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Cabell Huntington Hospital, Inc: what a joint replacement costs

Huntington, WV 25701 · CMS Certification Number 510055. 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
$8,334
Three Gables Surgical and Diagnostic Center , 9.5 mi
Outpatient here
$11,083
Medicare allowed amount, 250 cases, APC 5115
Inpatient here
$17,533
Avg total payment (incl. patient share), 55 Medicare stays, MS-DRG 470

Medicare prices at Cabell Huntington Hospital, Inc

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$17,533$64,4633.7×$11,083
Shoulder replacement———$15,843
Hip replacement after a fracture (DRG 522)$19,965$87,2034.4×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$31,7931.8×$20,772–$42,8142
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Highmark BCBS$42,8142.4×1
Peia$20,7721.2×1

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-01-01); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 3% (no different from the national rate). Readmissions: 5.2%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 322 beds

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

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Questions

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

In 2024 the average total payment to Cabell Huntington Hospital, Inc for an inpatient hip or knee replacement stay was $17,533 (MS-DRG 470, 55 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,083 per outpatient case (APC 5115, 250 cases).

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

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $64,463, 3.7× 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 Cabell Huntington Hospital, Inc?

Yes for Medicare facility payments. Three Gables Surgical and Diagnostic Center , an orthopedic surgery center 9.5 mi away, is paid about $8,334 by Medicare for a knee replacement (CPT 27447), $9,199 less than an inpatient stay at Cabell Huntington Hospital, Inc. Not every patient is a surgery-center candidate.

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

Cabell Huntington Hospital, Inc's average total payment per Medicare stay is higher than 100% of the 10 West Virginia hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Cabell Huntington 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 $31,793 across 2 insurers, ranging from $20,772 to $42,814.