Morgantown, WV 26505 · CMS Certification Number 510024. 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 | $14,337 | $82,751 | 5.8× | $11,059 |
| Shoulder replacement | — | — | — | $14,469 |
| Hip replacement after a fracture (DRG 522) | $13,557 | $85,403 | 6.3× | — |
Complications after hip or knee replacement: 5% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 189 beds
West Virginia requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Mon Health Medical Center for an inpatient hip or knee replacement stay was $14,337 (MS-DRG 470, 29 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,059 per outpatient case (APC 5115, 125 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $82,751, 5.8× 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. Mon Health Center for Outpatient Surgery, an orthopedic surgery center same ZIP away, is paid about $7,906 by Medicare for a knee replacement (CPT 27447), $6,431 less than an inpatient stay at Mon Health Medical Center. Not every patient is a surgery-center candidate.
Mon Health Medical Center's average total payment per Medicare stay is higher than 60% of the 10 West Virginia hospitals that report inpatient hip or knee replacement.