Heart valve replacement through a catheter (TAVR), with major complications in West Virginia
MS-DRG 266: Endovascular cardiac valve replacement and supplement procedures with mcc
$211,800typical hospital bill
$52,399typical amount paid
$50,339–$52,450range paid across 3 hospitals
West Virginia hospitals billed Medicare a typical $211,800 for this stay in 2024, about 4.0 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 | |
|---|---|---|---|---|---|
| West Virginia University Hospitals, Inc | Morgantown | 17 | $163,125 | $50,339 | |
| Charleston Area Medical Center | Charleston | 74 | $301,754 | $52,399 | |
| St Marys Medical Center | Huntington | 16 | $211,800 | $52,450 |
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.