facebook tracking Esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications cost in West Virginia: 12 hospitals compared (DRG 391)

Esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications in West Virginia

What 12 hospitals in West Virginia charged and were paid for a Medicare hospital stay for esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications (DRG 391), from 2024 Medicare claims.

DRG 391 Inpatient 2024 Medicare data
Average charge $37,652 Hospital list price billed
Average payment $10,086 Medicare + patient + other payers
Medicare paid $7,779 Average per stay
State rank #5 of 46 1 = lowest average payment

Hospitals in West Virginia billed an average of $37,652 for esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications, about 3.7 times the average total payment of $10,086. That payment is 21% below the U.S. average of $12,772.

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 $10,086Billed $37,652

About 27¢ 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: esophagitis, gastroenteritis and miscellaneous digestive disorders with 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 39 $60,636 $11,394 $8,290
West Virginia University HospitalsMorgantown 36 $32,302 $13,372 $8,491
Camden Clark Memorial HospitalParkersburg 29 $36,622 $9,121 $7,514
Princeton Community HospitalPrinceton 26 $24,153 $9,044 $7,547
United Hospital CenterBridgeport 25 $44,604 $10,182 $8,184
Wheeling HospitalWheeling 23 $26,564 $9,720 $6,823
Weirton Medical CenterWeirton 16 $32,491 $8,325 $7,305
Berkeley Medical CenterMartinsburg 15 $27,078 $9,168 $7,997
Beckley Arh HospitalBeckley 13 $41,957 $9,125 $8,121
Mon Health Medical CenterMorgantown 11 $36,076 $8,425 $7,241
Thomas Memorial HospitalSouth Charleston 11 $41,200 $8,299 $7,112
Raleigh General HospitalBeckley 11 $30,548 $8,647 $7,164
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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

Thomas Memorial HospitalSouth Charleston, WV$8,299
Weirton Medical CenterWeirton, WV$8,325
Mon Health Medical CenterMorgantown, WV$8,425
Raleigh General HospitalBeckley, WV$8,647
Princeton Community HospitalPrinceton, WV$9,044

Highest

West Virginia University HospitalsMorgantown, WV$13,372
Charleston Area Medical CenterCharleston, WV$11,394
United Hospital CenterBridgeport, WV$10,182
Wheeling HospitalWheeling, WV$9,720
Berkeley Medical CenterMartinsburg, WV$9,168

Esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications in other states

Questions

How much does esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications cost in West Virginia?

In 2024 Medicare data, a hospital stay for esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications (DRG 391) at 12 hospitals in West Virginia was billed at $37,652 on average, while the average total payment was $10,086, of which Medicare paid $7,779. 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 3.7 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.