facebook tracking Laparoscopic cholecystectomy without c.d.e. with complications cost in West Virginia: 6 hospitals compared (DRG 418)

Laparoscopic cholecystectomy without c.d.e. with complications in West Virginia

What 6 hospitals in West Virginia charged and were paid for a Medicare hospital stay for laparoscopic cholecystectomy without c.d.e. with complications (DRG 418), from 2024 Medicare claims.

DRG 418 Inpatient 2024 Medicare data
Average charge $67,973 Hospital list price billed
Average payment $12,869 Medicare + patient + other payers
Medicare paid $9,982 Average per stay
State rank #9 of 42 1 = lowest average payment

Hospitals in West Virginia billed an average of $67,973 for laparoscopic cholecystectomy without c.d.e. with complications, about 5.3 times the average total payment of $12,869. That payment is 14% below the U.S. average of $15,043.

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 $12,869Billed $67,973

About 19¢ 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: laparoscopic cholecystectomy without c.d.e. 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 17 $95,503 $16,227 $10,017
St Mary's Medical CenterHuntington 16 $47,194 $11,185 $9,268
United Hospital CenterBridgeport 13 $54,109 $12,416 $10,623
Thomas Memorial HospitalSouth Charleston 12 $66,428 $10,568 $9,208
West Virginia University HospitalsMorgantown 11 $83,072 $15,474 $11,803
Mon Health Medical CenterMorgantown 11 $58,618 $10,572 $9,236
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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

Thomas Memorial HospitalSouth Charleston, WV$10,568
Mon Health Medical CenterMorgantown, WV$10,572
St Mary's Medical CenterHuntington, WV$11,185
United Hospital CenterBridgeport, WV$12,416
West Virginia University HospitalsMorgantown, WV$15,474

Highest

Charleston Area Medical CenterCharleston, WV$16,227
West Virginia University HospitalsMorgantown, WV$15,474
United Hospital CenterBridgeport, WV$12,416
St Mary's Medical CenterHuntington, WV$11,185
Mon Health Medical CenterMorgantown, WV$10,572

Laparoscopic cholecystectomy without c.d.e. with complications in other states

Questions

How much does laparoscopic cholecystectomy without c.d.e. with complications cost in West Virginia?

In 2024 Medicare data, a hospital stay for laparoscopic cholecystectomy without c.d.e. with complications (DRG 418) at 6 hospitals in West Virginia was billed at $67,973 on average, while the average total payment was $12,869, of which Medicare paid $9,982. 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 5.3 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.