Level 3 Lower GI Procedures in West Virginia
What 19 hospitals in West Virginia charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.
Average charge
$12,906
Hospital list price billed
Average allowed
$2,348
Medicare's payment + patient's share
Medicare paid
$1,883
Average per service
State rank
#7 of 49
1 = lowest average payment
Hospitals in West Virginia billed an average of $12,906 for level 3 lower gi procedures, about 5.5 times the average medicare-allowed amount of $2,348. That payment is 13% below the U.S. average of $2,703.
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 $2,348Billed $12,906
About 18¢ was paid for every $1 hospitals in West Virginia billed for this service.
West Virginia hospitals: level 3 lower gi 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 |
|---|---|---|---|---|
| West Virginia University HospitalsMorgantown | 132 | $10,191 | $2,293 | $1,833 |
| Cabell-Huntington Hospital INCHuntington | 42 | $16,889 | $2,346 | $1,896 |
| Camden Clark Memorial HospitalParkersburg | 36 | $9,218 | $2,274 | $1,847 |
| United Hospital CenterBridgeport | 35 | $9,244 | $2,620 | $2,114 |
| Charleston Area Medical CenterCharleston | 32 | $25,183 | $2,321 | $1,835 |
| Camc Charleston Surgical HospitalCharleston | 24 | $3,822 | $2,380 | $1,909 |
| Mon Health Medical CenterMorgantown | 20 | $23,373 | $2,378 | $1,896 |
| Wheeling HospitalWheeling | 11 | $19,078 | $2,349 | $1,882 |
| Greenbrier Valley Medical CenterRonceverte | – | – | – | – |
| St Mary's Medical CenterHuntington | – | – | – | – |
| Berkeley Medical CenterMartinsburg | – | – | – | – |
| Rivers HealthPoint Pleasant | – | – | – | – |
| Weirton Medical CenterWeirton | – | – | – | – |
| Thomas Memorial HospitalSouth Charleston | – | – | – | – |
| Davis Memorial HospitalElkins | – | – | – | – |
| Stonewall Jackson Mem HospWeston | – | – | – | – |
| Princeton Community HospitalPrinceton | – | – | – | – |
| Logan Regional Medical CenterLogan | – | – | – | – |
| 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
| Camden Clark Memorial HospitalParkersburg, WV | $2,274 |
|---|---|
| West Virginia University HospitalsMorgantown, WV | $2,293 |
| Charleston Area Medical CenterCharleston, WV | $2,321 |
| Cabell-Huntington Hospital INCHuntington, WV | $2,346 |
| Wheeling HospitalWheeling, WV | $2,349 |
Highest
| United Hospital CenterBridgeport, WV | $2,620 |
|---|---|
| Camc Charleston Surgical HospitalCharleston, WV | $2,380 |
| Mon Health Medical CenterMorgantown, WV | $2,378 |
| Wheeling HospitalWheeling, WV | $2,349 |
| Cabell-Huntington Hospital INCHuntington, WV | $2,346 |
Level 3 Lower GI Procedures in other states
Questions
How much does level 3 lower gi procedures cost in West Virginia?
In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 19 hospitals in West Virginia was billed at $12,906 on average, while the average medicare-allowed amount was $2,348, of which Medicare paid $1,883. 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 5.5 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.