West Virginia University Hospitals, Inc: charges and Medicare payments

West Virginia University Hospitals, Inc reported 5,907 Medicare inpatient stays across 180 DRGs in 2024. Across them it charged 3.66 times what it was paid — mid-range in West Virginia, number 11 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: 383 stays at an average charge of $79,355, 12% below the national average. It also billed 6,323 outpatient services, charging 6.54 times what Medicare paid.

1Medicare inpatient stays 5,907
2Charge ÷ paid, inpatient 3.66×
3Rank in WV (highest ratio = 1) 11 of 19
4CMS price-transparency actions 0

Average charge per stay at West Virginia University Hospitals, Inc, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 180 DRGs that can be compared with the national average, West Virginia University Hospitals, Inc charged more than the national average in 10 (6%). 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	383	$79,355	-12%	$20,802
291 Heart Failure and Shock with MCC	220	$46,212	-18%	$13,088
189 Pulmonary Edema and Respiratory Failure	109	$49,212	-15%	$15,188
853 Infectious and Parasitic Diseases with O.R. Procedures with...	109	$158,016	-31%	$44,717
470 Major Hip and Knee Joint Replacement or Reattachment of...	106	$74,465	-20%	$17,466
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	100	$82,761	-17%	$21,587
267 Endovascular Cardiac Valve Replacement and Supplement...	97	$124,668	-44%	$40,381
193 Simple Pneumonia and Pleurisy with MCC	90	$50,354	-16%	$14,565
177 Respiratory Infections and Inflammations with MCC	84	$58,144	-18%	$15,816
274 Percutaneous and Other Intracardiac Procedures without MCC	84	$76,150	-51%	$26,422
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	82	$44,084	-21%	$10,468
025 Craniotomy and Endovascular Intracranial Procedures with MCC	76	$161,661	-30%	$45,326
682 Renal Failure with MCC	74	$59,055	-10%	$19,175
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	73	$23,737	-41%	$8,493
280 Acute Myocardial Infarction, Discharged Alive with MCC	71	$68,492	-10%	$15,435
690 Kidney and Urinary Tract Infections without MCC	71	$24,443	-35%	$8,325
330 Major Small and Large Bowel Procedures with CC	68	$128,763	+8%	$27,840
683 Renal Failure with CC	68	$30,039	-26%	$9,609
698 Other Kidney and Urinary Tract Diagnoses with MCC	67	$56,515	-23%	$16,238
309 Cardiac Arrhythmia and Conduction Disorders with CC	66	$28,321	-22%	$8,258
552 Medical Back Problems without MCC	64	$32,063	-34%	$10,030
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	63	$24,120	-35%	$8,092
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	63	$36,622	-25%	$10,610
312 Syncope and Collapse	60	$29,668	-35%	$9,650
481 Hip and Femur Procedures except Major Joint with CC	60	$82,108	-19%	$19,542
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	54	$48,100	-20%	$13,858
603 Cellulitis without MCC	52	$24,717	-34%	$8,916
689 Kidney and Urinary Tract Infections with MCC	52	$35,798	-30%	$11,574
467 Revision of Hip or Knee Replacement with CC	50	$146,024	-7%	$29,385
377 Gastrointestinal Hemorrhage with MCC	49	$59,908	-30%	$16,531
101 Seizures without MCC	48	$25,946	-47%	$9,734
378 Gastrointestinal Hemorrhage with CC	48	$32,444	-33%	$10,183
314 Other Circulatory System Diagnoses with MCC	46	$61,744	-35%	$25,787
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	44	$334,366	-16%	$88,666
023 Craniotomy with Major Device Implant or Acute Complex Cns...	43	$186,365	-34%	$50,777
236 Coronary Bypass without Cardiac Catheterization without MCC	42	$185,242	-12%	$44,880
329 Major Small and Large Bowel Procedures with MCC	41	$193,841	-10%	$48,506
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	40	$46,234	-29%	$13,572
208 Respiratory System Diagnosis with Ventilator Support <=96...	39	$104,407	-23%	$26,322
164 Major Chest Procedures with CC	38	$93,527	-27%	$27,161
322 Percutaneous Cardiovascular Procedures with Intraluminal...	38	$89,132	-22%	$20,346
190 Chronic Obstructive Pulmonary Disease with MCC	37	$46,353	-8%	$11,011
305 Hypertension without MCC	37	$28,341	-29%	$7,742
394 Other Digestive System Diagnoses with CC	37	$33,390	-29%	$11,152
027 Craniotomy and Endovascular Intracranial Procedures without...	36	$84,666	-39%	$23,393
270 Other Major Cardiovascular Procedures with MCC	36	$234,127	-10%	$57,625
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	36	$32,302	-47%	$13,372
281 Acute Myocardial Infarction, Discharged Alive with CC	35	$41,725	-17%	$9,716
308 Cardiac Arrhythmia and Conduction Disorders with MCC	35	$47,290	-17%	$11,991
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	35	$18,962	-34%	$5,935
472 Cervical Spinal Fusion with CC	35	$140,410	-2%	$32,721
100 Seizures with MCC	34	$83,130	-12%	$17,484
163 Major Chest Procedures with MCC	33	$148,104	-30%	$42,061
389 Gastrointestinal Obstruction with CC	33	$25,739	-34%	$9,997
699 Other Kidney and Urinary Tract Diagnoses with CC	33	$30,570	-36%	$10,283
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	32	$212,748	-23%	$50,913
321 Percutaneous Cardiovascular Procedures with Intraluminal...	32	$120,444	-26%	$29,537
460 Spinal Fusion except Cervical without MCC	32	$161,772	-5%	$38,383
480 Hip and Femur Procedures except Major Joint with MCC	32	$136,799	-1%	$29,255
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	31	$165,953	-23%	$42,964

