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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,533 | $64,463 | 3.7× | $11,083 |
| Shoulder replacement | — | — | — | $15,843 |
| Hip replacement after a fracture (DRG 522) | $19,965 | $87,203 | 4.4× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $31,793 | 1.8× | $20,772–$42,814 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Highmark BCBS | $42,814 | 2.4× | 1 |
| Peia | $20,772 | 1.2× | 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.
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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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).
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.
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.
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.
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.