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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,463 | $55,838 | 4.1× | $10,437 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $17,949 | $64,908 | 3.6× | — |
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.
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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).
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.
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.
Medicare paid Wheeling Hospital, Inc less than 70% of the 10 West Virginia hospitals that report inpatient hip or knee replacement.