The Price of Medicare Procedures in West Virginia



This table shows the 100 most frequently charged procedures/diagnosis in West Virginia to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 West-Virginia 279 $13287 $4689 $8598
Acute Myocardial Infarction Discharged Alive With Complications
 West-Virginia 522 $17489 $7136 $10353
Acute Myocardial Infarction Discharged Alive With Major Complications
 West-Virginia 677 $27957 $10950 $17007
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 West-Virginia 119 $11620 $4370 $7250
Atherosclerosis No Major Complications
 West-Virginia 582 $9106 $3675 $5431
Back And Neck Proc Exc Spinal Fusion No Complications
 West-Virginia 209 $19028 $6925 $12103
Bronchitis And Asthma No Complications
 West-Virginia 133 $8699 $3776 $4923
Bronchitis And Asthma With Complications
 West-Virginia 236 $12376 $5076 $7300
Cardiac Arrhythmia And Conduction Disorders No Complications
 West-Virginia 1216 $8528 $3482 $5046
Cardiac Arrhythmia And Conduction Disorders With Complications
 West-Virginia 1008 $12030 $5051 $6979
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 West-Virginia 507 $18920 $7620 $11300
Cellulitis No Major Complications
 West-Virginia 1393 $9955 $4934 $5021
Cellulitis With Major Complications
 West-Virginia 111 $22352 $8987 $13365
Cervical Spinal Fusion No Complications
 West-Virginia 146 $42324 $14663 $27661
Chest Pain
 West-Virginia 1565 $10553 $3462 $7091
Chronic Obstructive Pulmonary Disease No Complications
 West-Virginia 2142 $9702 $4286 $5416
Chronic Obstructive Pulmonary Disease With Complications
 West-Virginia 2369 $12902 $5791 $7111
Chronic Obstructive Pulmonary Disease With Major Complications
 West-Virginia 2037 $16204 $7123 $9081
Circulatory Disorders Except Ami With Card Cath No Major Complications
 West-Virginia 1286 $18767 $6630 $12137
Circulatory Disorders Except Ami With Card Cath With Major Complications
 West-Virginia 114 $32732 $12277 $20455
Cranial And Peripheral Nerve Disorders No Major Complications
 West-Virginia 167 $13126 $5342 $7784
Degenerative Nervous System Disorders No Major Complications
 West-Virginia 200 $13894 $5686 $8208
Diabetes With Complications
 West-Virginia 448 $12547 $5103 $7444
Disorders Of Pancreas Except Malignancy With Complications
 West-Virginia 236 $17713 $6737 $10976
Dysequilibrium
 West-Virginia 125 $11026 $3910 $7116
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 West-Virginia 2593 $11121 $4399 $6722
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 West-Virginia 328 $19325 $7172 $12153
Extracranial Procedures No Complications
 West-Virginia 356 $16944 $5962 $10982
Fractures Of Hip And Pelvis No Major Complications
 West-Virginia 136 $10394 $4134 $6260
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 West-Virginia 127 $11302 $4630 $6672
Gi Hemorrhage No Complications
 West-Virginia 362 $10350 $4318 $6032
Gi Hemorrhage With Complications
 West-Virginia 1223 $15574 $6146 $9428
Gi Hemorrhage With Major Complications
 West-Virginia 385 $29334 $11046 $18288
Gi Obstruction No Complications
 West-Virginia 216 $8886 $3800 $5086
Gi Obstruction With Complications
 West-Virginia 444 $13242 $5632 $7610
Heart Failure And Shock No Complications
 West-Virginia 912 $9106 $4047 $5059
Heart Failure And Shock With Complications
 West-Virginia 2022 $13518 $6064 $7454
Heart Failure And Shock With Major Complications
 West-Virginia 1623 $20887 $8936 $11951
Hip And Femur Procedures Except Major Joint No Complications
 West-Virginia 201 $24595 $9283 $15312
Hip And Femur Procedures Except Major Joint With Complications
 West-Virginia 590 $30759 $11523 $19236
Hip And Femur Procedures Except Major Joint With Major Complications
 West-Virginia 146 $55097 $20155 $34942
Hypertension No Major Complications
 West-Virginia 190 $9631 $3817 $5814
Infectious And Parasitic Diseases Or Procedure With Major Complications
 West-Virginia 261 $84867 $36936 $47931
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 West-Virginia 477 $13951 $5203 $8748
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 West-Virginia 903 $17560 $7265 $10295
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 West-Virginia 455 $31271 $12914 $18357
Kidney And Urinary Tract Infections No Major Complications
 West-Virginia 2240 $10257 $4701 $5556
Kidney And Urinary Tract Infections With Major Complications
 West-Virginia 537 $18419 $7511 $10908
Laparoscopic Cholecystectomy No Cde No Complications
 West-Virginia 142 $20392 $7170 $13222
Laparoscopic Cholecystectomy No Cde With Complications
 West-Virginia 184 $25843 $9980 $15863
