Price AtlasInteractive atlas · All states · techysurgeon.comWest Virginia University Hospitals, Inc: what a joint replacement costs
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.
Medicare prices at West Virginia University Hospitals, Inc
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $30,630 | 1.8× | $11,748–$49,511 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Highmark BCBS | $49,511 | 2.8× | 1 |
| Elevance/Anthem/Empire | $11,748 | 0.7× | 1 |
From the hospital's price-transparency file (2026-07-10); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-07-10); commercial plans, dollar-amount contracts only.
Quality
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.
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Questions
How much does Medicare pay West Virginia University Hospitals, Inc for a knee or hip replacement?
In 2024 the average total payment to West Virginia University Hospitals, Inc for an inpatient hip or knee replacement stay was $17,466 (MS-DRG 470, 106 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,275 per outpatient case (APC 5115, 124 cases).
What is West Virginia University Hospitals, Inc's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $74,465, 4.3× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Is a knee replacement cheaper at a surgery center near West Virginia University Hospitals, Inc?
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.
How does West Virginia University Hospitals, Inc compare with other West Virginia hospitals?
West Virginia University Hospitals, Inc's average total payment per Medicare stay is higher than 90% of the 10 West Virginia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay West Virginia University Hospitals, Inc for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $30,630 across 2 insurers, ranging from $11,748 to $49,511.