facebook tracking Level 4 Gynecologic Procedures cost in West Virginia: 20 hospitals compared (APC 5414)

Level 4 Gynecologic Procedures in West Virginia

What 20 hospitals in West Virginia charged and were paid for level 4 gynecologic procedures (APC 5414), from 2024 Medicare claims.

APC 5414 Outpatient 2024 Medicare data
Average charge $16,005 Hospital list price billed
Average allowed $2,592 Medicare's payment + patient's share
Medicare paid $2,043 Average per service
State rank #6 of 48 1 = lowest average payment

Hospitals in West Virginia billed an average of $16,005 for level 4 gynecologic procedures, about 6.2 times the average medicare-allowed amount of $2,592. That payment is 14% below the U.S. average of $3,013.

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 $2,592Billed $16,005

About 16¢ was paid for every $1 hospitals in West Virginia billed for this service.

West Virginia hospitals: level 4 gynecologic 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 56 $19,720 $2,573 $2,028
Charleston Area Medical CenterCharleston 51 $14,711 $2,650 $2,108
Cabell-Huntington Hospital INCHuntington 38 $16,728 $2,607 $2,062
West Virginia University HospitalsMorgantown 30 $13,767 $2,553 $2,008
Berkeley Medical CenterMartinsburg 20 $10,751 $2,540 $1,951
Camden Clark Memorial HospitalParkersburg 20 $9,898 $2,445 $1,907
United Hospital CenterBridgeport 19 $11,980 $2,861 $2,254
Raleigh General HospitalBeckley 19 $26,244 $2,435 $1,895
Weirton Medical CenterWeirton 16 $17,936 $2,616 $2,084
Wheeling HospitalWheeling 11 $13,812 $2,616 $2,084
Greenbrier Valley Medical CenterRonceverte – – – –
St Mary's Medical CenterHuntington – – – –
Rivers HealthPoint Pleasant – – – –
Reynolds Memorial HospitalGlen Dale – – – –
Thomas Memorial HospitalSouth Charleston – – – –
Davis Memorial HospitalElkins – – – –
Stonewall Jackson Mem HospWeston – – – –
Princeton Community HospitalPrinceton – – – –
Logan Regional Medical CenterLogan – – – –
Beckley Arh HospitalBeckley – – – –
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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

Raleigh General HospitalBeckley, WV$2,435
Camden Clark Memorial HospitalParkersburg, WV$2,445
Berkeley Medical CenterMartinsburg, WV$2,540
West Virginia University HospitalsMorgantown, WV$2,553
Mon Health Medical CenterMorgantown, WV$2,573

Highest

United Hospital CenterBridgeport, WV$2,861
Charleston Area Medical CenterCharleston, WV$2,650
Weirton Medical CenterWeirton, WV$2,616
Wheeling HospitalWheeling, WV$2,616
Cabell-Huntington Hospital INCHuntington, WV$2,607

Level 4 Gynecologic Procedures in other states

Questions

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

In 2024 Medicare data, level 4 gynecologic procedures (APC 5414) at 20 hospitals in West Virginia was billed at $16,005 on average, while the average medicare-allowed amount was $2,592, of which Medicare paid $2,043. 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 6.2 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.