Level 6 Gynecologic Procedures in West Virginia
What 12 hospitals in West Virginia charged and were paid for level 6 gynecologic procedures (APC 5416), from 2024 Medicare claims.
Average charge
$43,145
Hospital list price billed
Average allowed
$6,794
Medicare's payment + patient's share
Medicare paid
$5,406
Average per service
State rank
#20 of 41
1 = lowest average payment
Hospitals in West Virginia billed an average of $43,145 for level 6 gynecologic procedures, about 6.4 times the average medicare-allowed amount of $6,794. That payment is 7% below the U.S. average of $7,292.
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 $6,794Billed $43,145
About 16¢ was paid for every $1 hospitals in West Virginia billed for this service.
West Virginia hospitals: level 6 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 | 14 | $63,406 | $6,400 | $5,093 |
| United Hospital CenterBridgeport | 13 | $21,326 | $7,219 | $5,743 |
| West Virginia University HospitalsMorgantown | – | – | – | – |
| Berkeley Medical CenterMartinsburg | – | – | – | – |
| Reynolds Memorial HospitalGlen Dale | – | – | – | – |
| Charleston Area Medical CenterCharleston | – | – | – | – |
| Thomas Memorial HospitalSouth Charleston | – | – | – | – |
| Princeton Community HospitalPrinceton | – | – | – | – |
| Wheeling HospitalWheeling | – | – | – | – |
| Cabell-Huntington Hospital INCHuntington | – | – | – | – |
| Camden Clark Memorial HospitalParkersburg | – | – | – | – |
| Raleigh General HospitalBeckley | – | – | – | – |
Level 6 Gynecologic Procedures in other states
Questions
How much does level 6 gynecologic procedures cost in West Virginia?
In 2024 Medicare data, level 6 gynecologic procedures (APC 5416) at 12 hospitals in West Virginia was billed at $43,145 on average, while the average medicare-allowed amount was $6,794, of which Medicare paid $5,406. 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 6.4 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.