facebook tracking Infectious and parasitic diseases with operating room procedures with major complications cost in West Virginia: 13 hospitals compared (DRG 853)

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

What 13 hospitals in West Virginia charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853), from 2024 Medicare claims.

DRG 853 Inpatient 2024 Medicare data
Average charge $153,984 Hospital list price billed
Average payment $40,068 Medicare + patient + other payers
Medicare paid $33,420 Average per stay
State rank #12 of 49 1 = lowest average payment

Hospitals in West Virginia billed an average of $153,984 for infectious and parasitic diseases with operating room procedures with major complications, about 3.8 times the average total payment of $40,068. That payment is 14% below the U.S. average of $46,667.

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 $40,068Billed $153,984

About 26¢ 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 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 147 $209,795 $45,567 $35,375
West Virginia University HospitalsMorgantown 109 $158,016 $44,717 $36,150
St Mary's Medical CenterHuntington 63 $158,254 $41,602 $36,883
Camden Clark Memorial HospitalParkersburg 51 $119,811 $35,153 $29,099
Wheeling HospitalWheeling 40 $107,487 $33,725 $30,545
United Hospital CenterBridgeport 38 $110,724 $38,724 $30,874
Raleigh General HospitalBeckley 36 $159,397 $32,534 $28,416
Mon Health Medical CenterMorgantown 32 $145,470 $36,609 $32,279
Princeton Community HospitalPrinceton 28 $95,565 $35,778 $34,904
Weirton Medical CenterWeirton 23 $86,247 $25,041 $23,120
Cabell-Huntington Hospital INCHuntington 21 $190,107 $46,080 $35,944
Berkeley Medical CenterMartinsburg 15 $106,455 $38,667 $36,095
Thomas Memorial HospitalSouth Charleston 15 $124,599 $32,460 $29,960
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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

Weirton Medical CenterWeirton, WV$25,041
Thomas Memorial HospitalSouth Charleston, WV$32,460
Raleigh General HospitalBeckley, WV$32,534
Wheeling HospitalWheeling, WV$33,725
Camden Clark Memorial HospitalParkersburg, WV$35,153

Highest

Cabell-Huntington Hospital INCHuntington, WV$46,080
Charleston Area Medical CenterCharleston, WV$45,567
West Virginia University HospitalsMorgantown, WV$44,717
St Mary's Medical CenterHuntington, WV$41,602
United Hospital CenterBridgeport, WV$38,724

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

Questions

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

In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853) at 13 hospitals in West Virginia was billed at $153,984 on average, while the average total payment was $40,068, of which Medicare paid $33,420. 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 3.8 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.