West Virginia / Davis Medical Center
CMS certification 510030 · Elkins, WV · 4 entries in CMS's price-transparency list
Davis Medical Center: charges and Medicare payments
Davis Medical Center reported 343 Medicare inpatient stays across 16 DRGs in 2024. Across them it charged 1.98 times what it was paid — among the lower ratios in West Virginia, number 19 of 19 hospitals with at least 100 stays (state median 3.88×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 83 stays at an average charge of $27,166, 70% below the national average. It also billed 439 outpatient services, charging 5.57 times what Medicare paid.
- 1Medicare inpatient stays 343
- 2Charge ÷ paid, inpatient 1.98×
- 3Rank in WV (highest ratio = 1) 19 of 19
- 4CMS price-transparency actions 4
Inpatient stays
For the 16 DRGs that can be compared with the national average, Davis Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 83 | $27,166 | -70% | $15,211 |
| 291 Heart Failure and Shock with MCC | 45 | $17,112 | -70% | $9,914 |
| 193 Simple Pneumonia and Pleurisy with MCC | 26 | $19,649 | -67% | $10,066 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 20 | $20,118 | -73% | $12,172 |
| 189 Pulmonary Edema and Respiratory Failure | 19 | $15,494 | -73% | $9,279 |
| 378 Gastrointestinal Hemorrhage with CC | 18 | $17,650 | -64% | $7,423 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 18 | $13,801 | -72% | $7,817 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $63,177 | -38% | $19,770 |
| 177 Respiratory Infections and Inflammations with MCC | 14 | $18,973 | -73% | $12,699 |
| 178 Respiratory Infections and Inflammations with CC | 14 | $13,353 | -71% | $7,415 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 13 | $12,368 | -76% | $6,935 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 12 | $12,140 | -58% | $4,703 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $54,405 | -46% | $17,466 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $14,644 | -60% | $6,185 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $10,979 | -73% | $6,075 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $13,465 | -74% | $8,796 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 161 | $7,674 | $2,374 |
| Level 1 Intraocular Procedures | 62 | $14,842 | $2,037 |
| Level 5 Musculoskeletal Procedures | 44 | $49,241 | $11,176 |
| Level 3 Musculoskeletal Procedures | 36 | $14,649 | $2,677 |
| Level 2 Musculoskeletal Procedures | 35 | $4,749 | $1,337 |
| Level 4 Musculoskeletal Procedures | 27 | $33,640 | $5,956 |
| Level 1 Nerve Procedures | 23 | $4,735 | $1,669 |
| Level 3 Vascular Procedures | 19 | $12,872 | $2,408 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 18 | $9,267 | $1,389 |
| Level 2 Upper GI Procedures | 14 | $3,034 | $1,588 |
Against the West Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Davis Medical Center charged $27,166 on average, 56% less than the West Virginia average of $61,080, and was paid $15,211 against a state average of $15,917. For Heart Failure and Shock with MCC (DRG 291), Davis Medical Center charged $17,112 on average, 56% less than the West Virginia average of $39,062, and was paid $9,914 against a state average of $10,517. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Davis Medical Center charged $19,649 on average, 52% less than the West Virginia average of $41,357, and was paid $10,066 against a state average of $10,412. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Davis Medical Center charged $20,118 on average, 59% less than the West Virginia average of $48,595, and was paid $12,172 against a state average of $12,502. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $7,674 was 51% below the state average of $15,697. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $14,842 was 83% above the state average of $8,096. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $49,241 was 12% below the state average of $56,161. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $14,649 was 18% below the state average of $17,802.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Davis Medical Center in Elkins, WV, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-04-19 (CMS case 1324)
- Warning Notice — 2024-10-18 (CMS case 2841)
- CAP Request — 2025-01-22 (CMS case 2841)
- Closure Notice — 2025-03-20 (CMS case 2841)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.