Pneumonia, with complications in West Virginia
MS-DRG 194: Simple pneumonia and pleurisy with cc
$27,405typical hospital bill
$6,113typical amount paid
$5,468–$8,575range paid across 17 hospitals
West Virginia hospitals billed Medicare a typical $27,405 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 | |
|---|---|---|---|---|---|
| Weirton Medical Center, Inc | Weirton | 37 | $25,114 | $5,468 | |
| Reynolds Memorial Hospital, Inc | Glen Dale | 14 | $16,512 | $5,500 | |
| Raleigh General Hospital | Beckley | 15 | $26,204 | $5,517 | |
| Thomas Memorial Hospital | South Charleston | 26 | $31,530 | $5,772 | |
| Beckley Arh Hospital | Beckley | 21 | $32,862 | $5,887 | |
| Rivers Health | Point Pleasant | 16 | $27,405 | $5,889 | |
| Princeton Community Hospital Assn Inc | Princeton | 31 | $16,569 | $5,898 | |
| Mon Health Medical Center | Morgantown | 17 | $22,273 | $5,942 | |
| Camden Clark Medical Center | Parkersburg | 39 | $25,935 | $6,113 | |
| St Marys Medical Center | Huntington | 34 | $22,819 | $6,305 | |
| Wheeling Hospital, Inc | Wheeling | 23 | $17,504 | $6,338 | |
| United Hospital Center, Inc | Bridgeport | 21 | $29,287 | $6,591 | |
| Stonewall Jackson Memorial Hospital Company | Weston | 16 | $31,561 | $6,893 | |
| Logan Regional Medical Center | Logan | 28 | $32,744 | $7,027 | |
| Charleston Area Medical Center | Charleston | 57 | $37,935 | $7,549 | |
| Cabell Huntington Hospital, Inc | Huntington | 36 | $32,764 | $8,087 | |
| West Virginia University Hospitals, Inc | Morgantown | 22 | $28,655 | $8,575 |
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.