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West 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.

Surgery center nearby
$7,906
Mon Health Center for Outpatient Surgery, 1.4 mi
Outpatient here
$10,275
124 Medicare cases, APC 5115
Inpatient here
$17,466
106 Medicare stays, MS-DRG 470

Medicare prices at West Virginia University Hospitals, Inc

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$17,466$74,4654.3×$10,275
Shoulder replacement$20,898$83,3564.0×$15,045
Hip replacement after a fracture (DRG 522)$21,385$100,2164.7×—

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 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).

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× what Medicare paid. 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?

Medicare paid West Virginia University Hospitals, Inc more than 90% of the 10 West Virginia hospitals that report inpatient hip or knee replacement.