Lower extremity and humerus procedures except hip, foot and femur with complications in West Virginia
What 5 hospitals in West Virginia charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493), from 2024 Medicare claims.
Average charge
$75,727
Hospital list price billed
Average payment
$18,908
Medicare + patient + other payers
Medicare paid
$15,171
Average per stay
State rank
#5 of 40
1 = lowest average payment
Hospitals in West Virginia billed an average of $75,727 for lower extremity and humerus procedures except hip, foot and femur with complications, about 4.0 times the average total payment of $18,908. That payment is 17% below the U.S. average of $22,820.
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 $18,908Billed $75,727
About 25¢ was paid for every $1 hospitals in West Virginia billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in West Virginia:
West Virginia hospitals: lower extremity and humerus procedures except hip, foot and femur with complications
Every West Virginia hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| West Virginia University HospitalsMorgantown | 24 | $71,873 | $20,509 | $17,143 |
| Charleston Area Medical CenterCharleston | 20 | $100,206 | $18,713 | $14,899 |
| United Hospital CenterBridgeport | 15 | $63,367 | $17,774 | $15,251 |
| Camden Clark Memorial HospitalParkersburg | 15 | $47,425 | $18,586 | $12,347 |
| Cabell-Huntington Hospital INCHuntington | 11 | $95,076 | $17,758 | $15,106 |
Lowest and highest payments in West Virginia
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Cabell-Huntington Hospital INCHuntington, WV | $17,758 |
|---|---|
| United Hospital CenterBridgeport, WV | $17,774 |
| Camden Clark Memorial HospitalParkersburg, WV | $18,586 |
| Charleston Area Medical CenterCharleston, WV | $18,713 |
| West Virginia University HospitalsMorgantown, WV | $20,509 |
Highest
| West Virginia University HospitalsMorgantown, WV | $20,509 |
|---|---|
| Charleston Area Medical CenterCharleston, WV | $18,713 |
| Camden Clark Memorial HospitalParkersburg, WV | $18,586 |
| United Hospital CenterBridgeport, WV | $17,774 |
| Cabell-Huntington Hospital INCHuntington, WV | $17,758 |
Lower extremity and humerus procedures except hip, foot and femur with complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur with complications cost in West Virginia?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493) at 5 hospitals in West Virginia was billed at $75,727 on average, while the average total payment was $18,908, of which Medicare paid $15,171. 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 stay in West Virginia, average charges were 4.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.