Level 2 ICD and Similar Procedures in West Virginia
What 13 hospitals in West Virginia charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
Average charge
$129,340
Hospital list price billed
Average allowed
$27,075
Medicare's payment + patient's share
Medicare paid
$25,432
Average per service
State rank
#2 of 47
1 = lowest average payment
Hospitals in West Virginia billed an average of $129,340 for level 2 icd and similar procedures, about 4.8 times the average medicare-allowed amount of $27,075. That payment is 13% below the U.S. average of $31,009.
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 $27,075Billed $129,340
About 21¢ was paid for every $1 hospitals in West Virginia billed for this service.
West Virginia hospitals: level 2 icd and similar 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 | 52 | $147,391 | $26,806 | $25,152 |
| St Mary's Medical CenterHuntington | 39 | $115,911 | $27,943 | $26,297 |
| West Virginia University HospitalsMorgantown | 37 | $64,121 | $27,445 | $25,811 |
| Wheeling HospitalWheeling | 23 | $124,587 | $26,323 | $24,690 |
| Mon Health Medical CenterMorgantown | 14 | $279,877 | $25,916 | $24,284 |
| United Hospital CenterBridgeport | – | – | – | – |
| Berkeley Medical CenterMartinsburg | – | – | – | – |
| Reynolds Memorial HospitalGlen Dale | – | – | – | – |
| Weirton Medical CenterWeirton | – | – | – | – |
| Princeton Community HospitalPrinceton | – | – | – | – |
| Cabell-Huntington Hospital INCHuntington | – | – | – | – |
| Camden Clark Memorial HospitalParkersburg | – | – | – | – |
| Raleigh General HospitalBeckley | – | – | – | – |
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
| Mon Health Medical CenterMorgantown, WV | $25,916 |
|---|---|
| Wheeling HospitalWheeling, WV | $26,323 |
| Charleston Area Medical CenterCharleston, WV | $26,806 |
| West Virginia University HospitalsMorgantown, WV | $27,445 |
| St Mary's Medical CenterHuntington, WV | $27,943 |
Highest
| St Mary's Medical CenterHuntington, WV | $27,943 |
|---|---|
| West Virginia University HospitalsMorgantown, WV | $27,445 |
| Charleston Area Medical CenterCharleston, WV | $26,806 |
| Wheeling HospitalWheeling, WV | $26,323 |
| Mon Health Medical CenterMorgantown, WV | $25,916 |
Level 2 ICD and Similar Procedures in other states
Questions
How much does level 2 icd and similar procedures cost in West Virginia?
In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 13 hospitals in West Virginia was billed at $129,340 on average, while the average medicare-allowed amount was $27,075, of which Medicare paid $25,432. 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 4.8 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.