Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in West Virginia
What 23 hospitals in West Virginia charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.
Average charge
$23,565
Hospital list price billed
Average allowed
$2,941
Medicare's payment + patient's share
Medicare paid
$2,329
Average per service
State rank
#9 of 49
1 = lowest average payment
Hospitals in West Virginia billed an average of $23,565 for level 1 abdominal/peritoneal/biliary and related procedures, about 8.0 times the average medicare-allowed amount of $2,941. That payment is 12% below the U.S. average of $3,323.
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 $2,941Billed $23,565
About 12¢ was paid for every $1 hospitals in West Virginia billed for this service.
West Virginia hospitals: level 1 abdominal/peritoneal/biliary and related procedures
Every West Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Charleston Area Medical CenterCharleston | 72 | $28,359 | $2,872 | $2,267 |
| Mon Health Medical CenterMorgantown | 38 | $37,788 | $2,869 | $2,273 |
| St Mary's Medical CenterHuntington | 36 | $18,667 | $2,882 | $2,277 |
| Princeton Community HospitalPrinceton | 34 | $17,612 | $3,035 | $2,403 |
| Camden Clark Memorial HospitalParkersburg | 32 | $20,638 | $2,933 | $2,334 |
| West Virginia University HospitalsMorgantown | 31 | $13,550 | $2,822 | $2,234 |
| United Hospital CenterBridgeport | 30 | $16,351 | $3,129 | $2,452 |
| Wheeling HospitalWheeling | 30 | $26,860 | $2,895 | $2,303 |
| Berkeley Medical CenterMartinsburg | 28 | $21,454 | $3,086 | $2,435 |
| Greenbrier Valley Medical CenterRonceverte | 21 | $21,838 | $3,156 | $2,514 |
| Thomas Memorial HospitalSouth Charleston | 19 | $31,764 | $2,933 | $2,337 |
| Cabell-Huntington Hospital INCHuntington | 19 | $25,160 | $2,947 | $2,348 |
| Camc Charleston Surgical HospitalCharleston | 16 | $7,650 | $2,933 | $2,337 |
| Weirton Medical CenterWeirton | 15 | $32,187 | $2,894 | $2,306 |
| Logan Regional Medical CenterLogan | 13 | $27,366 | $2,842 | $2,215 |
| Reynolds Memorial HospitalGlen Dale | – | – | – | – |
| Davis Memorial HospitalElkins | – | – | – | – |
| Saint Francis HospitalCharleston | – | – | – | – |
| Stonewall Jackson Mem HospWeston | – | – | – | – |
| Beckley Arh HospitalBeckley | – | – | – | – |
| Raleigh General HospitalBeckley | – | – | – | – |
| Wetzel County HospitalNew Martinsville | – | – | – | – |
| Welch Community HospitalWelch | – | – | – | – |
Lowest and highest allowed amounts in West Virginia
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| West Virginia University HospitalsMorgantown, WV | $2,822 |
|---|---|
| Logan Regional Medical CenterLogan, WV | $2,842 |
| Mon Health Medical CenterMorgantown, WV | $2,869 |
| Charleston Area Medical CenterCharleston, WV | $2,872 |
| St Mary's Medical CenterHuntington, WV | $2,882 |
Highest
| Greenbrier Valley Medical CenterRonceverte, WV | $3,156 |
|---|---|
| United Hospital CenterBridgeport, WV | $3,129 |
| Berkeley Medical CenterMartinsburg, WV | $3,086 |
| Princeton Community HospitalPrinceton, WV | $3,035 |
| Cabell-Huntington Hospital INCHuntington, WV | $2,947 |
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states
Questions
How much does level 1 abdominal/peritoneal/biliary and related procedures cost in West Virginia?
In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 23 hospitals in West Virginia was billed at $23,565 on average, while the average medicare-allowed amount was $2,941, of which Medicare paid $2,329. 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 service in West Virginia, average charges were 8.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.