CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Wheeling Hospital, Inc

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$15,489
about 1.1× the $14,044 Medicare rate · typically $12,137–$17,451
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,630
About the fair price
about $141 over the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $15,489 This hospital $15,630

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

Highest price of the 9 WV hospitals we have prices for — worth calling around.

Cheapest $12,264 Priciest $15,630

Black dot = this hospital, among the 9 WV hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $15,489 (about 1.1× the $14,044 Medicare rate). Wheeling Hospital, Inc charges insurers about $15,630 — about the fair price. Located in Wheeling, WV.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $16,381 117%
Blue Cross Blue Shieldmajor $9,685 - $39,169 69%
Aetnamajor $9,869 - $15,780 70%
Humanamajor $15,780 112%
+ 4 smaller / regional plans $2,787 - $15,780
Government programs also on file: Medicare.

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Facility Profile & Credentials

  • Address: 1 Medical Park, Wheeling, WV 26003
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals