Simple pneumonia and pleurisy with complications in West Virginia
What 17 hospitals in West Virginia charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$27,799
Hospital list price billed
Average payment
$6,552
Medicare + patient + other payers
Medicare paid
$4,650
Average per stay
State rank
#6 of 47
1 = lowest average payment
Hospitals in West Virginia billed an average of $27,799 for simple pneumonia and pleurisy with complications, about 4.2 times the average total payment of $6,552. That payment is 18% below the U.S. average of $7,941.
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 $6,552Billed $27,799
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: simple pneumonia and pleurisy with 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 | 57 | $37,935 | $7,549 | $5,060 |
| Camden Clark Memorial HospitalParkersburg | 39 | $25,935 | $6,113 | $4,181 |
| Weirton Medical CenterWeirton | 37 | $25,114 | $5,468 | $4,249 |
| Cabell-Huntington Hospital INCHuntington | 36 | $32,764 | $8,087 | $5,314 |
| St Mary's Medical CenterHuntington | 34 | $22,819 | $6,305 | $4,576 |
| Princeton Community HospitalPrinceton | 31 | $16,569 | $5,898 | $4,106 |
| Logan Regional Medical CenterLogan | 28 | $32,744 | $7,027 | $5,223 |
| Thomas Memorial HospitalSouth Charleston | 26 | $31,530 | $5,772 | $3,997 |
| Wheeling HospitalWheeling | 23 | $17,504 | $6,338 | $4,284 |
| West Virginia University HospitalsMorgantown | 22 | $28,655 | $8,575 | $5,467 |
| United Hospital CenterBridgeport | 21 | $29,287 | $6,591 | $4,989 |
| Beckley Arh HospitalBeckley | 21 | $32,862 | $5,887 | $4,663 |
| Mon Health Medical CenterMorgantown | 17 | $22,273 | $5,942 | $3,633 |
| Rivers HealthPoint Pleasant | 16 | $27,405 | $5,888 | $4,766 |
| Stonewall Jackson Mem HospWeston | 16 | $31,561 | $6,893 | $5,669 |
| Raleigh General HospitalBeckley | 15 | $26,204 | $5,517 | $4,429 |
| Reynolds Memorial HospitalGlen Dale | 14 | $16,512 | $5,500 | $4,059 |
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
| Weirton Medical CenterWeirton, WV | $5,468 |
|---|---|
| Reynolds Memorial HospitalGlen Dale, WV | $5,500 |
| Raleigh General HospitalBeckley, WV | $5,517 |
| Thomas Memorial HospitalSouth Charleston, WV | $5,772 |
| Beckley Arh HospitalBeckley, WV | $5,887 |
Highest
| West Virginia University HospitalsMorgantown, WV | $8,575 |
|---|---|
| Cabell-Huntington Hospital INCHuntington, WV | $8,087 |
| Charleston Area Medical CenterCharleston, WV | $7,549 |
| Logan Regional Medical CenterLogan, WV | $7,027 |
| Stonewall Jackson Mem HospWeston, WV | $6,893 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in West Virginia?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 17 hospitals in West Virginia was billed at $27,799 on average, while the average total payment was $6,552, of which Medicare paid $4,650. 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.