Infection needing surgery, with major complications in West Virginia
MS-DRG 853: Infectious and parasitic diseases with o.r. procedures with mcc
$124,599typical hospital bill
$36,609typical amount paid
$25,041–$46,080range paid across 13 hospitals
West Virginia hospitals billed Medicare a typical $124,599 for this stay in 2024, about 3.4 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 | |
|---|---|---|---|---|---|
| Weirton Medical Center, Inc | Weirton | 23 | $86,247 | $25,041 | |
| Thomas Memorial Hospital | South Charleston | 15 | $124,599 | $32,460 | |
| Raleigh General Hospital | Beckley | 36 | $159,397 | $32,534 | |
| Wheeling Hospital, Inc | Wheeling | 40 | $107,487 | $33,725 | |
| Camden Clark Medical Center | Parkersburg | 51 | $119,811 | $35,153 | |
| Princeton Community Hospital Assn Inc | Princeton | 28 | $95,565 | $35,778 | |
| Mon Health Medical Center | Morgantown | 32 | $145,470 | $36,609 | |
| Berkeley Medical Center | Martinsburg | 15 | $106,455 | $38,667 | |
| United Hospital Center, Inc | Bridgeport | 38 | $110,724 | $38,724 | |
| St Marys Medical Center | Huntington | 63 | $158,254 | $41,602 | |
| West Virginia University Hospitals, Inc | Morgantown | 109 | $158,016 | $44,717 | |
| Charleston Area Medical Center | Charleston | 147 | $209,795 | $45,567 | |
| Cabell Huntington Hospital, Inc | Huntington | 21 | $190,107 | $46,080 |
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.