South Charleston, WV 25309 · CMS Certification Number 510029. 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 | $14,650 | $72,131 | 4.9× | $10,884 |
| Shoulder replacement | — | — | — | $15,680 |
| Hip replacement after a fracture (DRG 522) | $13,923 | $80,676 | 5.8× | — |
Complications after hip or knee replacement: 3.6% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 266 beds
West Virginia requires a certificate of need for new surgery centers.
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In 2024 Medicare paid Thomas Memorial Hospital an average of $14,650 per inpatient hip or knee replacement stay (MS-DRG 470, 27 stays) and $10,884 per outpatient case (APC 5115, 256 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $72,131, 4.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Medicare paid Thomas Memorial Hospital more than 80% of the 10 West Virginia hospitals that report inpatient hip or knee replacement.