Wheeling Hospital, Inc: charges and Medicare payments

Wheeling Hospital, Inc reported 2,272 Medicare inpatient stays across 76 DRGs in 2024. Across them it charged 3.36 times what it was paid — among the lower ratios in West Virginia, number 14 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: 224 stays at an average charge of $45,795, 49% below the national average. It also billed 2,451 outpatient services, charging 7.31 times what Medicare paid.

1Medicare inpatient stays 2,272
2Charge ÷ paid, inpatient 3.36×
3Rank in WV (highest ratio = 1) 14 of 19
4CMS price-transparency actions 0

Average charge per stay at Wheeling Hospital, Inc, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 76 DRGs that can be compared with the national average, Wheeling Hospital, Inc 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	224	$45,795	-49%	$14,522
291 Heart Failure and Shock with MCC	124	$29,172	-48%	$9,921
177 Respiratory Infections and Inflammations with MCC	114	$41,231	-42%	$13,314
280 Acute Myocardial Infarction, Discharged Alive with MCC	84	$34,309	-55%	$11,656
274 Percutaneous and Other Intracardiac Procedures without MCC	70	$104,204	-34%	$25,117
189 Pulmonary Edema and Respiratory Failure	57	$31,179	-46%	$8,869
190 Chronic Obstructive Pulmonary Disease with MCC	50	$31,182	-38%	$8,658
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	47	$27,604	-54%	$10,091
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	47	$20,509	-58%	$7,443
470 Major Hip and Knee Joint Replacement or Reattachment of...	42	$55,838	-40%	$13,463
603 Cellulitis without MCC	42	$16,456	-56%	$6,832
690 Kidney and Urinary Tract Infections without MCC	42	$20,275	-46%	$6,348
853 Infectious and Parasitic Diseases with O.R. Procedures with...	40	$107,487	-53%	$33,725
281 Acute Myocardial Infarction, Discharged Alive with CC	39	$24,129	-52%	$6,879
378 Gastrointestinal Hemorrhage with CC	38	$25,199	-48%	$7,644
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	38	$18,453	-54%	$6,424
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	37	$17,816	-52%	$6,125
193 Simple Pneumonia and Pleurisy with MCC	36	$28,991	-51%	$9,792
698 Other Kidney and Urinary Tract Diagnoses with MCC	35	$37,366	-49%	$11,975
682 Renal Failure with MCC	34	$24,497	-63%	$10,307
313 Chest Pain	33	$19,579	-51%	$5,745
309 Cardiac Arrhythmia and Conduction Disorders with CC	32	$21,555	-40%	$6,984
322 Percutaneous Cardiovascular Procedures with Intraluminal...	32	$47,121	-59%	$14,748
683 Renal Failure with CC	32	$22,065	-46%	$7,489
308 Cardiac Arrhythmia and Conduction Disorders with MCC	31	$34,410	-39%	$9,145
689 Kidney and Urinary Tract Infections with MCC	30	$26,972	-47%	$9,005
312 Syncope and Collapse	29	$22,305	-51%	$6,727
389 Gastrointestinal Obstruction with CC	27	$18,545	-52%	$5,968
552 Medical Back Problems without MCC	26	$19,045	-61%	$7,314
377 Gastrointestinal Hemorrhage with MCC	24	$51,156	-40%	$13,468
481 Hip and Femur Procedures except Major Joint with CC	24	$60,620	-40%	$14,779
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	23	$43,884	-56%	$14,499
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	23	$29,681	-47%	$9,334
194 Simple Pneumonia and Pleurisy with CC	23	$17,504	-54%	$6,338
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	23	$26,564	-56%	$9,720
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	21	$15,769	-45%	$4,534
243 Permanent Cardiac Pacemaker Implant with CC	20	$92,032	-17%	$21,100
273 Percutaneous and Other Intracardiac Procedures with MCC	20	$128,651	-40%	$30,204
321 Percutaneous Cardiovascular Procedures with Intraluminal...	20	$69,894	-57%	$17,454
480 Hip and Femur Procedures except Major Joint with MCC	20	$64,203	-54%	$18,610
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	19	$33,201	-49%	$10,253
287 Circulatory Disorders except AMI, with Cardiac...	19	$29,564	-54%	$7,966
330 Major Small and Large Bowel Procedures with CC	19	$95,255	-20%	$19,496
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	19	$64,908	-37%	$17,949
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	19	$19,049	-55%	$5,966
602 Cellulitis with MCC	19	$30,904	-49%	$12,163
854 Infectious and Parasitic Diseases with O.R. Procedures with...	19	$52,031	-47%	$16,614
069 Transient Ischemia without Thrombolytic	17	$22,151	-56%	$6,750
178 Respiratory Infections and Inflammations with CC	17	$22,199	-51%	$7,447
329 Major Small and Large Bowel Procedures with MCC	16	$110,853	-48%	$33,233
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	16	$38,731	-43%	$9,945
812 Red Blood Cell Disorders without MCC	16	$18,806	-58%	$7,021
208 Respiratory System Diagnosis with Ventilator Support <=96...	15	$71,946	-47%	$16,921
242 Permanent Cardiac Pacemaker Implant with MCC	15	$125,548	-22%	$37,344
372 Major Gastrointestinal Disorders and Peritoneal Infections...	15	$20,576	-57%	$9,741
394 Other Digestive System Diagnoses with CC	15	$23,508	-50%	$7,151
638 Diabetes with CC	15	$18,819	-55%	$6,990
252 Other Vascular Procedures with MCC	14	$80,491	-53%	$23,309
390 Gastrointestinal Obstruction without CC/MCC	14	$13,650	-51%	$4,041
811 Red Blood Cell Disorders with MCC	14	$31,046	-54%	$10,316

