Glen Dale, WV 26038 · CMS Certification Number 510013. 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 | $12,729 | $52,859 | 4.2× | $9,800 |
| Shoulder replacement | — | — | — | $14,551 |
Complications after hip or knee replacement: 4.8% (no different from the national rate). Readmissions: 5.8%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 127 beds
West Virginia requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Reynolds Memorial Hospital an average of $12,729 per inpatient hip or knee replacement stay (MS-DRG 470, 18 stays) and $9,800 per outpatient case (APC 5115, 58 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $52,859, 4.2× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Wheeling Hospital Ambulatory Surgery Center LLC, an orthopedic surgery center 9.4 mi away, is paid about $7,583 by Medicare for a knee replacement (CPT 27447), $5,146 less than an inpatient stay at Reynolds Memorial Hospital. Not every patient is a surgery-center candidate.
Medicare paid Reynolds Memorial Hospital less than 90% of the 10 West Virginia hospitals that report inpatient hip or knee replacement.