Pulmonary edema and respiratory failure in West Virginia
What 15 hospitals in West Virginia charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.
Average charge
$42,067
Hospital list price billed
Average payment
$10,696
Medicare + patient + other payers
Medicare paid
$7,628
Average per stay
State rank
#17 of 50
1 = lowest average payment
Hospitals in West Virginia billed an average of $42,067 for pulmonary edema and respiratory failure, about 3.9 times the average total payment of $10,696. That payment is 12% below the U.S. average of $12,197.
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 $10,696Billed $42,067
About 25¢ was paid for every $1 hospitals in West Virginia billed for this stay.
West Virginia hospitals: pulmonary edema and respiratory failure
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 |
|---|---|---|---|---|
| St Mary's Medical CenterHuntington | 175 | $38,951 | $9,583 | $7,360 |
| West Virginia University HospitalsMorgantown | 109 | $49,212 | $15,188 | $8,526 |
| Charleston Area Medical CenterCharleston | 91 | $58,744 | $11,511 | $7,548 |
| United Hospital CenterBridgeport | 80 | $38,378 | $9,767 | $7,894 |
| Cabell-Huntington Hospital INCHuntington | 72 | $63,299 | $14,927 | $9,183 |
| Wheeling HospitalWheeling | 57 | $31,179 | $8,869 | $7,317 |
| Camden Clark Memorial HospitalParkersburg | 55 | $37,992 | $9,713 | $6,777 |
| Thomas Memorial HospitalSouth Charleston | 49 | $42,779 | $8,491 | $6,535 |
| Princeton Community HospitalPrinceton | 49 | $27,827 | $9,041 | $7,128 |
| Berkeley Medical CenterMartinsburg | 43 | $27,138 | $10,028 | $7,551 |
| Mon Health Medical CenterMorgantown | 36 | $34,806 | $7,892 | $6,896 |
| Raleigh General HospitalBeckley | 31 | $35,814 | $8,528 | $6,928 |
| Logan Regional Medical CenterLogan | 28 | $58,355 | $11,445 | $8,596 |
| Reynolds Memorial HospitalGlen Dale | 20 | $25,530 | $8,258 | $6,700 |
| Davis Memorial HospitalElkins | 19 | $15,494 | $9,279 | $8,077 |
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 | $7,892 |
|---|---|
| Reynolds Memorial HospitalGlen Dale, WV | $8,258 |
| Thomas Memorial HospitalSouth Charleston, WV | $8,491 |
| Raleigh General HospitalBeckley, WV | $8,528 |
| Wheeling HospitalWheeling, WV | $8,869 |
Highest
| West Virginia University HospitalsMorgantown, WV | $15,188 |
|---|---|
| Cabell-Huntington Hospital INCHuntington, WV | $14,927 |
| Charleston Area Medical CenterCharleston, WV | $11,511 |
| Logan Regional Medical CenterLogan, WV | $11,445 |
| Berkeley Medical CenterMartinsburg, WV | $10,028 |
Pulmonary edema and respiratory failure in other states
Questions
How much does pulmonary edema and respiratory failure cost in West Virginia?
In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 15 hospitals in West Virginia was billed at $42,067 on average, while the average total payment was $10,696, of which Medicare paid $7,628. 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 3.9 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.