facebook tracking Coronary intravascular lithotripsy with intraluminal device without major complications cost in West Virginia: 2 hospitals compared (DRG 324)

Coronary intravascular lithotripsy with intraluminal device without major complications in West Virginia

What 2 hospitals in West Virginia charged and were paid for a Medicare hospital stay for coronary intravascular lithotripsy with intraluminal device without major complications (DRG 324), from 2024 Medicare claims.

DRG 324 Inpatient 2024 Medicare data
Average charge $173,803 Hospital list price billed
Average payment $26,119 Medicare + patient + other payers
Medicare paid $18,777 Average per stay
Volume 39 Medicare hospital stays

Hospitals in West Virginia billed an average of $173,803 for coronary intravascular lithotripsy with intraluminal device without major complications, about 6.7 times the average total payment of $26,119. That payment is 8% below the U.S. average of $28,401.

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 $26,119Billed $173,803

About 15¢ was paid for every $1 hospitals in West Virginia billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in West Virginia:

West Virginia hospitals: coronary intravascular lithotripsy with intraluminal device without major 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
Charleston Area Medical CenterCharleston 22 $185,032 $26,868 $20,062
Raleigh General HospitalBeckley 17 $159,271 $25,149 $17,114
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Questions

How much does coronary intravascular lithotripsy with intraluminal device without major complications cost in West Virginia?

In 2024 Medicare data, a hospital stay for coronary intravascular lithotripsy with intraluminal device without major complications (DRG 324) at 2 hospitals in West Virginia was billed at $173,803 on average, while the average total payment was $26,119, of which Medicare paid $18,777. 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 6.7 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.