Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

JEFFERSON MEMORIAL HOSPITAL

General Acute Care Hospital, Critical Access·RANSON, WV·NPI: 1891722377Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$21.6M

$21,645,307

Total Claims

346K

Beneficiaries

283K

1.2 claims/patient

Avg Cost/Claim

$63

Monthly Spending Trend

Yearly Spending

2018
$3.9M
-41%
2019
$2.3M
+145%
2020
$5.7M
-18%
2021
$4.7M
-62%
2022
$1.8M
+2%
2023
$1.8M
-21%
2024
$1.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99284 (Emergency dept visit, high complexity)) accounts for 9% of total spending.

99284Top 25%

Emergency dept visit, high complexity

$1.9M

15K claims · 8.6%

Your Cost: $124.42/claim|Median: $69.51
1.8× median
74177Top 5%

CT abdomen and pelvis with contrast

$1.7M

2,420 claims · 7.8%

Your Cost: $694.34/claim|Median: $65.76
10.6× median
99283Top 25%

Emergency dept visit, moderate complexity

$1.4M

16K claims · 6.6%

Your Cost: $89.97/claim|Median: $42.48
2.1× median
99285Top 25%

Emergency dept visit, high/urgent complexity

$1.2M

7,728 claims · 5.3%

Your Cost: $148.85/claim|Median: $85.65
1.7× median
80053Top 10%

Comprehensive metabolic panel

$978K

28K claims · 4.5%

Your Cost: $34.46/claim|Median: $7.24
4.8× median
85025Top 5%

Complete blood count (CBC) with differential, automated

$862K

30K claims · 4.0%

Your Cost: $29.03/claim|Median: $4.71
6.2× median
80307Top 5%

Drug test, presumptive, by chemistry analyzers

$810K

7,902 claims · 3.7%

Your Cost: $102.49/claim|Median: $35.43
2.9× median
74176Top 5%

CT abdomen and pelvis without contrast

$807K

1,440 claims · 3.7%

Your Cost: $560.26/claim|Median: $60.19
9.3× median
96374Top 25%

Therapeutic/prophylactic/diagnostic IV push, single substance

$642K

7,886 claims · 3.0%

Your Cost: $81.43/claim|Median: $21.76
3.7× median
96361Top 25%

IV infusion, hydration, each additional hour

$568K

4,966 claims · 2.6%

Your Cost: $114.45/claim|Median: $38.92
2.9× median
70450Top 10%

CT head/brain without contrast

$534K

2,360 claims · 2.5%

Your Cost: $226.11/claim|Median: $45.53
5.0× median
93005Top 10%

Electrocardiogram, tracing only, without interpretation

$532K

10K claims · 2.5%

Your Cost: $53.15/claim|Median: $7.50
7.1× median
71045Top 5%

Chest X-ray, single view

$410K

6,081 claims · 1.9%

Your Cost: $67.37/claim|Median: $4.93
13.7× median
96365Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$396K

3,355 claims · 1.8%

Your Cost: $118.07/claim|Median: $54.77
2.2× median
U0004Top 5%

COVID-19 test, nucleic acid detection, CDC lab only

$356K

3,364 claims · 1.6%

Your Cost: $105.81/claim|Median: $60.05
1.8× median
96375Top 25%

Therapeutic/prophylactic/diagnostic IV push, each additional substance

$332K

6,254 claims · 1.5%

Your Cost: $53.16/claim|Median: $14.92
3.6× median
87086Top 5%

Urine culture, colony count, with identification

$313K

9,491 claims · 1.4%

Your Cost: $32.97/claim|Median: $5.31
6.2× median
87637Normal range

Respiratory virus detection, 3-5 targets, nucleic acid

$258K

2,027 claims · 1.2%

Your Cost: $127.15/claim|Median: $100.62
1.3× median
71275Top 5%

CT angiography, chest, with contrast

$258K

468 claims · 1.2%

Your Cost: $550.22/claim|Median: $92.96
5.9× median
36415Top 5%

Collection of venous blood by venipuncture

$252K

18K claims · 1.2%

Your Cost: $14.09/claim|Median: $1.57
9.0× median
G0480Top 25%

Drug test, definitive, 1-7 drug classes

$246K

3,663 claims · 1.1%

Your Cost: $67.27/claim|Median: $37.56
1.8× median
87651Top 5%

Streptococcus Group A detection, nucleic acid, amplified probe

$239K

4,097 claims · 1.1%

Your Cost: $58.33/claim|Median: $28.46
2.0× median
81001Top 5%

Urinalysis, automated, with microscopy

$238K

9,840 claims · 1.1%

Your Cost: $24.15/claim|Median: $2.03
11.9× median
84484Top 5%

Troponin, quantitative

$235K

6,500 claims · 1.1%

Your Cost: $36.14/claim|Median: $4.84
7.5× median
84443Top 5%

Thyroid stimulating hormone (TSH)

