Hip Replacement Cost in West Virginia (2026): Average Prices & What You'll Pay
What does a hip replacement cost in West Virginia?
A typical hip replacement in West Virginia costs $4,560–$9,122 for a commercially insured patient, including facility and physician fees. The median reported facility price across 28 hospitals is $2,178. This estimate is based on CMS fee schedules and hospital price transparency data published under federal law.
WVU Medicine and CAMC (Charleston Area Medical Center) are the primary academic systems, with Thomas Health and Highmark's West Penn Allegheny network providing additional coverage. West Virginia has one of the lowest wage indices in the country, which depresses Medicare-adjusted rates significantly — but commercial rates don't always follow the same pattern. Many rural facilities are critical access hospitals.
Hip replacement is one of the highest-cost elective procedures in orthopedic surgery, with total episode costs (surgery, implant, anesthesia, facility, and 90-day follow-up) ranging from $20,000–$50,000+. The implant device alone accounts for 30–40% of the facility charge. Medicare Advantage plans increasingly carve out joint replacement to preferred facilities using bundled payment arrangements, which can significantly lower your out-of-pocket costs if you use a designated center of excellence.
Where you go inside West Virginia counts as much as which plan you have: Elkins's median ($7,218) runs 21× Buckhannon's ($344). West Virginia prices for a hip replacement span 84.3× across 28 reporting hospitals, from $844 (Reynolds Memorial Hospital, Inc. in Glen Dale) up to $71,188 (Raleigh General Hospital) for identical care. Half of West Virginia facilities price it at or below $2,178, with most clustered between $2,108 and $2,582. Insurers negotiate this down to a median of $956, while self-pay patients are quoted $2,264 — about 2.4× higher, so asking for the cash or insurer-negotiated rate is often the single biggest lever on your bill.
Forecast your out-of-pocket cost
- Lower-cost hospitals (bottom 25%): under $2,108
- Median hospital: $2,178
- Higher-cost hospitals (top 30%): $2,582+
- Patient A (higher-rate plan or out-of-network): ~$2,582
- Patient B (lower-rate in-network plan): ~$2,108
Where hip replacement costs vary in West Virginia
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.
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Cheapest Hip Replacement Providers in West Virginia
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Braxton County Memorial Hospital | Gassawy, WV | $1,328 | -$850 |
| 2 | Braxton County Memorial Hospital | Gassawy, WV | $1,328 | -$850 |
| 3 | Wetzel County Hospital, Inc. | New Martinsville, WV | $1,434 | -$744 |
| 4 | Wetzel County Hospital, Inc. | New Martinsville, WV | $1,434 | -$744 |
| 5 | Webster Memorial Hospital Inc | Webster Springs, WV | $2,083 | -$95 |
| 6 | Broaddus Hospital Association Inc | Philippi, WV | $2,083 | -$95 |
| 7 | Potomac Valley Hospital of WV, Inc. | Keyser, WV | $2,108 | -$70 |
| 8 | West Virginia Health Care Cooperative Inc. | Summersville, WV | $2,108 | -$70 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.
→ Compare all procedure costs → Hip Replacement costs nationwide
Check YOUR hospital's pricing → Estimate YOUR exact cost →
What you'll actually pay — example scenarios
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met (pay in full) | ~$6,266 |
| Deductible met — 20% coinsurance | ~$1,253 |
| Out-of-network provider | $13,785+ |
Based on a typical episode cost of $6,266 (facility + physician fees). Your actual cost depends on your plan deductible, coinsurance rate, and network tier. Get YOUR personalized estimate →
What this means for you
If you haven't met your deductible, you are effectively a cash-pay patient.
That means:
- You should verify your hospital is in-network before an elective visit when possible
- The cheapest facility can save you $1,757+ vs. the median.
This is the single biggest lever most patients have to reduce their cost.
