Hip replacement after a hip fracture in West Virginia
MS-DRG 522: Hip replacement with principal diagnosis of hip fracture without mcc
$70,593typical hospital bill
$15,747typical amount paid
$13,557–$21,385range paid across 13 hospitals
West Virginia hospitals billed Medicare a typical $70,593 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 | |
|---|---|---|---|---|---|
| Mon Health Medical Center | Morgantown | 21 | $85,403 | $13,557 | |
| Thomas Memorial Hospital | South Charleston | 19 | $80,676 | $13,923 | |
| Camden Clark Medical Center | Parkersburg | 18 | $52,365 | $14,143 | |
| Princeton Community Hospital Assn Inc | Princeton | 17 | $58,085 | $14,668 | |
| Raleigh General Hospital | Beckley | 17 | $88,437 | $15,247 | |
| St Marys Medical Center | Huntington | 18 | $70,593 | $15,398 | |
| United Hospital Center, Inc | Bridgeport | 33 | $66,699 | $15,747 | |
| Wheeling Hospital, Inc | Wheeling | 19 | $64,908 | $17,949 | |
| Charleston Area Medical Center | Charleston | 46 | $96,543 | $19,148 | |
| Berkeley Medical Center | Martinsburg | 14 | $61,505 | $19,613 | |
| Davis Medical Center | Elkins | 15 | $63,177 | $19,770 | |
| Cabell Huntington Hospital, Inc | Huntington | 21 | $87,203 | $19,965 | |
| West Virginia University Hospitals, Inc | Morgantown | 23 | $100,216 | $21,385 |
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.