What 14 hospitals in West Virginia charged and were paid for level 4 endovascular procedures (APC 5194), from 2024 Medicare claims.
Hospitals in West Virginia billed an average of $113,097 for level 4 endovascular procedures, about 7.7 times the average medicare-allowed amount of $14,595. That payment is 10% below the U.S. average of $16,197.
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.
About 13¢ was paid for every $1 hospitals in West Virginia billed for this service.
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 |
|---|---|---|---|---|
| Mon Health Medical CenterMorgantown | 75 | $164,306 | $14,648 | $13,016 |
| Charleston Area Medical CenterCharleston | 74 | $110,389 | $14,480 | $12,838 |
| St Mary's Medical CenterHuntington | 45 | $102,998 | $14,246 | $12,687 |
| West Virginia University HospitalsMorgantown | 30 | $71,594 | $13,776 | $12,144 |
| Wheeling HospitalWheeling | 20 | $92,877 | $14,643 | $13,008 |
| Weirton Medical CenterWeirton | 19 | $131,805 | $13,873 | $12,314 |
| Raleigh General HospitalBeckley | 19 | $121,752 | $14,837 | $13,205 |
| Thomas Memorial HospitalSouth Charleston | 17 | $104,050 | $14,837 | $13,205 |
| United Hospital CenterBridgeport | 15 | $69,036 | $16,715 | $15,067 |
| Berkeley Medical CenterMartinsburg | 14 | $56,640 | $16,068 | $14,436 |
| Reynolds Memorial HospitalGlen Dale | 12 | $75,513 | $14,302 | $12,662 |
| Princeton Community HospitalPrinceton | – | – | – | – |
| Cabell-Huntington Hospital INCHuntington | – | – | – | – |
| Camden Clark Memorial HospitalParkersburg | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| West Virginia University HospitalsMorgantown, WV | $13,776 |
|---|---|
| Weirton Medical CenterWeirton, WV | $13,873 |
| St Mary's Medical CenterHuntington, WV | $14,246 |
| Reynolds Memorial HospitalGlen Dale, WV | $14,302 |
| Charleston Area Medical CenterCharleston, WV | $14,480 |
| United Hospital CenterBridgeport, WV | $16,715 |
|---|---|
| Berkeley Medical CenterMartinsburg, WV | $16,068 |
| Thomas Memorial HospitalSouth Charleston, WV | $14,837 |
| Raleigh General HospitalBeckley, WV | $14,837 |
| Mon Health Medical CenterMorgantown, WV | $14,648 |
In 2024 Medicare data, level 4 endovascular procedures (APC 5194) at 14 hospitals in West Virginia was billed at $113,097 on average, while the average medicare-allowed amount was $14,595, of which Medicare paid $12,974. Your own cost depends on your insurance, deductible and the hospital.
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 7.7 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.