Major hip and knee joint replacement or reattachment of lower extremity without major complications in West Virginia
What 10 hospitals in West Virginia charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.
Average charge
$65,462
Hospital list price billed
Average payment
$15,365
Medicare + patient + other payers
Medicare paid
$11,331
Average per stay
State rank
#21 of 48
1 = lowest average payment
Hospitals in West Virginia billed an average of $65,462 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 4.3 times the average total payment of $15,365. That payment is 11% below the U.S. average of $17,318.
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 $15,365Billed $65,462
About 23¢ was paid for every $1 hospitals in West Virginia billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in West Virginia:
West Virginia hospitals: major hip and knee joint replacement or reattachment of lower extremity without major 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 | 106 | $74,465 | $17,466 | $12,903 |
| Cabell-Huntington Hospital INCHuntington | 55 | $64,463 | $17,533 | $11,394 |
| Wheeling HospitalWheeling | 42 | $55,838 | $13,463 | $11,062 |
| Camden Clark Memorial HospitalParkersburg | 42 | $45,836 | $13,785 | $10,072 |
| United Hospital CenterBridgeport | 32 | $59,906 | $14,593 | $11,398 |
| Mon Health Medical CenterMorgantown | 29 | $82,751 | $14,337 | $9,320 |
| Thomas Memorial HospitalSouth Charleston | 27 | $72,131 | $14,650 | $9,643 |
| Berkeley Medical CenterMartinsburg | 26 | $69,651 | $13,690 | $12,058 |
| Reynolds Memorial HospitalGlen Dale | 18 | $52,859 | $12,729 | $9,809 |
| Princeton Community HospitalPrinceton | 14 | $61,411 | $13,160 | $11,645 |
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
| Reynolds Memorial HospitalGlen Dale, WV | $12,729 |
|---|---|
| Princeton Community HospitalPrinceton, WV | $13,160 |
| Wheeling HospitalWheeling, WV | $13,463 |
| Berkeley Medical CenterMartinsburg, WV | $13,690 |
| Camden Clark Memorial HospitalParkersburg, WV | $13,785 |
Highest
| Cabell-Huntington Hospital INCHuntington, WV | $17,533 |
|---|---|
| West Virginia University HospitalsMorgantown, WV | $17,466 |
| Thomas Memorial HospitalSouth Charleston, WV | $14,650 |
| United Hospital CenterBridgeport, WV | $14,593 |
| Mon Health Medical CenterMorgantown, WV | $14,337 |
Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states
Questions
How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in West Virginia?
In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 10 hospitals in West Virginia was billed at $65,462 on average, while the average total payment was $15,365, of which Medicare paid $11,331. 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 4.3 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.