Does Rivers Health Take Medicare?
Yes — Rivers Health in Point Pleasant, West Virginia is a Medicare-participating hospital. It appears in CMS Inpatient Payment files with documented payment data across 13 inpatient procedure types, averaging $12,040 per Medicare stay. It also operates an emergency department, so Medicare emergency coverage applies.
This page answers a common question about U.S. hospital cost and quality data: Does Rivers Health Take Medicare?. The answer draws on CMS Inpatient Payment files, CMS Hospital Compare quality measures, and the LakeQuality value rubric that combines both. Each underlying source is linked directly so the reasoning can be verified. Why this matters: U.S. hospital costs and quality vary by an order of magnitude between facilities for the same procedure, and the variation is not random — it correlates with hospital type, ownership, regional payment adjustments, and case mix. Understanding how to read the public CMS data is the difference between a defensible hospital choice and a coin flip.
The detailed answer below covers what the underlying data shows, the limitations of that data (the Medicare numbers do not directly tell you what commercial insurance pays, or what you will pay out of pocket), and how to translate the public numbers into the questions a patient or family actually has when comparing hospitals.
Medicare at a Glance: Rivers Health
- Medicare-participating
- Yes
- Emergency department
- Yes
- Hospital type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Procedure types reported
- 13
- Avg Medicare payment
- $12,040/stay
Source: CMS Inpatient Payment files and Hospital Compare. Participation status is inferred from CMS payment reporting — confirm benefits with your specific Medicare or Medicare Advantage plan.
What Medicare Covers at Rivers Health
Rivers Health appears in the CMS Inpatient Payment files, which only include hospitals enrolled in Medicare. That enrollment is what lets Medicare Part A pay for covered inpatient stays here. Across the 13 procedure types it reports, Medicare pays an average of $12,040 per stay, right around the West Virginia average of $11,835.
Those figures are what Medicare pays the hospital — not what you pay. Under Original Medicare, inpatient (Part A) costs are driven by the annual deductible and benefit-period coinsurance, not by the hospital's billed amount. Because Rivers Health runs an emergency department, Medicare emergency coverage applies, and the No Surprises Act caps balance billing for out-of-network emergency care.
If you have Medicare Advantage (Part C) rather than Original Medicare, coverage at Rivers Health depends on whether the hospital is in your plan's network — call the number on your plan card to confirm before a scheduled procedure. A Medigap supplement can absorb much of the Part A deductible and coinsurance for Original Medicare enrollees.
Key Data
| Metric | Value |
|---|---|
| CMS Quality Rating | 1/5 |
| Outcome Score | 45/100 |
| Value Grade | C |
| Avg Payment | $12,040 |
| Mortality Better / Worse | 0 / 0 |
| Safety Better / Worse | 0 / 0 |
Frequently Asked Questions
Yes. Rivers Health is a Medicare-participating hospital — it reports payment data to the CMS Inpatient Payment files, which means Medicare covers eligible inpatient and outpatient services there. The data on this page reflects average Medicare payments for inpatient stays; your actual out-of-pocket cost depends on your specific Medicare plan, any supplemental (Medigap) coverage, and the procedure.
Yes. Rivers Health operates an emergency department. Under Medicare, emergency care is covered at participating hospitals, and the No Surprises Act limits balance billing for out-of-network emergency services.
Rivers Health averages $12,040 per Medicare inpatient stay across the 13 procedure types it reports — above the West Virginia average of $11,835 and below the national average of $15,878. This is what Medicare pays, not your copay — Part A inpatient costs are governed by the annual deductible and benefit-period rules.
Rivers Health has a CMS quality rating of 1/5 and an Outcome Score of 45/100. Mortality outcomes are at the national average.
Rivers Health's average procedure payment of $12,040 is $205 above the West Virginia state average of $11,835, and $3,838 below the national average of $15,878.
More about Rivers Health
Yes — Rivers Health in Point Pleasant, West Virginia is a Medicare-participating hospital. It appears in CMS Inpatient Payment files with documented payment data across 13 inpatient procedure types, averaging $12,040 per Medicare stay. It also operates an emergency department, so Medicare emergency coverage applies.
Source: CMS Hospital Price Transparency, 2026.