Hip or knee replacement in West Virginia
MS-DRG 470: Major hip and knee joint replacement or reattachment of lower extremity without mcc
$62,937typical hospital bill
$14,061typical amount paid
$12,729–$17,533range paid across 10 hospitals
West Virginia hospitals billed Medicare a typical $62,937 for this stay in 2024, about 4.5 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 | |
|---|---|---|---|---|---|
| Reynolds Memorial Hospital, Inc | Glen Dale | 18 | $52,859 | $12,729 | |
| Princeton Community Hospital Assn Inc | Princeton | 14 | $61,411 | $13,160 | |
| Wheeling Hospital, Inc | Wheeling | 42 | $55,838 | $13,463 | |
| Berkeley Medical Center | Martinsburg | 26 | $69,651 | $13,690 | |
| Camden Clark Medical Center | Parkersburg | 42 | $45,836 | $13,785 | |
| Mon Health Medical Center | Morgantown | 29 | $82,751 | $14,337 | |
| United Hospital Center, Inc | Bridgeport | 32 | $59,906 | $14,593 | |
| Thomas Memorial Hospital | South Charleston | 27 | $72,131 | $14,650 | |
| West Virginia University Hospitals, Inc | Morgantown | 106 | $74,465 | $17,466 | |
| Cabell Huntington Hospital, Inc | Huntington | 55 | $64,463 | $17,533 |
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.