Lower-cost options in West Virginia start around $2,108 or below. Most hospitals cluster between $2,108 and $2,826. A smaller group reports prices above that — often academic medical centers or high-cost markets.
If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Broaddus Hospital Association Inc in Philippi (cash price from $2,083); Webster Memorial Hospital Inc in Webster Springs (cash price from $2,083); Potomac Valley Hospital of WV, Inc. in Keyser (cash price from $2,108). These are declared cash prices — contact each facility for a formal quote before scheduling.
How where you go changes what you pay for hip replacement
The same hip replacement bundles different services depending on the setting — facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $268–$12,869
- Professional fee $1,913–$7,516
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $421–$24,642
- Professional fee $1,913–$7,516
Estimated from CMS fee schedules + commercial rate multipliers
- Best value hospitals (lowest prices): St. Joseph's Hospital of Buckhannon, Inc.: $421; Broaddus Hospital Association Inc: $2,083; Webster Memorial Hospital Inc: $2,083
- Most expensive (outpatient): WAR MEMORIAL HOSPITAL, INC: ~$12,869; HAMPSHIRE MEMORIAL HOSPITAL, INC: ~$11,718
→ Choosing the right facility can save $1,757+ vs. the state median.
West Virginia Hip Replacement prices by facility
All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.
- Cash price — the self-pay rate you can actually negotiate and pay
- Negotiated rate — if reported by the hospital across insurance contracts
- Gross charge — fallback only; this is the inflated list price few people pay
This reflects the real prices patients encounter — not inflated chargemaster rates.
| # | Facility | City | Your Price | vs Median | Gross Charge |
|---|---|---|---|---|---|
| #1 | St. Joseph's Hospital of Buckhannon, Inc. | Buckhannon, WV | $421 | -$1,757 | $926–$3,690 |
| #2 | Broaddus Hospital Association Inc | Philippi, WV | $2,083 | -$95 | $932–$2,954 |
| #3 | Webster Memorial Hospital Inc | Webster Springs, WV | $2,083 | -$95 | $979–$2,083 |
| #4 | Grant Memorial Hospital Inc | Petersburg, WV | $2,299 | +$121 | $2,839–$3,158 |
| #5 | Braxton County Memorial Hospital | Gassawy, WV | $1,328 | -$850 | $3,690 |
| #6 | Wetzel County Hospital, Inc. | New Martinsville, WV | $1,434 | -$744 | $3,586 |
| #7 | Potomac Valley Hospital of WV, Inc. | Keyser, WV | $2,108 | -$70 | $926–$4,216 |
| #8 | West Virginia Health Care Cooperative Inc. | Summersville, WV | $2,108 | -$70 | $1,285–$4,216 |
| #9 | Community Health Association | Ripley, WV | $2,108 | -$70 | $926–$4,498 |
| #10 | Cabell Huntington Hospital, Inc. | Huntington, WV | $2,129 | -$49 | $859–$2,766 |
| #11 | St. Marys Medical Center | Huntington, WV | $24,642 | +$22,464 | $24,642–$28,753 |
| #12 | Jefferson Memorial Hospital | Ranson, WV | $2,143 | -$35 | $926–$4,287 |
| #13 | Wheeling Hospital, Inc. | Wheeling, WV | $2,151 | -$27 | $4,303 |
| #14 | United Hospital Center, Inc | Bridgeport, WV | $2,176 | -$2 | $4,353 |
| #15 | City Hospital, Inc. | Martinsburg, WV | $2,180 | +$2 | $4,360 |
| #16 | Princeton Community Hospital Assn Inc. | Princeton, WV | $2,197 | +$19 | $4,395 |
| #17 | West Virginia University Hospitals, Inc. | Morgantown, WV | $2,330 | +$152 | $4,661–$16,871 |
| #18 | Camden-Clark Memorial Hospital Corporation | Parkersburg, WV | $2,413 | +$235 | $4,826–$37,994 |
| #19 | Reynolds Memorial Hospital, Inc. | Glen Dale, WV | $2,582 | +$404 | $844–$5,164 |
| #20 | Sistersville General Hospital | Sistersville, WV | $2,719 | +$541 | $2,719–$4,023 |
