West Virginia / Raleigh General Hospital
CMS certification 510070 · Beckley, WV · 2 entries in CMS's price-transparency list
Raleigh General Hospital: charges and Medicare payments
Raleigh General Hospital reported 1,958 Medicare inpatient stays across 65 DRGs in 2024. Across them it charged 4.82 times what it was paid — among the higher ratios in West Virginia, number 4 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: 245 stays at an average charge of $54,720, 39% below the national average. It also billed 1,127 outpatient services, charging 10.07 times what Medicare paid.
- 1Medicare inpatient stays 1,958
- 2Charge ÷ paid, inpatient 4.82×
- 3Rank in WV (highest ratio = 1) 4 of 19
- 4CMS price-transparency actions 2
Inpatient stays
For the 65 DRGs that can be compared with the national average, Raleigh General Hospital charged more than the national average in 3 (5%). 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 | 245 | $54,720 | -39% | $13,188 |
| 291 Heart Failure and Shock with MCC | 99 | $29,889 | -47% | $8,859 |
| 177 Respiratory Infections and Inflammations with MCC | 69 | $52,303 | -26% | $10,987 |
| 193 Simple Pneumonia and Pleurisy with MCC | 68 | $37,232 | -38% | $8,635 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 62 | $41,318 | -46% | $10,795 |
| 689 Kidney and Urinary Tract Infections with MCC | 52 | $32,787 | -36% | $7,723 |
| 690 Kidney and Urinary Tract Infections without MCC | 49 | $24,798 | -34% | $5,321 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 46 | $28,062 | -45% | $7,254 |
| 683 Renal Failure with CC | 46 | $23,151 | -43% | $6,208 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 41 | $105,359 | -8% | $13,336 |
| 312 Syncope and Collapse | 40 | $31,874 | -30% | $5,802 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 40 | $130,117 | -20% | $18,897 |
| 682 Renal Failure with MCC | 40 | $34,828 | -47% | $9,863 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 39 | $23,396 | -42% | $5,742 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 37 | $34,113 | -32% | $6,229 |
| 377 Gastrointestinal Hemorrhage with MCC | 36 | $55,032 | -36% | $11,461 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 36 | $159,397 | -30% | $32,534 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 34 | $30,044 | -46% | $7,585 |
| 069 Transient Ischemia without Thrombolytic | 34 | $30,309 | -40% | $5,343 |
| 313 Chest Pain | 33 | $21,632 | -46% | $4,900 |
| 189 Pulmonary Edema and Respiratory Failure | 31 | $35,814 | -38% | $8,528 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 30 | $40,464 | -37% | $7,369 |
| 305 Hypertension without MCC | 30 | $20,793 | -48% | $5,740 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 30 | $20,595 | -44% | $5,660 |
| 252 Other Vascular Procedures with MCC | 28 | $103,197 | -40% | $22,060 |
| 303 Atherosclerosis without MCC | 28 | $19,542 | -45% | $4,822 |
| 481 Hip and Femur Procedures except Major Joint with CC | 28 | $94,080 | -7% | $13,034 |
| 378 Gastrointestinal Hemorrhage with CC | 27 | $36,587 | -25% | $6,766 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 26 | $47,576 | -35% | $10,412 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 25 | $20,977 | -42% | $5,489 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $35,550 | -41% | $8,672 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 24 | $30,775 | -37% | $6,946 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 23 | $43,157 | -24% | $8,758 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 22 | $53,867 | -46% | $13,125 |
| 811 Red Blood Cell Disorders with MCC | 22 | $56,368 | -17% | $13,292 |
| 389 Gastrointestinal Obstruction with CC | 21 | $21,318 | -45% | $5,585 |
| 100 Seizures with MCC | 20 | $43,027 | -54% | $12,731 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 18 | $51,396 | -54% | $13,778 |
| 603 Cellulitis without MCC | 18 | $28,744 | -23% | $6,365 |
| 324 Coronary Intravascular Lithotripsy with Intraluminal Device... | 17 | $159,271 | -8% | $25,149 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $88,437 | -14% | $15,247 |
| 552 Medical Back Problems without MCC | 16 | $32,713 | -33% | $7,158 |
| 194 Simple Pneumonia and Pleurisy with CC | 15 | $26,204 | -32% | $5,517 |
| 314 Other Circulatory System Diagnoses with MCC | 15 | $55,044 | -42% | $12,595 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 14 | $26,310 | -39% | $4,859 |
| 323 Coronary Intravascular Lithotripsy with Intraluminal Device... | 14 | $199,188 | -14% | $28,455 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 14 | $81,072 | +4% | $10,672 |
| 039 Extracranial Procedures without CC/MCC | 13 | $59,719 | -6% | $10,553 |
| 101 Seizures without MCC | 13 | $21,419 | -56% | $6,072 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 13 | $19,995 | -50% | $6,778 |
| 393 Other Digestive System Diagnoses with MCC | 13 | $44,188 | -42% | $10,641 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 13 | $296,372 | +6% | $43,266 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 13 | $155,092 | -28% | $32,968 |
| 038 Extracranial Procedures with CC | 12 | $84,028 | -4% | $11,371 |
| 176 Pulmonary Embolism without MCC | 12 | $33,096 | -20% | $5,381 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 12 | $16,540 | -42% | $3,800 |
| 812 Red Blood Cell Disorders without MCC | 12 | $50,542 | +14% | $7,071 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 11 | $42,020 | -36% | $9,001 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 11 | $107,295 | -3% | $15,190 |
| 270 Other Major Cardiovascular Procedures with MCC | 11 | $195,244 | -25% | $33,148 |
Showing the 60 most frequent of 65 DRGs.
Outpatient services
Against the West Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Raleigh General Hospital charged $54,720 on average, 10% less than the West Virginia average of $61,080, and was paid $13,188 against a state average of $15,917. For Heart Failure and Shock with MCC (DRG 291), Raleigh General Hospital charged $29,889 on average, 23% less than the West Virginia average of $39,062, and was paid $8,859 against a state average of $10,517. For Respiratory Infections and Inflammations with MCC (DRG 177), Raleigh General Hospital charged $52,303 on average, 11% more than the West Virginia average of $46,955, and was paid $10,987 against a state average of $12,783. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Raleigh General Hospital charged $37,232 on average, 10% less than the West Virginia average of $41,357, and was paid $8,635 against a state average of $10,412. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,887 was 1% above the state average of $15,697. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,235 was 24% below the state average of $9,487. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $14,842 was 48% above the state average of $10,017. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $16,898 was 76% above the state average of $9,603.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Raleigh General Hospital in Beckley, WV, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-17 (CMS case 3911)
- Met Requirements — 2025-06-17 (CMS case 5214)
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.