facebook tracking Other circulatory system diagnoses with major complications cost in West Virginia: 6 hospitals compared (DRG 314)

Other circulatory system diagnoses with major complications in West Virginia

What 6 hospitals in West Virginia charged and were paid for a Medicare hospital stay for other circulatory system diagnoses with major complications (DRG 314), from 2024 Medicare claims.

DRG 314 Inpatient 2024 Medicare data
Average charge $61,421 Hospital list price billed
Average payment $20,445 Medicare + patient + other payers
Medicare paid $13,953 Average per stay
State rank #31 of 47 1 = lowest average payment

Hospitals in West Virginia billed an average of $61,421 for other circulatory system diagnoses with major complications, about 3.0 times the average total payment of $20,445. That payment is 4% below the U.S. average of $21,323.

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 $20,445Billed $61,421

About 33¢ 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: other circulatory system diagnoses 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 46 $61,744 $25,787 $14,478
Charleston Area Medical CenterCharleston 27 $89,589 $20,116 $15,244
Camden Clark Memorial HospitalParkersburg 17 $43,994 $14,075 $12,813
Raleigh General HospitalBeckley 15 $55,044 $12,595 $11,942
United Hospital CenterBridgeport 13 $37,370 $15,651 $14,271
Cabell-Huntington Hospital INCHuntington 11 $54,985 $25,129 $12,717
Advertisement

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

Raleigh General HospitalBeckley, WV$12,595
Camden Clark Memorial HospitalParkersburg, WV$14,075
United Hospital CenterBridgeport, WV$15,651
Charleston Area Medical CenterCharleston, WV$20,116
Cabell-Huntington Hospital INCHuntington, WV$25,129

Highest

West Virginia University HospitalsMorgantown, WV$25,787
Cabell-Huntington Hospital INCHuntington, WV$25,129
Charleston Area Medical CenterCharleston, WV$20,116
United Hospital CenterBridgeport, WV$15,651
Camden Clark Memorial HospitalParkersburg, WV$14,075

Other circulatory system diagnoses with major complications in other states

Questions

How much does other circulatory system diagnoses with major complications cost in West Virginia?

In 2024 Medicare data, a hospital stay for other circulatory system diagnoses with major complications (DRG 314) at 6 hospitals in West Virginia was billed at $61,421 on average, while the average total payment was $20,445, of which Medicare paid $13,953. 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 3.0 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.