West Virginia / St Mary's Medical Center
CMS certification 510007 · Huntington, WV · 3 entries in CMS's price-transparency list
St Mary's Medical Center: charges and Medicare payments
St Mary's Medical Center reported 2,579 Medicare inpatient stays across 84 DRGs in 2024. Across them it charged 3.99 times what it was paid — mid-range in West Virginia, number 8 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: 281 stays at an average charge of $64,149, 29% below the national average. It also billed 3,659 outpatient services, charging 6.88 times what Medicare paid.
- 1Medicare inpatient stays 2,579
- 2Charge ÷ paid, inpatient 3.99×
- 3Rank in WV (highest ratio = 1) 8 of 19
- 4CMS price-transparency actions 3
Inpatient stays
For the 84 DRGs that can be compared with the national average, St Mary's Medical Center charged more than the national average in 1 (1%). 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 | 281 | $64,149 | -29% | $15,450 |
| 189 Pulmonary Edema and Respiratory Failure | 175 | $38,951 | -32% | $9,583 |
| 291 Heart Failure and Shock with MCC | 142 | $41,908 | -26% | $10,248 |
| 177 Respiratory Infections and Inflammations with MCC | 73 | $43,114 | -39% | $11,845 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 63 | $158,254 | -31% | $41,602 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 60 | $17,047 | -53% | $5,940 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 58 | $106,664 | -32% | $22,384 |
| 193 Simple Pneumonia and Pleurisy with MCC | 55 | $46,405 | -22% | $10,228 |
| 378 Gastrointestinal Hemorrhage with CC | 51 | $41,333 | -15% | $7,620 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 51 | $38,944 | -21% | $8,375 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 49 | $67,434 | -32% | $16,684 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 48 | $40,573 | -46% | $12,099 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 47 | $148,608 | -33% | $33,390 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 45 | $155,810 | -5% | $31,207 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 43 | $84,748 | -26% | $17,156 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 41 | $13,764 | -52% | $5,063 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 39 | $31,934 | -43% | $7,371 |
| 689 Kidney and Urinary Tract Infections with MCC | 36 | $33,372 | -35% | $8,434 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 35 | $34,098 | -40% | $9,393 |
| 683 Renal Failure with CC | 35 | $29,335 | -28% | $6,810 |
| 194 Simple Pneumonia and Pleurisy with CC | 34 | $22,819 | -41% | $6,305 |
| 690 Kidney and Urinary Tract Infections without MCC | 33 | $23,635 | -38% | $6,516 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 32 | $23,481 | -42% | $6,112 |
| 233 Coronary Bypass with Cardiac Catheterization or Open... | 31 | $190,994 | -50% | $57,751 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 30 | $60,541 | -46% | $16,854 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 26 | $31,278 | -38% | $8,003 |
| 312 Syncope and Collapse | 26 | $29,510 | -35% | $6,701 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 25 | $27,522 | -31% | $6,499 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 25 | $163,320 | -44% | $47,535 |
| 603 Cellulitis without MCC | 25 | $20,945 | -44% | $6,659 |
| 682 Renal Failure with MCC | 24 | $47,421 | -28% | $10,992 |
| 178 Respiratory Infections and Inflammations with CC | 23 | $32,417 | -28% | $7,615 |
| 481 Hip and Femur Procedures except Major Joint with CC | 23 | $64,554 | -36% | $15,393 |
| 460 Spinal Fusion except Cervical without MCC | 22 | $89,988 | -47% | $29,673 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $18,658 | -50% | $5,830 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 21 | $27,502 | -46% | $7,067 |
| 377 Gastrointestinal Hemorrhage with MCC | 21 | $71,533 | -16% | $15,511 |
| 389 Gastrointestinal Obstruction with CC | 21 | $26,065 | -33% | $6,195 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 20 | $85,484 | -23% | $16,988 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 20 | $61,847 | -16% | $13,541 |
| 071 Other Cerebrovascular Disorders with CC | 19 | $32,242 | -36% | $7,854 |
| 164 Major Chest Procedures with CC | 19 | $91,342 | -28% | $20,398 |
| 270 Other Major Cardiovascular Procedures with MCC | 19 | $185,182 | -29% | $65,186 |
| 552 Medical Back Problems without MCC | 19 | $28,154 | -42% | $8,013 |
| 273 Percutaneous and Other Intracardiac Procedures with MCC | 18 | $131,452 | -39% | $30,696 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 18 | $36,348 | -43% | $8,958 |
| 329 Major Small and Large Bowel Procedures with MCC | 18 | $150,789 | -30% | $41,544 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 18 | $70,593 | -31% | $15,398 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 18 | $186,331 | -42% | $53,703 |
| 039 Extracranial Procedures without CC/MCC | 17 | $30,459 | -52% | $9,253 |
| 163 Major Chest Procedures with MCC | 17 | $129,771 | -38% | $36,145 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 17 | $105,245 | -22% | $21,437 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $38,989 | -35% | $9,861 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 16 | $211,800 | -26% | $52,450 |
| 271 Other Major Cardiovascular Procedures with CC | 16 | $126,314 | -27% | $24,851 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 16 | $47,194 | -49% | $11,185 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 16 | $86,220 | -38% | $21,798 |
| 092 Other Disorders of Nervous System with CC | 15 | $30,827 | -40% | $7,874 |
| 244 Permanent Cardiac Pacemaker Implant without CC/MCC | 15 | $64,509 | -31% | $15,160 |
| 330 Major Small and Large Bowel Procedures with CC | 15 | $86,674 | -27% | $23,566 |
Showing the 60 most frequent of 84 DRGs.
Outpatient services
Against the West Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Mary's Medical Center charged $64,149 on average, 5% more than the West Virginia average of $61,080, and was paid $15,450 against a state average of $15,917. For Pulmonary Edema and Respiratory Failure (DRG 189), St Mary's Medical Center charged $38,951 on average, 7% less than the West Virginia average of $41,781, and was paid $9,583 against a state average of $10,667. For Heart Failure and Shock with MCC (DRG 291), St Mary's Medical Center charged $41,908 on average, 7% more than the West Virginia average of $39,062, and was paid $10,248 against a state average of $10,517. For Respiratory Infections and Inflammations with MCC (DRG 177), St Mary's Medical Center charged $43,114 on average, 8% less than the West Virginia average of $46,955, and was paid $11,845 against a state average of $12,783. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,127 was 10% below the state average of $15,697. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $477 was 82% below the state average of $2,637. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $9,653 was 4% below the state average of $10,017. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,496 was 10% below the state average of $9,487.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Mary's Medical Center in Huntington, WV, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-08-25 (CMS case 447)
- CAP Request — 2022-03-09 (CMS case 447)
- Closure Notice — 2022-04-14 (CMS case 447)
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.