Major Cardiovasc Procedures No Major Complications
 West-Virginia 302 $56695 $19528 $37167
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 West-Virginia 197 $16093 $7566 $8527
Major Joint Replacement Of Lower Extremity No Major Complications
 West-Virginia 2739 $33555 $12548 $21007
Major Joint Replacement Of Lower Extremity With Major Complications
 West-Virginia 99 $46456 $19440 $27016
Major Small And Large Bowel Procedures With Complications
 West-Virginia 343 $42201 $16275 $25926
Major Small And Large Bowel Procedures With Major Complications
 West-Virginia 262 $84532 $33996 $50536
Medical Back Problems No Major Complications
 West-Virginia 552 $12767 $5026 $7741
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 West-Virginia 1271 $9782 $4200 $5582
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 West-Virginia 293 $19476 $7750 $11726
Other Circulatory System Diagnoses With Complications
 West-Virginia 186 $12133 $6076 $6057
Other Circulatory System Diagnoses With Major Complications
 West-Virginia 294 $27314 $11962 $15352
Other Digestive System Diagnoses With Complications
 West-Virginia 271 $14413 $6090 $8323
Other Kidney And Urinary Tract Diagnoses With Complications
 West-Virginia 179 $13450 $6259 $7191
Other Kidney And Urinary Tract Diagnoses With Major Complications
 West-Virginia 140 $20884 $9994 $10890
Other Vascular Procedures No Complications
 West-Virginia 257 $25143 $9586 $15557
Other Vascular Procedures With Complications
 West-Virginia 285 $41985 $15156 $26829
Other Vascular Procedures With Major Complications
 West-Virginia 259 $44692 $18601 $26091
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 West-Virginia 220 $36595 $12175 $24420
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 West-Virginia 1098 $41116 $12246 $28870
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 West-Virginia 374 $63239 $21137 $42102
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 West-Virginia 252 $39243 $10556 $28687
Peripheral Vascular Disorders No Complications
 West-Virginia 221 $9434 $3940 $5494
Peripheral Vascular Disorders With Complications
 West-Virginia 511 $13396 $5969 $7427
Permanent Cardiac Pacemaker Implant No Complications
 West-Virginia 189 $32657 $12451 $20206
Permanent Cardiac Pacemaker Implant With Complications
 West-Virginia 198 $39675 $16100 $23575
Poisoning And Toxic Effects Of Drugs No Major Complications
 West-Virginia 309 $8892 $3936 $4956
Poisoning And Toxic Effects Of Drugs With Major Complications
 West-Virginia 157 $24694 $9933 $14761
Psychoses
 West-Virginia 146 $9461 $5928 $3533
Pulmonary Edema And Respiratory Failure
 West-Virginia 1148 $18551 $7863 $10688
Pulmonary Embolism No Major Complications
 West-Virginia 249 $16564 $6372 $10192
Red Blood Cell Disorders No Major Complications
 West-Virginia 869 $11327 $4774 $6553
Red Blood Cell Disorders With Major Complications
 West-Virginia 183 $19164 $7994 $11170
Renal Failure No Complications
 West-Virginia 174 $9317 $4108 $5209
Renal Failure With Complications
 West-Virginia 1430 $13699 $6153 $7546
Renal Failure With Major Complications
 West-Virginia 794 $23118 $10082 $13036
Respiratory Infections And Inflammations With Complications
 West-Virginia 551 $19617 $8860 $10757
Respiratory Infections And Inflammations With Major Complications
 West-Virginia 571 $27963 $12086 $15877
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 West-Virginia 318 $77185 $33155 $44030
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 West-Virginia 843 $36399 $14359 $22040
Seizures No Major Complications
 West-Virginia 483 $11443 $5131 $6312
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 West-Virginia 880 $15708 $6916 $8792
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 West-Virginia 2102 $30150 $12053 $18097
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 West-Virginia 124 $92185 $39608 $52577
Signs And Symptoms No Major Complications
 West-Virginia 564 $10973 $4245 $6728
Simple Pneumonia And Pleurisy No Complications
 West-Virginia 1008 $9911 $4263 $5648
Simple Pneumonia And Pleurisy With Complications
 West-Virginia 2409 $14392 $6029 $8363
Simple Pneumonia And Pleurisy With Major Complications
 West-Virginia 1397 $21145 $8863 $12282
Spinal Fusion Except Cervical No Major Complications
 West-Virginia 243 $72875 $25972 $46903
Syncope And Collapse
 West-Virginia 1290 $11188 $4415 $6773
Transient Ischemia
 West-Virginia 854 $11701 $4522 $7179


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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