facebook tracking Heart failure and shock with major complications cost in West Virginia: 21 hospitals compared (DRG 291)

Heart failure and shock with major complications in West Virginia

What 21 hospitals in West Virginia charged and were paid for a Medicare hospital stay for heart failure and shock with major complications (DRG 291), from 2024 Medicare claims.

DRG 291 Inpatient 2024 Medicare data
Average charge $39,105 Hospital list price billed
Average payment $10,504 Medicare + patient + other payers
Medicare paid $8,258 Average per stay
State rank #14 of 50 1 = lowest average payment

Hospitals in West Virginia billed an average of $39,105 for heart failure and shock with major complications, about 3.7 times the average total payment of $10,504. That payment is 13% below the U.S. average of $12,050.

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 $10,504Billed $39,105

About 27¢ 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: heart failure and shock 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 281 $59,281 $12,561 $8,726
West Virginia University HospitalsMorgantown 220 $46,212 $13,088 $9,582
Camden Clark Memorial HospitalParkersburg 216 $36,991 $9,329 $7,636
United Hospital CenterBridgeport 156 $37,030 $9,905 $8,316
St Mary's Medical CenterHuntington 142 $41,908 $10,248 $7,647
Princeton Community HospitalPrinceton 126 $28,575 $9,487 $8,250
Wheeling HospitalWheeling 124 $29,172 $9,921 $8,139
Mon Health Medical CenterMorgantown 104 $35,562 $8,967 $7,316
Raleigh General HospitalBeckley 99 $29,889 $8,859 $6,973
Weirton Medical CenterWeirton 96 $24,654 $8,171 $7,273
Thomas Memorial HospitalSouth Charleston 94 $40,431 $9,863 $8,218
Logan Regional Medical CenterLogan 73 $46,225 $12,443 $9,509
Berkeley Medical CenterMartinsburg 63 $22,188 $9,869 $7,753
Greenbrier Valley Medical CenterRonceverte 54 $32,931 $11,381 $9,568
Beckley Arh HospitalBeckley 49 $57,194 $11,271 $10,139
Davis Memorial HospitalElkins 45 $17,112 $9,914 $8,085
Cabell-Huntington Hospital INCHuntington 45 $49,503 $12,017 $8,735
Reynolds Memorial HospitalGlen Dale 42 $17,823 $8,396 $7,144
Rivers HealthPoint Pleasant 18 $25,334 $8,262 $6,768
Wetzel County HospitalNew Martinsville 13 $49,181 $8,392 $7,262
Mon Health MarionWhitehall 11 $18,780 $8,111 $6,304
Advertisement

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

Mon Health MarionWhitehall, WV$8,111
Weirton Medical CenterWeirton, WV$8,171
Rivers HealthPoint Pleasant, WV$8,262
Wetzel County HospitalNew Martinsville, WV$8,392
Reynolds Memorial HospitalGlen Dale, WV$8,396

Highest

Heart failure and shock with major complications in other states

Questions

How much does heart failure and shock with major complications cost in West Virginia?

In 2024 Medicare data, a hospital stay for heart failure and shock with major complications (DRG 291) at 21 hospitals in West Virginia was billed at $39,105 on average, while the average total payment was $10,504, of which Medicare paid $8,258. 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.