Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in West Virginia
What 2 hospitals in West Virginia charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 220), from 2024 Medicare claims.
Average charge
$244,666
Hospital list price billed
Average payment
$49,651
Medicare + patient + other payers
Medicare paid
$38,205
Average per stay
Volume
47
Medicare hospital stays
Hospitals in West Virginia billed an average of $244,666 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 4.9 times the average total payment of $49,651. That payment is 11% below the U.S. average of $55,508.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $49,651Billed $244,666
About 20¢ was paid for every $1 hospitals in West Virginia billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in West Virginia:
West Virginia hospitals: cardiac valve and other major cardiothoracic procedures without cardiac catheterization
Every West Virginia hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| West Virginia University HospitalsMorgantown | 32 | $212,748 | $50,913 | $36,088 |
| Charleston Area Medical CenterCharleston | 15 | $312,757 | $46,961 | $42,719 |
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states
Questions
How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in West Virginia?
In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 220) at 2 hospitals in West Virginia was billed at $244,666 on average, while the average total payment was $49,651, of which Medicare paid $38,205. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in West Virginia, average charges were 4.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.