Heart valve replacement through a catheter (TAVR) in West Virginia
MS-DRG 267: Endovascular cardiac valve replacement and supplement procedures without mcc
$205,268typical hospital bill
$40,259typical amount paid
$33,390–$65,565range paid across 4 hospitals
West Virginia hospitals billed Medicare a typical $205,268 for this stay in 2024, about 5.1 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 | 47 | $148,608 | $33,390 | |
| Charleston Area Medical Center | Charleston | 54 | $261,929 | $40,137 | |
| West Virginia University Hospitals, Inc | Morgantown | 97 | $124,668 | $40,381 | |
| Mon Health Medical Center | Morgantown | 33 | $346,800 | $65,565 |
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.