$198K

5,654 claims · 0.9%

Your Cost: $35.04/claim|Median: $9.87
3.6× median
71046Top 5%

Chest X-ray, 2 views

$187K

2,240 claims · 0.9%

Your Cost: $83.35/claim|Median: $8.92
9.3× median
83690Top 5%

$159K

5,130 claims · 0.7%

Your Cost: $31.06/claim|Median: $3.35
9.3× median
87502Top 10%

Influenza virus detection, reverse transcription, amplified probe

$157K

1,510 claims · 0.7%

Your Cost: $104.20/claim|Median: $65.64
1.6× median
99282Normal range

Emergency dept visit, low complexity

$157K

2,407 claims · 0.7%

Your Cost: $65.33/claim|Median: $37.72
1.7× median
80061Top 5%

Lipid panel

$152K

3,800 claims · 0.7%

Your Cost: $40.07/claim|Median: $8.41
4.8× median
J2405Top 5%

Injection, ondansetron HCl, per one milligram

$137K

5,243 claims · 0.6%

Your Cost: $26.11/claim|Median: $0.58
45.0× median
85610Top 5%

Prothrombin time (PT) blood clotting test

$135K

5,635 claims · 0.6%

Your Cost: $23.97/claim|Median: $2.14
11.2× median
85730Top 5%

$131K

4,823 claims · 0.6%

Your Cost: $27.23/claim|Median: $2.83
9.6× median
88305Top 5%

Surgical pathology, gross and microscopic examination

$130K

673 claims · 0.6%

Your Cost: $192.82/claim|Median: $35.80
5.4× median
72125Top 5%

CT cervical spine without contrast

$113K

404 claims · 0.5%

Your Cost: $280.59/claim|Median: $32.30
8.7× median
83036Top 5%

Hemoglobin A1c (glycated hemoglobin)

$111K

3,715 claims · 0.5%

Your Cost: $29.81/claim|Median: $5.50
5.4× median
77067Top 5%

Screening mammography, bilateral, including CAD

$109K

540 claims · 0.5%

Your Cost: $201.55/claim|Median: $39.33
5.1× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$105K

1,204 claims · 0.5%

Your Cost: $87.47/claim|Median: $61.57
1.4× median
83605Top 5%

$105K

3,002 claims · 0.5%

Your Cost: $34.95/claim|Median: $4.66
7.5× median
76805Top 1%

Ultrasound, pregnant uterus, complete, single fetus

$104K

380 claims · 0.5%

Your Cost: $274.98/claim|Median: $74.78
3.7× median
84702Top 5%

$102K

2,872 claims · 0.5%

Your Cost: $35.63/claim|Median: $8.25
4.3× median
76830Top 1%

Ultrasound, transvaginal

$101K

445 claims · 0.5%

Your Cost: $227.74/claim|Median: $57.47
4.0× median
96376Top 5%

$101K

1,662 claims · 0.5%

Your Cost: $60.90/claim|Median: $3.19
19.1× median
G0378Normal range

Hospital observation service, per hour

$100K

670 claims · 0.5%

Your Cost: $149.94/claim|Median: $99.39
1.5× median
82306Top 5%

Vitamin D, 25 hydroxy

$95K

1,255 claims · 0.4%

Your Cost: $75.95/claim|Median: $18.18
4.2× median
96372Top 10%

Therapeutic injection, subcutaneous/intramuscular

$95K

3,303 claims · 0.4%

Your Cost: $28.85/claim|Median: $9.56
3.0× median
J1885Top 5%

Injection, ketorolac tromethamine, fifteen milligrams

$91K

4,503 claims · 0.4%

Your Cost: $20.23/claim|Median: $0.91
22.2× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$91K

803 claims · 0.4%

Your Cost: $113.10/claim|Median: $91.47
1.2× median
76705Top 1%

Ultrasound, abdominal, limited

$90K

399 claims · 0.4%

Your Cost: $224.37/claim|Median: $23.81
9.4× median
94640Top 10%

Pressurized or nonpressurized inhalation treatment

$89K

1,515 claims · 0.4%

Your Cost: $58.70/claim|Median: $10.88
5.4× median

Other Top Providers in West Virginia

View all →

Rem Community Options Inc.

Community/Behavioral Health

$224.9M

Laboratory Corporation of America Holdings

Clinical Medical Laboratory

$220.0M

Charleston Area Medical Center INC

General Acute Care Hospital

$199.8M

Voca Corporation of West Virginia Inc.

Clinic/Center Developmental Disabilities

$178.3M

Mulberry Street Management Services Inc.

In Home Supportive Care

$175.6M

← All providersAll providers in West Virginia →How we detect fraud →