Extensive operating room procedures unrelated to principal diagnosis with major complications in West Virginia
What 6 hospitals in West Virginia charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981), from 2024 Medicare claims.
Average charge
$181,277
Hospital list price billed
Average payment
$38,228
Medicare + patient + other payers
Medicare paid
$33,429
Average per stay
State rank
#10 of 42
1 = lowest average payment
Hospitals in West Virginia billed an average of $181,277 for extensive operating room procedures unrelated to principal diagnosis with major complications, about 4.7 times the average total payment of $38,228. That payment is 19% below the U.S. average of $47,051.
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 $38,228Billed $181,277
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: extensive operating room procedures unrelated to principal diagnosis 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 | 46 | $221,875 | $41,960 | $34,984 |
| West Virginia University HospitalsMorgantown | 31 | $165,953 | $42,964 | $37,585 |
| Mon Health Medical CenterMorgantown | 14 | $218,375 | $40,027 | $35,583 |
| Raleigh General HospitalBeckley | 13 | $155,092 | $32,968 | $32,342 |
| Weirton Medical CenterWeirton | 12 | $109,248 | $22,760 | $21,298 |
| St Mary's Medical CenterHuntington | 11 | $116,993 | $30,079 | $26,983 |
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
| Weirton Medical CenterWeirton, WV | $22,760 |
|---|---|
| St Mary's Medical CenterHuntington, WV | $30,079 |
| Raleigh General HospitalBeckley, WV | $32,968 |
| Mon Health Medical CenterMorgantown, WV | $40,027 |
| Charleston Area Medical CenterCharleston, WV | $41,960 |
Highest
| West Virginia University HospitalsMorgantown, WV | $42,964 |
|---|---|
| Charleston Area Medical CenterCharleston, WV | $41,960 |
| Mon Health Medical CenterMorgantown, WV | $40,027 |
| Raleigh General HospitalBeckley, WV | $32,968 |
| St Mary's Medical CenterHuntington, WV | $30,079 |
Extensive operating room procedures unrelated to principal diagnosis with major complications in other states
Questions
How much does extensive operating room procedures unrelated to principal diagnosis with major complications cost in West Virginia?
In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with major complications (DRG 981) at 6 hospitals in West Virginia was billed at $181,277 on average, while the average total payment was $38,228, of which Medicare paid $33,429. 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.