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Reynolds Memorial Hospital: what a joint replacement costs

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.

Surgery center nearby
$7,583
Wheeling Hospital Ambulatory Surgery Center LLC, 9.4 mi
Outpatient here
$9,800
Medicare allowed amount, 58 cases, APC 5115
Inpatient here
$12,729
Avg total payment (incl. patient share), 18 Medicare stays, MS-DRG 470

Medicare prices at Reynolds Memorial Hospital

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$12,729$52,8594.2×$9,800
Shoulder replacement———$14,551

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$9,9290.8×$9,858–$20,8623
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Highmark BCBS$20,8621.6×1
Elevance/Anthem/Empire$9,9290.8×1
The Health Plan WV$9,8580.8×1

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: 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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Questions

How much does Medicare pay Reynolds Memorial Hospital for a knee or hip replacement?

In 2024 the average total payment to Reynolds Memorial Hospital for an inpatient hip or knee replacement stay was $12,729 (MS-DRG 470, 18 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $9,800 per outpatient case (APC 5115, 58 cases).

What is Reynolds Memorial Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $52,859, 4.2× 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 Reynolds Memorial Hospital?

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.

How does Reynolds Memorial Hospital compare with other West Virginia hospitals?

Reynolds Memorial Hospital's average total payment per Medicare stay is lower than 90% of the 10 West Virginia hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Reynolds Memorial Hospital 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 $9,929 across 3 insurers, ranging from $9,858 to $20,862.