Heart procedure through a catheter (e.g. ablation, valve clip) in West Virginia
MS-DRG 274: Percutaneous and other intracardiac procedures without mcc
$106,664typical hospital bill
$24,654typical amount paid
$21,633–$26,422range paid across 5 hospitals
West Virginia hospitals billed Medicare a typical $106,664 for this stay in 2024, about 4.3 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Mon Health Medical Center | Morgantown | 90 | $146,315 | $21,633 | |
| St Marys Medical Center | Huntington | 58 | $106,664 | $22,384 | |
| Charleston Area Medical Center | Charleston | 73 | $185,348 | $24,654 | |
| Wheeling Hospital, Inc | Wheeling | 70 | $104,204 | $25,117 | |
| West Virginia University Hospitals, Inc | Morgantown | 84 | $76,150 | $26,422 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.