Morgantown, WV 26506 · CMS Certification Number 510001. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,466 | $74,465 | 4.3× | $10,275 |
| Shoulder replacement | $20,898 | $83,356 | 4.0× | $15,045 |
| Hip replacement after a fracture (DRG 522) | $21,385 | $100,216 | 4.7× | — |
Complications after hip or knee replacement: 3.5% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 531 beds
West Virginia requires a certificate of need for new surgery centers.
Open the interactive price tagBuild a reportAll West Virginia hospitals
In 2024 Medicare paid West Virginia University Hospitals, Inc an average of $17,466 per inpatient hip or knee replacement stay (MS-DRG 470, 106 stays) and $10,275 per outpatient case (APC 5115, 124 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $74,465, 4.3× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Mon Health Center for Outpatient Surgery, an orthopedic surgery center 1.4 mi away, is paid about $7,906 by Medicare for a knee replacement (CPT 27447), $9,560 less than an inpatient stay at West Virginia University Hospitals, Inc. Not every patient is a surgery-center candidate.
Medicare paid West Virginia University Hospitals, Inc more than 90% of the 10 West Virginia hospitals that report inpatient hip or knee replacement.