facebook tracking Level 1 Nerve Procedures cost in West Virginia: 22 hospitals compared (APC 5431)

Level 1 Nerve Procedures in West Virginia

What 22 hospitals in West Virginia charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.

APC 5431 Outpatient 2024 Medicare data
Average charge $8,497 Hospital list price billed
Average allowed $1,580 Medicare's payment + patient's share
Medicare paid $1,250 Average per service
State rank #5 of 49 1 = lowest average payment

Hospitals in West Virginia billed an average of $8,497 for level 1 nerve procedures, about 5.4 times the average medicare-allowed amount of $1,580. That payment is 11% below the U.S. average of $1,774.

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 $1,580Billed $8,497

About 19¢ was paid for every $1 hospitals in West Virginia billed for this service.

West Virginia hospitals: level 1 nerve 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
United Hospital CenterBridgeport 570 $5,670 $1,785 $1,409
Cabell-Huntington Hospital INCHuntington 397 $6,920 $1,136 $902
West Virginia University HospitalsMorgantown 238 $10,099 $1,562 $1,235
Berkeley Medical CenterMartinsburg 181 $9,039 $1,749 $1,388
Camden Clark Memorial HospitalParkersburg 178 $8,145 $1,616 $1,280
Thomas Memorial HospitalSouth Charleston 148 $16,947 $1,612 $1,279
Wheeling HospitalWheeling 140 $11,354 $1,588 $1,258
Camc Charleston Surgical HospitalCharleston 108 $2,818 $1,570 $1,232
Saint Francis HospitalCharleston 106 $9,475 $1,612 $1,279
St Mary's Medical CenterHuntington 81 $9,187 $1,600 $1,266
Princeton Community HospitalPrinceton 56 $13,047 $1,633 $1,279
Charleston Area Medical CenterCharleston 50 $10,036 $1,615 $1,253
Wetzel County HospitalNew Martinsville 48 $7,244 $1,690 $1,346
Reynolds Memorial HospitalGlen Dale 29 $10,398 $1,578 $1,253
Beckley Arh HospitalBeckley 29 $12,673 $1,509 $1,170
Weirton Medical CenterWeirton 27 $7,547 $1,615 $1,287
Raleigh General HospitalBeckley 27 $16,211 $1,637 $1,304
Davis Memorial HospitalElkins 23 $4,735 $1,669 $1,318
Greenbrier Valley Medical CenterRonceverte 19 $7,723 $1,762 $1,382
Logan Regional Medical CenterLogan 11 $16,987 $1,690 $1,341
Mon Health Medical CenterMorgantown – – – –
Stonewall Jackson Mem HospWeston – – – –
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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

Cabell-Huntington Hospital INCHuntington, WV$1,136
Beckley Arh HospitalBeckley, WV$1,509
West Virginia University HospitalsMorgantown, WV$1,562
Camc Charleston Surgical HospitalCharleston, WV$1,570
Reynolds Memorial HospitalGlen Dale, WV$1,578

Highest

United Hospital CenterBridgeport, WV$1,785
Greenbrier Valley Medical CenterRonceverte, WV$1,762
Berkeley Medical CenterMartinsburg, WV$1,749
Logan Regional Medical CenterLogan, WV$1,690
Wetzel County HospitalNew Martinsville, WV$1,690

Level 1 Nerve Procedures in other states

Questions

How much does level 1 nerve procedures cost in West Virginia?

In 2024 Medicare data, level 1 nerve procedures (APC 5431) at 22 hospitals in West Virginia was billed at $8,497 on average, while the average medicare-allowed amount was $1,580, of which Medicare paid $1,250. 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 5.4 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.