Level 5 Gynecologic Procedures in West Virginia
What 16 hospitals in West Virginia charged and were paid for level 5 gynecologic procedures (APC 5415), from 2024 Medicare claims.
Average charge
$34,930
Hospital list price billed
Average allowed
$4,130
Medicare's payment + patient's share
Medicare paid
$3,261
Average per service
State rank
#5 of 48
1 = lowest average payment
Hospitals in West Virginia billed an average of $34,930 for level 5 gynecologic procedures, about 8.5 times the average medicare-allowed amount of $4,130. That payment is 14% below the U.S. average of $4,779.
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 $4,130Billed $34,930
About 12¢ was paid for every $1 hospitals in West Virginia billed for this service.
West Virginia hospitals: level 5 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 | 61 | $46,602 | $4,161 | $3,296 |
| West Virginia University HospitalsMorgantown | 21 | $23,631 | $4,161 | $3,314 |
| Charleston Area Medical CenterCharleston | 20 | $29,526 | $4,217 | $3,340 |
| Raleigh General HospitalBeckley | 20 | $33,598 | $3,919 | $3,062 |
| Cabell-Huntington Hospital INCHuntington | 17 | $25,780 | $3,840 | $2,979 |
| Berkeley Medical CenterMartinsburg | 11 | $18,160 | $4,567 | $3,629 |
| Greenbrier Valley Medical CenterRonceverte | – | – | – | – |
| United Hospital CenterBridgeport | – | – | – | – |
| St Mary's Medical CenterHuntington | – | – | – | – |
| Rivers HealthPoint Pleasant | – | – | – | – |
| Reynolds Memorial HospitalGlen Dale | – | – | – | – |
| Weirton Medical CenterWeirton | – | – | – | – |
| Thomas Memorial HospitalSouth Charleston | – | – | – | – |
| Princeton Community HospitalPrinceton | – | – | – | – |
| Wheeling HospitalWheeling | – | – | – | – |
| Camden Clark Memorial HospitalParkersburg | – | – | – | – |
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
| Cabell-Huntington Hospital INCHuntington, WV | $3,840 |
|---|---|
| Raleigh General HospitalBeckley, WV | $3,919 |
| Mon Health Medical CenterMorgantown, WV | $4,161 |
| West Virginia University HospitalsMorgantown, WV | $4,161 |
| Charleston Area Medical CenterCharleston, WV | $4,217 |
Highest
| Berkeley Medical CenterMartinsburg, WV | $4,567 |
|---|---|
| Charleston Area Medical CenterCharleston, WV | $4,217 |
| West Virginia University HospitalsMorgantown, WV | $4,161 |
| Mon Health Medical CenterMorgantown, WV | $4,161 |
| Raleigh General HospitalBeckley, WV | $3,919 |
Level 5 Gynecologic Procedures in other states
Questions
How much does level 5 gynecologic procedures cost in West Virginia?
In 2024 Medicare data, level 5 gynecologic procedures (APC 5415) at 16 hospitals in West Virginia was billed at $34,930 on average, while the average medicare-allowed amount was $4,130, of which Medicare paid $3,261. 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 8.5 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.