Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Wheeling Hospital, Inc: what a joint replacement costs

Wheeling, WV 26003 · CMS Certification Number 510050. 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, 7.6 mi
Outpatient here
$10,437
50 Medicare cases, APC 5115
Inpatient here
$13,463
42 Medicare stays, MS-DRG 470

Medicare prices at Wheeling Hospital, Inc

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,463$55,8384.1×$10,437
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$17,949$64,9083.6×—

Quality

Complications after hip or knee replacement: 4.3% (no different from the national rate). Readmissions: 4.9%. Overall Care Compare rating: 2 of 5 stars. Nonprofit · Acute · 277 beds

West Virginia requires a certificate of need for new surgery centers.

Open the interactive price tagBuild a reportAll West Virginia hospitals

Questions

How much does Medicare pay Wheeling Hospital, Inc for a knee or hip replacement?

In 2024 Medicare paid Wheeling Hospital, Inc an average of $13,463 per inpatient hip or knee replacement stay (MS-DRG 470, 42 stays) and $10,437 per outpatient case (APC 5115, 50 cases).

What is Wheeling Hospital, Inc's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $55,838, 4.1× what Medicare paid. 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 Wheeling Hospital, Inc?

Yes for Medicare facility payments. Wheeling Hospital Ambulatory Surgery Center LLC, an orthopedic surgery center 7.6 mi away, is paid about $7,583 by Medicare for a knee replacement (CPT 27447), $5,880 less than an inpatient stay at Wheeling Hospital, Inc. Not every patient is a surgery-center candidate.

How does Wheeling Hospital, Inc compare with other West Virginia hospitals?

Medicare paid Wheeling Hospital, Inc less than 70% of the 10 West Virginia hospitals that report inpatient hip or knee replacement.