Major Chest Procedures with Mcc in West Virginia
MS-DRG 163: Major chest procedures with mcc
$156,813typical hospital bill
$40,405typical amount paid
$36,145–$42,061range paid across 4 hospitals
West Virginia hospitals billed Medicare a typical $156,813 for this stay in 2024, about 3.9 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 | |
|---|---|---|---|---|---|
| St Marys Medical Center | Huntington | 17 | $129,771 | $36,145 | |
| Mon Health Medical Center | Morgantown | 14 | $165,522 | $38,981 | |
| Charleston Area Medical Center | Charleston | 22 | $221,887 | $41,828 | |
| West Virginia University Hospitals, Inc | Morgantown | 33 | $148,104 | $42,061 |
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.