Showing the 60 most frequent of 180 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Intraocular Procedures	587	$9,390	$1,906
Level 2 Urology and Related Services	481	$3,228	$563
Level 2 Excision/ Biopsy/ Incision and Drainage	369	$10,298	$1,313
Level 1 Endovascular Procedures	296	$29,830	$2,680
Level 3 Urology and Related Services	293	$8,988	$1,637
Level 2 Upper GI Procedures	289	$7,051	$1,551
Comprehensive Observation Services	247	$14,362	$2,171
Level 1 Nerve Procedures	238	$10,099	$1,562
Level 2 Intraocular Procedures	234	$17,519	$3,379
Level 4 Urology and Related Services	224	$13,129	$2,845
Level 3 Vascular Procedures	219	$10,864	$2,539
Level 5 Urology and Related Services	189	$24,612	$4,190
Level 3 Extraocular, Repair, and Plastic Eye Procedures	180	$11,404	$1,946
Level 3 Excision/ Biopsy/ Incision and Drainage	143	$15,939	$2,352
Level 4 Musculoskeletal Procedures	132	$37,403	$5,691
Level 3 Lower GI Procedures	132	$10,191	$2,293
Level 5 Musculoskeletal Procedures	124	$63,818	$10,275
Level 1 Laparoscopy and Related Services	106	$35,558	$4,549
Level 5 ENT Procedures	92	$39,121	$4,857
Level 3 Airway Endoscopy	89	$6,886	$1,359
Level 4 Vascular Procedures	88	$29,032	$4,438
Level 3 Endovascular Procedures	88	$44,693	$8,855
Level 1 Breast/Lymphatic Surgery and Related Procedures	78	$23,417	$3,189
Level 3 Musculoskeletal Procedures	78	$18,126	$2,556
Level 4 Airway Endoscopy	78	$17,221	$3,041

Against the West Virginia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), West Virginia University Hospitals, Inc charged $79,355 on average, 30% more than the West Virginia average of $61,080, and was paid $20,802 against a state average of $15,917. For Heart Failure and Shock with MCC (DRG 291), West Virginia University Hospitals, Inc charged $46,212 on average, 18% more than the West Virginia average of $39,062, and was paid $13,088 against a state average of $10,517. For Pulmonary Edema and Respiratory Failure (DRG 189), West Virginia University Hospitals, Inc charged $49,212 on average, 18% more than the West Virginia average of $41,781, and was paid $15,188 against a state average of $10,667. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), West Virginia University Hospitals, Inc charged $158,016 on average, 4% more than the West Virginia average of $151,371, and was paid $44,717 against a state average of $40,133. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,390 was 16% above the state average of $8,096. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,228 was 22% above the state average of $2,637. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,298 was 9% above the state average of $9,487. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $29,830 was 44% above the state average of $20,749.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.