Price AtlasInteractive atlas · All states · techysurgeon.comBerkeley Medical Center: what a joint replacement costs
Martinsburg, WV 25401 · CMS Certification Number 510008. 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 Berkeley Medical Center
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,690 | $69,651 | 5.1× | $11,402 |
| Shoulder replacement | — | — | — | $17,075 |
| Hip replacement after a fracture (DRG 522) | $19,613 | $61,504 | 3.1× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $11,016 | 0.8× | $10,937–$31,679 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Highmark BCBS | $31,679 | 2.3× | 1 |
| Elevance/Anthem/Empire | $11,016 | 0.8× | 1 |
| The Health Plan WV | $10,937 | 0.8× | 1 |
From the hospital's price-transparency file (2026-07-09); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-07-09); commercial plans, dollar-amount contracts only.
Quality
Complications after hip or knee replacement: 5.4% (no different from the national rate). Readmissions: 6.4%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 241 beds
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Questions
How much does Medicare pay Berkeley Medical Center for a knee or hip replacement?
In 2024 the average total payment to Berkeley Medical Center for an inpatient hip or knee replacement stay was $13,690 (MS-DRG 470, 26 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,402 per outpatient case (APC 5115, 47 cases).
What is Berkeley Medical Center's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $69,651, 5.1× 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 Berkeley Medical Center?
Yes for Medicare facility payments. Tri State Surgical Center LLC, an orthopedic surgery center same ZIP away, is paid about $8,432 by Medicare for a knee replacement (CPT 27447), $5,258 less than an inpatient stay at Berkeley Medical Center. Not every patient is a surgery-center candidate.
How does Berkeley Medical Center compare with other West Virginia hospitals?
Berkeley Medical Center's average total payment per Medicare stay is lower than 60% of the 10 West Virginia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Berkeley Medical Center 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 $11,016 across 3 insurers, ranging from $10,937 to $31,679.