| #21 | Raleigh General Hospital | WV | $2,861 | +$683 | $3,087–$38,869 |
| #22 | Davis Medical Center | Elkins, WV | $3,002 | +$824 | $4,289–$5,973 |
| #23 | Thomas Memorial Hospital | South Charleston, WV | $3,019 | +$841 | $1,387–$6,039 |
| #24 | Beckley ARH Hospital | WV | $4,007 | +$1,829 | $6,679 |
| #25 | Mon Health Medical Center | WV | $5,054 | +$2,876 | $5,054–$5,745 |
| #26 | STONEWALL JACKSON HOSPITAL | WV | $7,752 | +$5,574 | $7,752–$16,307 |
| #27 | HAMPSHIRE MEMORIAL HOSPITAL, INC | Romney, WV | $11,718 | +$9,540 | $11,718 |
| #28 | WAR MEMORIAL HOSPITAL, INC | Berkeley Springs, WV | $12,869 | +$10,691 | $12,869 |
Unlock all 23 remaining West Virginia hospitals
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Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.
Received a bill? Check it for errors → Estimate YOUR cost before you go →
Compare other procedures in West Virginia:
Where you can save the most on hip replacement in West Virginia
These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.
| Facility | City | Your Price | vs Median |
|---|---|---|---|
| St. Joseph's Hospital of Buckhannon, Inc. | Buckhannon, WV | $421 | -$1,757 |
| Broaddus Hospital Association Inc | Philippi, WV | $2,083 | -$95 |
| Webster Memorial Hospital Inc | Webster Springs, WV | $2,083 | -$95 |
| Grant Memorial Hospital Inc | Petersburg, WV | $2,299 | +$121 |
| Braxton County Memorial Hospital | Gassawy, WV | $1,328 | -$850 |
How to choose a lower-cost facility
- Choose independent outpatient centers when possible — freestanding ASCs (ambulatory surgical centers) consistently charge less than hospital outpatient departments for identical procedures.
- Ask for the cash price if your deductible isn't met — self-pay rates are often lower than what insurance pays before your deductible is satisfied, especially at facilities that have a high cash-price discount.
- Avoid hospital outpatient departments for routine cases — hospital-owned locations add a facility fee that freestanding centers don't charge, often adding $500–$1,500 to the same procedure.
Most expensive hip replacement providers in West Virginia
These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.
| Facility | City | Price | vs Median |
|---|---|---|---|
| St. Marys Medical Center | Huntington, WV | $24,642 | +$22,464 |
| WAR MEMORIAL HOSPITAL, INC | Berkeley Springs, WV | $12,869 | +$10,691 |
| HAMPSHIRE MEMORIAL HOSPITAL, INC | Romney, WV | $11,718 | +$9,540 |
| STONEWALL JACKSON HOSPITAL | WV | $7,752 | +$5,574 |
| Mon Health Medical Center | WV | $5,054 | +$2,876 |
Why prices vary this much
A small number of hospitals (9) report very high prices above $3,903, which drives much of the overall price range. Excluding these, most facilities cluster in a significantly tighter band.
Setting drives much of the gap in West Virginia: the median outpatient price is $2,176 versus $2,180 inpatient, so where a procedure is performed often matters more than which hospital you choose. Of the West Virginia facilities reporting prices, 17 fall in a low-cost tier (up to $2,108) while 13 sit in a high-cost tier ($2,826 and up) — a lower-priced option almost always exists within the same state.
Among the cities with the most reporting hospitals, Huntington has a median reported price of $2,129 across 3 facilities, while facilities in Buckhannon tend to report lower prices (median: $344). City-level variation within a state often reflects local market structure, not procedure complexity.
The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.
