Fracture or sprain (not hip or thigh) in West Virginia
MS-DRG 563: Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
$21,444typical hospital bill
$6,605typical amount paid
$5,736–$8,530range paid across 8 hospitals
West Virginia hospitals billed Medicare a typical $21,444 for this stay in 2024, about 3.2 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 | 15 | $20,864 | $5,736 | |
| Weirton Medical Center, Inc | Weirton | 20 | $15,511 | $5,940 | |
| Wheeling Hospital, Inc | Wheeling | 19 | $19,049 | $5,966 | |
| Thomas Memorial Hospital | South Charleston | 14 | $22,025 | $6,226 | |
| Camden Clark Medical Center | Parkersburg | 16 | $24,102 | $6,984 | |
| United Hospital Center, Inc | Bridgeport | 14 | $18,774 | $7,035 | |
| West Virginia University Hospitals, Inc | Morgantown | 23 | $29,096 | $8,011 | |
| Charleston Area Medical Center | Charleston | 12 | $46,729 | $8,530 |
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.