facebook tracking Carotid artery stent procedures without complications cost in West Virginia: 3 hospitals compared (DRG 036)

Carotid artery stent procedures without complications in West Virginia

What 3 hospitals in West Virginia charged and were paid for a Medicare hospital stay for carotid artery stent procedures without complications (DRG 036), from 2024 Medicare claims.

DRG 036 Inpatient 2024 Medicare data
Average charge $70,287 Hospital list price billed
Average payment $15,007 Medicare + patient + other payers
Medicare paid $12,495 Average per stay
State rank #16 of 33 1 = lowest average payment

Hospitals in West Virginia billed an average of $70,287 for carotid artery stent procedures without complications, about 4.7 times the average total payment of $15,007. That payment is 5% below the U.S. average of $15,778.

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 $15,007Billed $70,287

About 21¢ 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: carotid artery stent procedures without complications

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
United Hospital CenterBridgeport 28 $53,022 $13,571 $11,421
Charleston Area Medical CenterCharleston 28 $90,337 $14,946 $13,709
West Virginia University HospitalsMorgantown 17 $65,700 $17,474 $12,264
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Lowest and highest payments in West Virginia

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

United Hospital CenterBridgeport, WV$13,571
Charleston Area Medical CenterCharleston, WV$14,946
West Virginia University HospitalsMorgantown, WV$17,474

Highest

West Virginia University HospitalsMorgantown, WV$17,474
Charleston Area Medical CenterCharleston, WV$14,946
United Hospital CenterBridgeport, WV$13,571

Carotid artery stent procedures without complications in other states

Questions

How much does carotid artery stent procedures without complications cost in West Virginia?

In 2024 Medicare data, a hospital stay for carotid artery stent procedures without complications (DRG 036) at 3 hospitals in West Virginia was billed at $70,287 on average, while the average total payment was $15,007, of which Medicare paid $12,495. 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 4.7 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.