facebook tracking Infectious and parasitic diseases with operating room procedures with complications cost in West Virginia: 6 hospitals compared (DRG 854)

Infectious and parasitic diseases with operating room procedures with complications in West Virginia

What 6 hospitals in West Virginia charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854), from 2024 Medicare claims.

DRG 854 Inpatient 2024 Medicare data
Average charge $86,225 Hospital list price billed
Average payment $19,383 Medicare + patient + other payers
Medicare paid $13,305 Average per stay
State rank #33 of 44 1 = lowest average payment

Hospitals in West Virginia billed an average of $86,225 for infectious and parasitic diseases with operating room procedures with complications, about 4.4 times the average total payment of $19,383. That payment is 2% above the U.S. average of $19,011.

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 $19,383Billed $86,225

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: infectious and parasitic diseases with operating room procedures with 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 45 $111,090 $23,155 $14,318
Wheeling HospitalWheeling 19 $52,031 $16,614 $10,729
West Virginia University HospitalsMorgantown 17 $67,728 $19,949 $14,237
St Mary's Medical CenterHuntington 12 $75,309 $16,503 $12,090
Weirton Medical CenterWeirton 11 $92,978 $16,108 $14,627
Camden Clark Memorial HospitalParkersburg 11 $77,303 $14,278 $12,170
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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

Camden Clark Memorial HospitalParkersburg, WV$14,278
Weirton Medical CenterWeirton, WV$16,108
St Mary's Medical CenterHuntington, WV$16,503
Wheeling HospitalWheeling, WV$16,614
West Virginia University HospitalsMorgantown, WV$19,949

Highest

Charleston Area Medical CenterCharleston, WV$23,155
West Virginia University HospitalsMorgantown, WV$19,949
Wheeling HospitalWheeling, WV$16,614
St Mary's Medical CenterHuntington, WV$16,503
Weirton Medical CenterWeirton, WV$16,108

Infectious and parasitic diseases with operating room procedures with complications in other states

Questions

How much does infectious and parasitic diseases with operating room procedures with complications cost in West Virginia?

In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854) at 6 hospitals in West Virginia was billed at $86,225 on average, while the average total payment was $19,383, of which Medicare paid $13,305. 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 4.4 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.