facebook tracking Level 4 Endovascular Procedures cost in West Virginia: 14 hospitals compared (APC 5194)

Level 4 Endovascular Procedures in West Virginia

What 14 hospitals in West Virginia charged and were paid for level 4 endovascular procedures (APC 5194), from 2024 Medicare claims.

APC 5194 Outpatient 2024 Medicare data
Average charge $113,097 Hospital list price billed
Average allowed $14,595 Medicare's payment + patient's share
Medicare paid $12,974 Average per service
State rank #8 of 48 1 = lowest average payment

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.

Paid $14,595Billed $113,097

About 13¢ was paid for every $1 hospitals in West Virginia billed for this service.

West Virginia hospitals: level 4 endovascular 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
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 – – – –
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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

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

Highest

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

Level 4 Endovascular Procedures in other states

Questions

How much does level 4 endovascular procedures cost in West Virginia?

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.

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 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.