facebook tracking Major small and large bowel procedures with major complications cost in West Virginia: 7 hospitals compared (DRG 329)

Major small and large bowel procedures with major complications in West Virginia

What 7 hospitals in West Virginia charged and were paid for a Medicare hospital stay for major small and large bowel procedures with major complications (DRG 329), from 2024 Medicare claims.

DRG 329 Inpatient 2024 Medicare data
Average charge $160,962 Hospital list price billed
Average payment $38,562 Medicare + patient + other payers
Medicare paid $30,659 Average per stay
State rank #17 of 47 1 = lowest average payment

Hospitals in West Virginia billed an average of $160,962 for major small and large bowel procedures with major complications, about 4.2 times the average total payment of $38,562. That payment is 12% below the U.S. average of $43,910.

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 $38,562Billed $160,962

About 24¢ 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: major small and large bowel procedures with 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 41 $193,841 $48,506 $34,481
Charleston Area Medical CenterCharleston 34 $179,190 $39,467 $30,782
Mon Health Medical CenterMorgantown 19 $155,160 $28,764 $25,367
United Hospital CenterBridgeport 18 $122,245 $32,145 $29,717
St Mary's Medical CenterHuntington 18 $150,789 $41,544 $35,368
Wheeling HospitalWheeling 16 $110,853 $33,233 $25,049
Camden Clark Memorial HospitalParkersburg 11 $144,988 $28,991 $27,172
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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

Mon Health Medical CenterMorgantown, WV$28,764
Camden Clark Memorial HospitalParkersburg, WV$28,991
United Hospital CenterBridgeport, WV$32,145
Wheeling HospitalWheeling, WV$33,233
Charleston Area Medical CenterCharleston, WV$39,467

Highest

West Virginia University HospitalsMorgantown, WV$48,506
St Mary's Medical CenterHuntington, WV$41,544
Charleston Area Medical CenterCharleston, WV$39,467
Wheeling HospitalWheeling, WV$33,233
United Hospital CenterBridgeport, WV$32,145

Major small and large bowel procedures with major complications in other states

Questions

How much does major small and large bowel procedures with major complications cost in West Virginia?

In 2024 Medicare data, a hospital stay for major small and large bowel procedures with major complications (DRG 329) at 7 hospitals in West Virginia was billed at $160,962 on average, while the average total payment was $38,562, of which Medicare paid $30,659. 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 4.2 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.