Price AtlasInteractive atlas · All states · techysurgeon.comThomas Memorial Hospital: what a joint replacement costs
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.
Medicare prices at Thomas Memorial Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $10,225 | 0.7× | $10,152–$30,625 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Highmark BCBS | $30,625 | 2.1× | 1 |
| Elevance/Anthem/Empire | $10,225 | 0.7× | 1 |
| The Health Plan WV | $10,152 | 0.7× | 1 |
From the hospital's price-transparency file (2026-07-10); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-07-10); commercial plans, dollar-amount contracts only.
Quality
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
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Questions
How much does Medicare pay Thomas Memorial Hospital for a knee or hip replacement?
In 2024 the average total payment to Thomas Memorial Hospital for an inpatient hip or knee replacement stay was $14,650 (MS-DRG 470, 27 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $10,884 per outpatient case (APC 5115, 256 cases).
What is Thomas Memorial Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $72,131, 4.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
How does Thomas Memorial Hospital compare with other West Virginia hospitals?
Thomas Memorial Hospital's average total payment per Medicare stay is higher than 80% of the 10 West Virginia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Thomas 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 $10,225 across 3 insurers, ranging from $10,152 to $30,625.