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West Virginia: one knee, three prices

What Medicare pays West Virginia hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.

Surgery center
$8,169
Median Medicare knee rate, 2 orthopedic surgery centers
Hospital, same day
$10,884
Median Medicare allowed amount
Hospital, overnight
$14,061
Median avg total payment (incl. patient share), 10 hospitals

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

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Lowest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
Reynolds Memorial HospitalGlen Dale$12,729$52,859$9,800
Princeton Community HospitalPrinceton$13,160$61,411$11,294
Wheeling Hospital, IncWheeling$13,463$55,838$10,437
Berkeley Medical CenterMartinsburg$13,690$69,651$11,402
Camden Clark Medical CenterParkersburg$13,785$45,836$10,897
Mon Health Medical CenterMorgantown$14,337$82,751$11,059
United Hospital Center, IncBridgeport$14,593$59,906$12,095
Thomas Memorial HospitalSouth Charleston$14,650$72,131$10,884
West Virginia University Hospitals, IncMorgantown$17,466$74,465$10,275
Cabell Huntington Hospital, IncHuntington$17,533$64,463$11,083

Highest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
Cabell Huntington Hospital, IncHuntington$17,533$64,463$11,083
West Virginia University Hospitals, IncMorgantown$17,466$74,465$10,275
Thomas Memorial HospitalSouth Charleston$14,650$72,131$10,884
United Hospital Center, IncBridgeport$14,593$59,906$12,095
Mon Health Medical CenterMorgantown$14,337$82,751$11,059
Camden Clark Medical CenterParkersburg$13,785$45,836$10,897
Berkeley Medical CenterMartinsburg$13,690$69,651$11,402
Wheeling Hospital, IncWheeling$13,463$55,838$10,437
Princeton Community HospitalPrinceton$13,160$61,411$11,294
Reynolds Memorial HospitalGlen Dale$12,729$52,859$9,800

Every West Virginia hospital (19)

Orthopedic surgery centers (2)

Questions

How much does Medicare pay for a knee replacement in West Virginia?

In 2024 the median average total payment to West Virginia hospitals was $14,061 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 10 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was $10,884 per outpatient case. An orthopedic surgery center is paid about $8,169 for a knee.

Which West Virginia hospitals have the lowest Medicare payment for a joint replacement?

Reynolds Memorial Hospital ($12,729), Princeton Community Hospital ($13,160), Wheeling Hospital, Inc ($13,463) (average total payment per inpatient stay, patient share included).

What do West Virginia hospitals list for a joint replacement?

The median list (chargemaster) price is $62,937, about 4.5× the median average total payment for a Medicare stay.

Does West Virginia have a certificate-of-need law?

West Virginia requires a certificate of need for new surgery centers. CON is required to establish an ambulatory surgical center; a 2023 law removed CON for most hospital-campus services, and a 2026 full repeal bill stalled in committee.