What 20 hospitals in West Virginia charged and were paid for level 4 gynecologic procedures (APC 5414), from 2024 Medicare claims.
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.
About 16¢ 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 | 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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| 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 |
| 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 |
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.
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.