Mon Health Medical Center
Mon Health Medical Center in Morgantown, WV charges 5.8x the Medicare reimbursement rate across 55 analyzed procedures, according to our analysis of this nonprofit hospital's pricing data.
Morgantown, WV 26505 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
5.76x
Charge / Medicare rate
Max markup
10.88x
Worst procedure
Procedures analyzed
55
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $112,346 | $56,173 | — | 10.9x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $62,217 | $31,109 | — | 10.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $92,472 | $46,236 | — | 9.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $166,537 | $83,268 | — | 8.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $116,831 | $58,415 | — | 8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $71,246 | $35,623 | — | 7.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $41,277 | $20,638 | — | 7.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $19,848 | $9,924 | — | 7.4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $35,220 | $17,610 | — | 7.2x |
| CHEST PAIN | 313 | $21,115 | $10,558 | — | 7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $111,837 | $55,919 | — | 6.9x |
| CELLULITIS WITHOUT MCC | 603 | $27,561 | $13,781 | — | 6.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $43,450 | $21,725 | — | 6.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $78,613 | $39,307 | — | 6.5x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $130,431 | $65,215 | — | 6.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $75,579 | $37,789 | — | 6.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $130,576 | $65,288 | — | 6.1x |
| RENAL FAILURE WITH CC | 683 | $28,028 | $14,014 | — | 6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $41,547 | $20,774 | — | 5.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $38,785 | $19,393 | — | 5.9x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $176,139 | $88,069 | — | 5.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $24,839 | $12,419 | — | 5.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $77,007 | $38,504 | — | 5.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $34,837 | $17,418 | — | 5.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $164,518 | $82,259 | — | 5.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $19,425 | $9,713 | — | 5.4x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $29,918 | $14,959 | — | 5.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $38,760 | $19,380 | — | 5.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $19,612 | $9,806 | — | 5.2x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $147,031 | $73,516 | — | 5.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $25,584 | $12,792 | — | 5.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $28,250 | $14,125 | — | 5.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $35,437 | $17,719 | — | 5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $139,816 | $69,908 | — | 5x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $190,808 | $95,404 | — | 4.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $17,591 | $8,796 | — | 4.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $61,184 | $30,592 | — | 4.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $18,954 | $9,477 | — | 4.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $22,433 | $11,217 | — | 4.7x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $60,862 | $30,431 | — | 4.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $165,997 | $82,998 | — | 4.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $35,832 | $17,916 | — | 4.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $28,184 | $14,092 | — | 4.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $50,038 | $25,019 | — | 4.5x |
| RENAL FAILURE WITH MCC | 682 | $42,548 | $21,274 | — | 4.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $39,917 | $19,958 | — | 4.4x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $308,276 | $154,138 | — | 4.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $28,290 | $14,145 | — | 4.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $40,049 | $20,025 | — | 4.2x |
| SYNCOPE AND COLLAPSE | 312 | $18,867 | $9,433 | — | 4.2x |
Showing 50 of 55 procedures
How MON HEALTH MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use