Hip replacement with principal diagnosis of hip fracture without major complications in West Virginia
What 13 hospitals in West Virginia charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.
Average charge
$77,760
Hospital list price billed
Average payment
$17,129
Medicare + patient + other payers
Medicare paid
$13,356
Average per stay
State rank
#20 of 50
1 = lowest average payment
Hospitals in West Virginia billed an average of $77,760 for hip replacement with principal diagnosis of hip fracture without major complications, about 4.5 times the average total payment of $17,129. That payment is 6% below the U.S. average of $18,301.
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 $17,129Billed $77,760
About 22¢ 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: hip replacement with principal diagnosis of hip fracture 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 | 46 | $96,543 | $19,148 | $13,628 |
| United Hospital CenterBridgeport | 33 | $66,699 | $15,747 | $13,811 |
| West Virginia University HospitalsMorgantown | 23 | $100,216 | $21,385 | $14,695 |
| Mon Health Medical CenterMorgantown | 21 | $85,403 | $13,557 | $12,235 |
| Cabell-Huntington Hospital INCHuntington | 21 | $87,203 | $19,965 | $14,054 |
| Thomas Memorial HospitalSouth Charleston | 19 | $80,676 | $13,923 | $12,377 |
| Wheeling HospitalWheeling | 19 | $64,908 | $17,949 | $11,921 |
| St Mary's Medical CenterHuntington | 18 | $70,593 | $15,398 | $13,217 |
| Camden Clark Memorial HospitalParkersburg | 18 | $52,365 | $14,143 | $12,371 |
| Princeton Community HospitalPrinceton | 17 | $58,085 | $14,668 | $13,516 |
| Raleigh General HospitalBeckley | 17 | $88,437 | $15,247 | $11,241 |
| Davis Memorial HospitalElkins | 15 | $63,177 | $19,770 | $18,246 |
| Berkeley Medical CenterMartinsburg | 14 | $61,504 | $19,613 | $11,670 |
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 Medical CenterMorgantown, WV | $13,557 |
|---|---|
| Thomas Memorial HospitalSouth Charleston, WV | $13,923 |
| Camden Clark Memorial HospitalParkersburg, WV | $14,143 |
| Princeton Community HospitalPrinceton, WV | $14,668 |
| Raleigh General HospitalBeckley, WV | $15,247 |
Highest
| West Virginia University HospitalsMorgantown, WV | $21,385 |
|---|---|
| Cabell-Huntington Hospital INCHuntington, WV | $19,965 |
| Davis Memorial HospitalElkins, WV | $19,770 |
| Berkeley Medical CenterMartinsburg, WV | $19,613 |
| Charleston Area Medical CenterCharleston, WV | $19,148 |
Hip replacement with principal diagnosis of hip fracture without major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture without major complications cost in West Virginia?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 13 hospitals in West Virginia was billed at $77,760 on average, while the average total payment was $17,129, of which Medicare paid $13,356. 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 4.5 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.