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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
250 Medicare cases, APC 5115
Inpatient here
$17,533
55 Medicare stays, MS-DRG 470

Medicare prices at Cabell Huntington Hospital, Inc

OperationInpatient paidList priceList ÷ paidOutpatient 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×—

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 Medicare paid Cabell Huntington Hospital, Inc an average of $17,533 per inpatient hip or knee replacement stay (MS-DRG 470, 55 stays) and $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× 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 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?

Medicare paid Cabell Huntington Hospital, Inc more than 100% of the 10 West Virginia hospitals that report inpatient hip or knee replacement.