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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $12,729 | $52,859 | 4.2× | $9,800 |
| Shoulder replacement | — | — | — | $14,551 |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $9,929 | 0.8× | $9,858–$20,862 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Highmark BCBS | $20,862 | 1.6× | 1 |
| Elevance/Anthem/Empire | $9,929 | 0.8× | 1 |
| The Health Plan WV | $9,858 | 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.
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 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).
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.
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.
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.
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.