Grafton City Hospital, Inc. is a nonprofit critical access hospital in Grafton, West Virginia. Its CMS Certification Number (CCN) is 511307 and its NPI is 1265484893.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Grafton, WV
Negotiated rates
In-network rates for clinicians billing at this hospital, from each insurer's price transparency files. Median rate, with the range when more than one contract applies.
| Service | Code | Physician rate | vs. West Virginia hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $136$135–$137 · 2 rates | 10th percentile · state median $248, mean $268 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $240$150–$330 · 6 rates | 14th percentile · state median $482, mean $505 |
| MRI, brain, with and without contrast | 70553 | $669$355–$984 · 6 rates | 36th percentile · state median $1,144, mean $1,146 |
| Colonoscopy, diagnostic | 45378 | $343$194–$361 · 6 rates | 31st percentile · state median $447, mean $528 |
See UnitedHealthcare rates for every billing code at Grafton City Hospital, Inc.
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Every billing code
CPT, HCPCS, MS-DRG and revenue codes, not just the four shown here.
Institutional rates
What each insurer pays the hospital itself, its facility fees.
Professional rates
What insurers pay physicians and clinicians billing here.
Inpatient and outpatient
Per-stay rates for admissions and per-visit rates for outpatient care.
The table above shows physician rates: what the insurer pays clinicians for the service. Facility rates are in the full data. Source: insurer Transparency in Coverage files.
From the hospital's Medicare enrollment record.
From CMS Care Compare. Each measure is compared with the national rate.
CMS overall rating
Not rated. CMS only stars hospitals that report enough measures; most critical access and specialty hospitals are not rated.
0 better1 no different0 worsethan national
1 better1 no different0 worsethan national
Units Medicare certifies separately, each with its own CCN.
Swing-bed unit
Grafton City Hospital, Inc.
CCN 51Z307
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Grafton City Hospital, Inc..
Grafton City Hospital, Inc.'s CMS Certification Number (CCN) is 511307. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Grafton City Hospital, Inc. bills under National Provider Identifier (NPI) 1265484893.
Grafton City Hospital, Inc. bills insurers under tax ID (EIN) 55-6000526, held by GRAFTON CITY HOSPITAL INC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Grafton City Hospital, Inc. is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Grafton City Hospital, Inc..
Grafton City Hospital, Inc. is at 1 Hospital Plz, Grafton, WV 26354.
Yes. Grafton City Hospital, Inc. reports emergency services to CMS.
Yes. Grafton City Hospital, Inc. has 1 Medicare-certified unit: swing-bed unit.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.