West Virginia / Thomas Memorial Hospital
CMS certification 510029 · South Charleston, WV · 4 entries in CMS's price-transparency list
Thomas Memorial Hospital: charges and Medicare payments
Thomas Memorial Hospital reported 1,521 Medicare inpatient stays across 54 DRGs in 2024. Across them it charged 4.71 times what it was paid — among the higher ratios in West Virginia, number 5 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: 144 stays at an average charge of $64,817, 28% below the national average. It also billed 3,314 outpatient services, charging 6.11 times what Medicare paid.
- 1Medicare inpatient stays 1,521
- 2Charge ÷ paid, inpatient 4.71×
- 3Rank in WV (highest ratio = 1) 5 of 19
- 4CMS price-transparency actions 4
Inpatient stays
For the 54 DRGs that can be compared with the national average, Thomas Memorial Hospital charged more than the national average in 2 (4%). 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 | 144 | $64,817 | -28% | $13,223 |
| 291 Heart Failure and Shock with MCC | 94 | $40,431 | -28% | $9,863 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 78 | $33,222 | -48% | $7,282 |
| 193 Simple Pneumonia and Pleurisy with MCC | 75 | $46,427 | -22% | $8,819 |
| 189 Pulmonary Edema and Respiratory Failure | 49 | $42,779 | -26% | $8,491 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 45 | $24,597 | -39% | $5,301 |
| 683 Renal Failure with CC | 45 | $23,127 | -43% | $6,032 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 40 | $55,411 | +10% | $8,506 |
| 177 Respiratory Infections and Inflammations with MCC | 38 | $44,395 | -37% | $11,004 |
| 312 Syncope and Collapse | 37 | $25,872 | -43% | $5,736 |
| 690 Kidney and Urinary Tract Infections without MCC | 37 | $26,019 | -31% | $5,276 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 34 | $22,408 | -38% | $5,142 |
| 378 Gastrointestinal Hemorrhage with CC | 34 | $29,390 | -39% | $6,911 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 32 | $87,728 | -23% | $18,357 |
| 689 Kidney and Urinary Tract Infections with MCC | 32 | $32,914 | -36% | $7,591 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 28 | $28,238 | -24% | $5,560 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 27 | $60,156 | -21% | $10,571 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 27 | $48,870 | -56% | $18,547 |
| 313 Chest Pain | 27 | $21,639 | -46% | $4,827 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 27 | $72,131 | -23% | $14,650 |
| 682 Renal Failure with MCC | 27 | $41,577 | -37% | $10,284 |
| 194 Simple Pneumonia and Pleurisy with CC | 26 | $31,530 | -18% | $5,772 |
| 603 Cellulitis without MCC | 26 | $26,619 | -29% | $5,993 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 25 | $42,425 | -25% | $8,109 |
| 377 Gastrointestinal Hemorrhage with MCC | 25 | $50,614 | -41% | $11,031 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 25 | $33,209 | -32% | $6,531 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 23 | $56,013 | -24% | $12,221 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 22 | $18,916 | -34% | $4,072 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 21 | $35,922 | -29% | $6,719 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $31,802 | -47% | $8,386 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 19 | $80,676 | -21% | $13,923 |
| 330 Major Small and Large Bowel Procedures with CC | 18 | $95,043 | -20% | $16,528 |
| 389 Gastrointestinal Obstruction with CC | 18 | $26,338 | -32% | $5,296 |
| 178 Respiratory Infections and Inflammations with CC | 17 | $47,490 | +5% | $6,462 |
| 481 Hip and Femur Procedures except Major Joint with CC | 17 | $66,695 | -34% | $13,037 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $28,000 | -24% | $5,146 |
| 812 Red Blood Cell Disorders without MCC | 15 | $31,188 | -30% | $5,883 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $124,599 | -46% | $32,460 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 14 | $37,298 | -33% | $6,680 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 14 | $50,527 | -41% | $13,097 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 14 | $22,025 | -48% | $6,226 |
| 637 Diabetes with MCC | 14 | $35,999 | -46% | $9,365 |
| 552 Medical Back Problems without MCC | 13 | $25,681 | -47% | $6,207 |
| 684 Renal Failure without CC/MCC | 13 | $21,773 | -27% | $4,332 |
| 300 Peripheral Vascular Disorders with CC | 12 | $23,151 | -53% | $6,757 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 12 | $66,428 | -29% | $10,568 |
| 460 Spinal Fusion except Cervical without MCC | 12 | $163,449 | -4% | $25,807 |
| 253 Other Vascular Procedures with CC | 11 | $89,157 | -32% | $18,353 |
| 271 Other Major Cardiovascular Procedures with CC | 11 | $144,101 | -17% | $33,518 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $136,678 | -16% | $26,584 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $41,200 | -32% | $8,299 |
| 394 Other Digestive System Diagnoses with CC | 11 | $26,941 | -43% | $6,180 |
| 602 Cellulitis with MCC | 11 | $28,160 | -53% | $9,671 |
| 638 Diabetes with CC | 11 | $22,120 | -47% | $6,437 |
Outpatient services
Against the West Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Thomas Memorial Hospital charged $64,817 on average, 6% more than the West Virginia average of $61,080, and was paid $13,223 against a state average of $15,917. For Heart Failure and Shock with MCC (DRG 291), Thomas Memorial Hospital charged $40,431 on average, 4% more than the West Virginia average of $39,062, and was paid $9,863 against a state average of $10,517. For Circulatory Disorders except AMI, with Cardiac Catheterization without MCC (DRG 287), Thomas Memorial Hospital charged $33,222 on average, 19% less than the West Virginia average of $41,247, and was paid $7,282 against a state average of $8,529. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Thomas Memorial Hospital charged $46,427 on average, 12% more than the West Virginia average of $41,357, and was paid $8,819 against a state average of $10,412. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,615 was 19% above the state average of $8,096. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $50,386 was 10% below the state average of $56,161. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $13,863 was 33% below the state average of $20,749. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,718 was 3% above the state average of $2,637.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Thomas Memorial Hospital in South Charleston, 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 446)
- CAP Request — 2022-05-04 (CMS case 446)
- Closure Notice — 2022-09-02 (CMS case 446)
- Met Requirements — 2025-04-21 (CMS case 3934)
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.