Showing the 60 most frequent of 76 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Excision/ Biopsy/ Incision and Drainage	395	$11,671	$1,304
Comprehensive Observation Services	224	$12,710	$2,185
Level 2 Urology and Related Services	183	$1,607	$568
Level 1 Nerve Procedures	140	$11,354	$1,588
Level 3 Urology and Related Services	136	$6,923	$1,674
Level 1 Endovascular Procedures	115	$13,905	$2,714
Level 1 Laparoscopy and Related Services	101	$31,110	$4,791
Level 2 Upper GI Procedures	95	$8,823	$1,592
Level 3 Excision/ Biopsy/ Incision and Drainage	89	$16,193	$2,190
Level 3 Musculoskeletal Procedures	87	$17,417	$2,603
Level 3 Vascular Procedures	84	$16,871	$2,591
Level 4 Musculoskeletal Procedures	66	$40,303	$5,985
Level 4 Urology and Related Services	65	$22,924	$2,881
Level 2 Musculoskeletal Procedures	56	$11,217	$1,326
Level 5 Musculoskeletal Procedures	50	$55,344	$10,437
Level 3 Electrophysiologic Procedures	50	$104,622	$18,030
Level 3 Airway Endoscopy	48	$9,810	$1,420
Level 2 Breast/Lymphatic Surgery and Related Procedures	46	$40,956	$5,361
Level 4 Airway Endoscopy	42	$21,223	$3,133
Level 3 Pacemaker and Similar Procedures	42	$63,044	$8,930
Level 5 Urology and Related Services	41	$34,159	$4,329
Level 1 Breast/Lymphatic Surgery and Related Procedures	39	$18,719	$3,124
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	30	$26,860	$2,895
Level 2 Vascular Procedures	27	$5,206	$1,300
Level 2 Endovascular Procedures	25	$21,022	$4,782

Against the West Virginia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Wheeling Hospital, Inc charged $45,795 on average, 25% less than the West Virginia average of $61,080, and was paid $14,522 against a state average of $15,917. For Heart Failure and Shock with MCC (DRG 291), Wheeling Hospital, Inc charged $29,172 on average, 25% less than the West Virginia average of $39,062, and was paid $9,921 against a state average of $10,517. For Respiratory Infections and Inflammations with MCC (DRG 177), Wheeling Hospital, Inc charged $41,231 on average, 12% less than the West Virginia average of $46,955, and was paid $13,314 against a state average of $12,783. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Wheeling Hospital, Inc charged $34,309 on average, 29% less than the West Virginia average of $48,595, and was paid $11,656 against a state average of $12,502. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,671 was 23% above the state average of $9,487. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,710 was 19% below the state average of $15,697. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,607 was 39% below the state average of $2,637. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $11,354 was 33% above the state average of $8,522.

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.