Learn more:
→ Allowed amount vs negotiated rate — what your EOB is really saying
→ How to read your medical bill
→ Why hospital prices are so hard to find — and what to do about it
How insurance changes what you actually pay
Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.
Understand your cost before you go:
→ Deductible vs out-of-pocket max
→ EOB vs medical bill — complete guide
→ How to stop medical bill problems before they start (in-network vs out-of-network)
Hip Replacement Costs by Metro Area in West Virginia
Prices vary across West Virginia metro areas based on local hospital competition, wage adjustments, and facility mix. Explore detailed facility price data for each metro area:
- Hip Replacement Cost in Huntington, WV
- Hip Replacement Cost in Morgantown, WV
- Hip Replacement Cost in Parkersburg, WV
- Hip Replacement Cost in Wheeling, WV
Compare hip replacement costs in nearby states
Frequently asked questions: hip replacement costs in West Virginia
How much does a hip replacement cost in West Virginia?
Across 28 West Virginia hospitals that publish prices, a hip replacement ranges from $844 to $71,188, with a median of $2,178. Most facilities fall between $2,108 and $2,582. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a hip replacement in West Virginia?
Based on declared prices, the lowest-cost facility in our West Virginia data is St. Joseph's Hospital of Buckhannon, Inc. in Buckhannon at about $421. By metro, Buckhannon has the lowest median ($344). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data — ask your doctor whether one is an option.
Why is a hip replacement so much cheaper at some West Virginia hospitals?
Prices vary up to 84.3× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In West Virginia, the median cash (self-pay) price is $2,264 versus a median negotiated rate of $956 — about 2.4× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for a hip replacement in West Virginia?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network — not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Explore all hip replacement cost data
→ See hip replacement costs across all states
Other West Virginia Hospitals and ambulatory surgery centers for Hip Replacement
These hospitals and ambulatory surgery centers are registered in the CMS National Provider Identifier (NPI) registry as active hospitals and ambulatory surgery centers in West Virginia. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.
| Provider | City | Type | Est. Cost | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ACUITY SPECIALTY HOSPITAL - OHIO VALLEY, LP
3042385750 |
WHEELING, WV | Long Term Care Hospital | $2,181–$20,385 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ACUITY SPECIALTY HOSPITAL - OHIO VALLEY, LP
3049194300 |
WEIRTON, WV | Long Term Care Hospital | $2,181–$20,385 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ACUITY SPECIALTY HOSPITAL - OHIO VALLEY, LP
3049194300 |
WEIRTON, WV | Long Term Care Hospital | $2,181–$20,385 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ACUITY SPECIALTY HOSPITAL - OHIO VALLEY, LP
3042385750 |
WHEELING, WV | Long Term Care Hospital | $2,181–$20,385 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ALECTO HEALTHCARE SERVICES FAIRMONT LLC
3043677109 |
FAIRMONT, WV | General Acute Care Hospital | $2,181–$20,385 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ALECTO HEALTHCARE SERVICES WHEELING LLC
3042348663 |
WHEELING, WV | General Acute Care Hospital | $2,181–$20,385 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ANWAR EYE CENTER, INC
3048450908 |
MOUNDSVILLE, WV | Ambulatory Surgical Center | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BECKLEY SURGERY CENTER, INC
3042552724 |
BECKLEY, WV | Ambulatory Surgical Center | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BECKLEY VAMC
8282572333 |
BECKLEY, WV | General Acute Care Hospital | $2,181–$20,385 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BLUEFIELD HOSPITAL COMPANY LLC
3043271100 |
BLUEFIELD, WV | General Acute Care Hospital | $2,181–$20,385 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BLUEFIELD REGIONAL MEDICAL CENTER
3043271100 |
BLUEFIELD, WV | General Acute Care Hospital | $2,181–$20,385 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BOONE MEMORIAL HOSPITAL
3043691230 |
MADISON, WV | Critical Access Hospital | $2,181–$20,385 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
▼ Show 122 more West Virginia hospitals and ambulatory surgery centers
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Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.
Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.
What's Actually on Your Hip Replacement Bill
A hip replacement involves multiple providers — each bills separately. Understanding each line item helps you verify your Explanation of Benefits and catch billing errors.
Hospital Inpatient
- Drg Facility Stay — DRG 470 (major joint replacement without MCC) is most common.
- Orthopedic Surgeon Professional Fee
- Anesthesia
- Implant Device Cost — Hip implant adds $5,000–$15,000+ depending on manufacturer and implant type. Often the largest single cost variable.
- Physical Therapy Inpatient — Embedded in DRG — not a separate charge during the hospital stay.
Hip Replacement Cost by Type
Which type your doctor orders changes the billing code — and what you pay. Here's how the common types differ.
Total Hip Replacement
A recognized variation that can change the billing code and what you owe. Most common. Replaces both ball and socket.
Partial Hip Replacement (Hemiarthroplasty)
A recognized variation that can change the billing code and what you owe. Used primarily for femoral neck fractures. Replaces only the ball.
Hip Revision Surgery
A recognized variation that can change the billing code and what you owe. Replacement of a failed implant. Significantly more complex and expensive.
This Procedure Is Shoppable — Choosing the Right Facility Can Save Thousands
Hip Replacement is elective and schedulable. You have time to compare facilities — and hospital outpatient prices often run 2–4× higher than alternative settings for identical clinical outcomes.
How to shop: Ask your doctor for the CPT code, then call 2–3 facilities and request an out-of-pocket cost estimate. Confirm your insurance is accepted. If uninsured, ask for the cash-pay rate — it's usually 20–50% below the list price.
Prior Authorization Is Usually Required
Most commercial and Medicare Advantage plans require pre-approval for hip replacement before scheduling. If your doctor submits the order without prior authorization — or if the authorization lapses — your insurer can deny the entire claim, leaving you responsible for the full cost.
Action step: Call the member services number on your insurance card before scheduling. Ask: "Does this procedure require prior authorization?" Get the authorization number in writing and confirm it's attached to the claim before your appointment.
The Implant Is the Largest Cost Driver
For hip replacement, the implant or device typically accounts for 40–70% of the total hospital bill. Surgeons have preferred device relationships that affect which implant is used — and different implants can vary by $5,000–$15,000 in cost.
What to ask: Request an itemized estimate that breaks out the implant separately. Ask your surgeon whether a comparable implant is available at a lower cost.
Who performs this: Hip Replacement is typically performed by a Orthopedic Surgery. The specialist's professional fee is billed separately from the facility charge — you will likely receive separate bills from each.
CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
→ Analyze your medical bill for errors
→ How to negotiate your medical bills
→ Track and manage your healthcare costs (free account)
Other Procedure Costs in West Virginia
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- Colonoscopy Cost in West Virginia
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- CT Chest Cost in West Virginia
- CT Head Cost in West Virginia
- CT Scan Cost in West Virginia
- Echocardiogram Cost in West Virginia
- Emergency Room Visit Cost in West Virginia
- Endoscopy Cost in West Virginia
- Hysterectomy Cost in West Virginia
- Knee Replacement Cost in West Virginia
- Mammogram Cost in West Virginia
- MRI Brain Cost in West Virginia
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- MRI Scan Cost in West Virginia
- Spinal Fusion Cost in West Virginia
- Ultrasound Cost in West Virginia
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Related Articles
Interested in understanding healthcare costs and managing your medical expenses?
- Free Cost EstimatorCalculate your exact out-of-pocket cost for any procedure
- AI Bill AnalyzerCheck your medical bill for errors and overcharges
- Hip Replacement Cost GuideCompare Hip Replacement prices across all 50 states
- Deductible vs Out-of-Pocket MaximumLearn how insurance cost-sharing works and what you actually pay
- Cost ExplorerBrowse procedures and compare prices across the country
About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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