Price AtlasInteractive atlas · All states · techysurgeon.comWheeling 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.
Medicare prices at Wheeling Hospital, Inc
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $10,399 | 0.8× | $9,963–$26,088 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Highmark BCBS | $26,088 | 1.9× | 1 |
| Elevance/Anthem/Empire | $10,399 | 0.8× | 1 |
| The Health Plan WV | $9,963 | 0.7× | 1 |
From the hospital's price-transparency file (2026-07-09); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-07-09); commercial plans, dollar-amount contracts only.
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
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Questions
How much does Medicare pay Wheeling Hospital, Inc for a knee or hip replacement?
In 2024 the average total payment to Wheeling Hospital, Inc for an inpatient hip or knee replacement stay was $13,463 (MS-DRG 470, 42 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
Wheeling Hospital, Inc's average total payment per Medicare stay is lower than 70% of the 10 West Virginia hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay Wheeling Hospital, Inc 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 $10,399 across 3 insurers, ranging from $9,963 to $26,088.