Craniotomy with major device implant or acute complex CNS principal diagnosis without mc in West Virginia
What 1 hospital in West Virginia charged and were paid for a Medicare hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis without mc (DRG 024), from 2024 Medicare claims.
Average charge
$138,171
Hospital list price billed
Average payment
$40,057
Medicare + patient + other payers
Medicare paid
$26,177
Average per stay
Volume
12
Medicare hospital stays
Hospitals in West Virginia billed an average of $138,171 for craniotomy with major device implant or acute complex cns principal diagnosis without mc, about 3.4 times the average total payment of $40,057. That payment is 9% above the U.S. average of $36,662.
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 $40,057Billed $138,171
About 29¢ was paid for every $1 hospitals in West Virginia billed for this stay.
West Virginia hospitals: craniotomy with major device implant or acute complex cns principal diagnosis without mc
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 | 12 | $138,171 | $40,057 | $26,177 |
Craniotomy with major device implant or acute complex CNS principal diagnosis without mc in other states
Questions
How much does craniotomy with major device implant or acute complex cns principal diagnosis without mc cost in West Virginia?
In 2024 Medicare data, a hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis without mc (DRG 024) at 1 hospital in West Virginia was billed at $138,171 on average, while the average total payment was $40,057, of which Medicare paid $26,177. 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 3.4 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.