West Virginia / Mon Health Medical Center
CMS certification 510024 · Morgantown, WV · 3 entries in CMS's price-transparency list
Mon Health Medical Center: charges and Medicare payments
Mon Health Medical Center reported 1,680 Medicare inpatient stays across 60 DRGs in 2024. Across them it charged 5.18 times what it was paid — among the higher ratios in West Virginia, number 2 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: 137 stays at an average charge of $49,338, 45% below the national average. It also billed 2,779 outpatient services, charging 11.04 times what Medicare paid.
- 1Medicare inpatient stays 1,680
- 2Charge ÷ paid, inpatient 5.18×
- 3Rank in WV (highest ratio = 1) 2 of 19
- 4CMS price-transparency actions 3
Inpatient stays
For the 60 DRGs that can be compared with the national average, Mon Health Medical Center charged more than the national average in 8 (13%). 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 | 137 | $49,338 | -45% | $12,950 |
| 291 Heart Failure and Shock with MCC | 104 | $35,562 | -37% | $8,967 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 90 | $146,315 | -7% | $21,633 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 78 | $117,888 | +3% | $15,085 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 58 | $45,682 | -40% | $10,320 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 51 | $18,740 | -48% | $4,932 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 50 | $24,110 | -51% | $8,130 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 45 | $20,634 | -28% | $4,492 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 43 | $33,177 | -34% | $7,497 |
| 690 Kidney and Urinary Tract Infections without MCC | 43 | $23,509 | -38% | $5,381 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 40 | $167,241 | +2% | $25,526 |
| 378 Gastrointestinal Hemorrhage with CC | 38 | $33,388 | -31% | $7,005 |
| 189 Pulmonary Edema and Respiratory Failure | 36 | $34,806 | -40% | $7,892 |
| 193 Simple Pneumonia and Pleurisy with MCC | 33 | $34,532 | -42% | $9,004 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 33 | $346,800 | +57% | $65,565 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 32 | $145,470 | -36% | $36,609 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 29 | $42,897 | -24% | $7,851 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 29 | $82,751 | -11% | $14,337 |
| 177 Respiratory Infections and Inflammations with MCC | 27 | $40,180 | -43% | $12,005 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 25 | $43,845 | -31% | $8,830 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 24 | $22,069 | -45% | $5,761 |
| 603 Cellulitis without MCC | 23 | $23,716 | -36% | $7,186 |
| 683 Renal Failure with CC | 23 | $20,893 | -49% | $5,693 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 22 | $28,748 | -48% | $7,519 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 21 | $85,403 | -17% | $13,557 |
| 682 Renal Failure with MCC | 21 | $33,099 | -50% | $10,431 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 20 | $99,727 | -10% | $14,646 |
| 330 Major Small and Large Bowel Procedures with CC | 20 | $112,832 | -5% | $15,911 |
| 481 Hip and Femur Procedures except Major Joint with CC | 20 | $94,761 | -6% | $13,933 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $26,464 | -29% | $5,776 |
| 229 Other Cardiothoracic Procedures without MCC | 19 | $231,497 | +40% | $40,973 |
| 312 Syncope and Collapse | 19 | $23,132 | -49% | $5,622 |
| 329 Major Small and Large Bowel Procedures with MCC | 19 | $155,160 | -28% | $28,764 |
| 390 Gastrointestinal Obstruction without CC/MCC | 19 | $16,348 | -41% | $3,809 |
| 948 Signs and Symptoms without MCC | 19 | $21,139 | -44% | $5,168 |
| 194 Simple Pneumonia and Pleurisy with CC | 17 | $22,273 | -42% | $5,942 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 17 | $92,968 | -31% | $17,200 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 17 | $21,986 | -49% | $4,731 |
| 812 Red Blood Cell Disorders without MCC | 17 | $35,423 | -20% | $6,116 |
| 377 Gastrointestinal Hemorrhage with MCC | 16 | $53,846 | -37% | $12,901 |
| 389 Gastrointestinal Obstruction with CC | 16 | $15,392 | -60% | $5,935 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 15 | $48,750 | -4% | $8,428 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 15 | $298,808 | +11% | $50,611 |
| 244 Permanent Cardiac Pacemaker Implant without CC/MCC | 15 | $90,700 | -3% | $11,541 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 15 | $20,864 | -51% | $5,736 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $42,910 | -29% | $8,530 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 15 | $19,857 | -58% | $6,318 |
| 163 Major Chest Procedures with MCC | 14 | $165,522 | -21% | $38,981 |
| 445 Disorders of The Biliary Tract with CC | 14 | $25,891 | -56% | $8,523 |
| 811 Red Blood Cell Disorders with MCC | 14 | $45,345 | -33% | $8,879 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 14 | $218,375 | +1% | $40,027 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 13 | $102,408 | +19% | $16,375 |
| 394 Other Digestive System Diagnoses with CC | 13 | $30,541 | -35% | $6,094 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $38,675 | -61% | $11,711 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 11 | $28,912 | -56% | $8,931 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 11 | $359,544 | -7% | $67,445 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 11 | $255,102 | +21% | $40,869 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 11 | $56,196 | -50% | $13,857 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $36,076 | -41% | $8,425 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 11 | $58,618 | -37% | $10,572 |
Outpatient services
Against the West Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mon Health Medical Center charged $49,338 on average, 19% less than the West Virginia average of $61,080, and was paid $12,950 against a state average of $15,917. For Heart Failure and Shock with MCC (DRG 291), Mon Health Medical Center charged $35,562 on average, 9% less than the West Virginia average of $39,062, and was paid $8,967 against a state average of $10,517. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Mon Health Medical Center charged $146,315 on average, 18% more than the West Virginia average of $124,010, and was paid $21,633 against a state average of $24,049. For Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC (DRG 322), Mon Health Medical Center charged $117,888 on average, 20% more than the West Virginia average of $98,019, and was paid $15,085 against a state average of $16,193. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $4,147 was 57% above the state average of $2,637. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $13,030 was 30% above the state average of $10,017. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,692 was 0% below the state average of $15,697. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $23,031 was 11% above the state average of $20,749.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mon Health Medical Center in Morgantown, WV, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-12-01 (CMS case 212)
- Closure Notice — 2022-10-05 (CMS case 212)
- Warning Notice — 2026-07-27 (CMS case 8338)
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.