facebook tracking Psychoses cost in West Virginia: 2 hospitals compared (DRG 885)

Psychoses in West Virginia

What 2 hospitals in West Virginia charged and were paid for a Medicare hospital stay for psychoses (DRG 885), from 2024 Medicare claims.

DRG 885 Inpatient 2024 Medicare data
Average charge $33,213 Hospital list price billed
Average payment $12,321 Medicare + patient + other payers
Medicare paid $7,519 Average per stay
Volume 49 Medicare hospital stays

Hospitals in West Virginia billed an average of $33,213 for psychoses, about 2.7 times the average total payment of $12,321. That payment is 14% below the U.S. average of $14,304.

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 $12,321Billed $33,213

About 37¢ was paid for every $1 hospitals in West Virginia billed for this stay.

West Virginia hospitals: psychoses

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
Reynolds Memorial HospitalGlen Dale 37 $13,092 $8,923 $7,177
Charleston Area Medical CenterCharleston 12 $95,252 $22,798 $8,572
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Psychoses in other states

Questions

How much does psychoses cost in West Virginia?

In 2024 Medicare data, a hospital stay for psychoses (DRG 885) at 2 hospitals in West Virginia was billed at $33,213 on average, while the average total payment was $12,321, of which Medicare paid $7,519. 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 2.7 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.