facebook tracking Percutaneous and other intracardiac procedures with major complications cost in West Virginia: 4 hospitals compared (DRG 273)

Percutaneous and other intracardiac procedures with major complications in West Virginia

What 4 hospitals in West Virginia charged and were paid for a Medicare hospital stay for percutaneous and other intracardiac procedures with major complications (DRG 273), from 2024 Medicare claims.

DRG 273 Inpatient 2024 Medicare data
Average charge $163,404 Hospital list price billed
Average payment $32,453 Medicare + patient + other payers
Medicare paid $28,449 Average per stay
State rank #7 of 28 1 = lowest average payment

Hospitals in West Virginia billed an average of $163,404 for percutaneous and other intracardiac procedures with major complications, about 5.0 times the average total payment of $32,453. That payment is 16% below the U.S. average of $38,504.

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 $32,453Billed $163,404

About 20¢ 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: percutaneous and other intracardiac 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
Charleston Area Medical CenterCharleston 39 $196,817 $32,452 $30,599
Wheeling HospitalWheeling 20 $128,651 $30,204 $25,224
St Mary's Medical CenterHuntington 18 $131,452 $30,696 $24,983
West Virginia University HospitalsMorgantown 15 $161,208 $37,565 $31,316
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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

Wheeling HospitalWheeling, WV$30,204
St Mary's Medical CenterHuntington, WV$30,696
Charleston Area Medical CenterCharleston, WV$32,452
West Virginia University HospitalsMorgantown, WV$37,565

Highest

West Virginia University HospitalsMorgantown, WV$37,565
Charleston Area Medical CenterCharleston, WV$32,452
St Mary's Medical CenterHuntington, WV$30,696
Wheeling HospitalWheeling, WV$30,204

Percutaneous and other intracardiac procedures with major complications in other states

Questions

How much does percutaneous and other intracardiac procedures with major complications cost in West Virginia?

In 2024 Medicare data, a hospital stay for percutaneous and other intracardiac procedures with major complications (DRG 273) at 4 hospitals in West Virginia was billed at $163,404 on average, while the average total payment was $32,453, of which Medicare paid $28,449. 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 5.0 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.