Simple pneumonia and pleurisy with major complications in West Virginia
What 21 hospitals in West Virginia charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$41,524
Hospital list price billed
Average payment
$10,349
Medicare + patient + other payers
Medicare paid
$8,077
Average per stay
State rank
#9 of 50
1 = lowest average payment
Hospitals in West Virginia billed an average of $41,524 for simple pneumonia and pleurisy with major complications, about 4.0 times the average total payment of $10,349. That payment is 14% below the U.S. average of $12,020.
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 $10,349Billed $41,524
About 25¢ 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 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 |
|---|---|---|---|---|
| Camden Clark Memorial HospitalParkersburg | 126 | $40,130 | $9,954 | $7,253 |
| Charleston Area Medical CenterCharleston | 119 | $53,265 | $11,764 | $8,485 |
| Princeton Community HospitalPrinceton | 97 | $23,923 | $9,236 | $7,901 |
| Weirton Medical CenterWeirton | 94 | $34,514 | $8,565 | $7,503 |
| United Hospital CenterBridgeport | 91 | $41,628 | $10,787 | $8,356 |
| West Virginia University HospitalsMorgantown | 90 | $50,354 | $14,565 | $8,493 |
| Beckley Arh HospitalBeckley | 82 | $60,981 | $9,933 | $8,720 |
| Thomas Memorial HospitalSouth Charleston | 75 | $46,427 | $8,819 | $7,427 |
| Raleigh General HospitalBeckley | 68 | $37,232 | $8,635 | $7,545 |
| Logan Regional Medical CenterLogan | 65 | $45,043 | $10,989 | $9,157 |
| St Mary's Medical CenterHuntington | 55 | $46,405 | $10,228 | $8,256 |
| Greenbrier Valley Medical CenterRonceverte | 41 | $36,342 | $11,486 | $9,336 |
| Wheeling HospitalWheeling | 36 | $28,991 | $9,792 | $7,401 |
| Berkeley Medical CenterMartinsburg | 34 | $21,068 | $9,500 | $7,994 |
| Mon Health Medical CenterMorgantown | 33 | $34,532 | $9,004 | $7,020 |
| Davis Memorial HospitalElkins | 26 | $19,649 | $10,066 | $8,810 |
| Cabell-Huntington Hospital INCHuntington | 26 | $56,394 | $13,443 | $9,358 |
| Reynolds Memorial HospitalGlen Dale | 25 | $16,446 | $7,896 | $6,329 |
| Wetzel County HospitalNew Martinsville | 24 | $76,396 | $10,342 | $8,982 |
| Rivers HealthPoint Pleasant | 18 | $33,488 | $8,944 | $7,858 |
| Stonewall Jackson Mem HospWeston | 11 | $30,513 | $12,984 | $8,067 |
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
| Reynolds Memorial HospitalGlen Dale, WV | $7,896 |
|---|---|
| Weirton Medical CenterWeirton, WV | $8,565 |
| Raleigh General HospitalBeckley, WV | $8,635 |
| Thomas Memorial HospitalSouth Charleston, WV | $8,819 |
| Rivers HealthPoint Pleasant, WV | $8,944 |
Highest
| West Virginia University HospitalsMorgantown, WV | $14,565 |
|---|---|
| Cabell-Huntington Hospital INCHuntington, WV | $13,443 |
| Stonewall Jackson Mem HospWeston, WV | $12,984 |
| Charleston Area Medical CenterCharleston, WV | $11,764 |
| Greenbrier Valley Medical CenterRonceverte, WV | $11,486 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in West Virginia?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 21 hospitals in West Virginia was billed at $41,524 on average, while the average total payment was $10,349, of which Medicare paid $8,077. 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 4.0 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.