,017.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Berkeley Medical Center in Martinsburg, WV, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-08-25 (CMS case 998)
- Closure Notice — 2022-03-07 (CMS case 998)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.