Wheeling Hospital, Inc

WHEELING HOSPITAL, INC in Wheeling, WV charges 4.2x the Medicare reimbursement rate across 70 procedures analyzed, reflecting pricing patterns common among nonprofit-religious healthcare facilities.

Wheeling, WV 26003 · Acute Care Hospitals · CMS Rating: 1/5

By Kevin Nyk , Medical Billing Analyst · Published March 15, 2026 · Updated April 3, 2026

Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.

About the analyst

Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.

70 procedures analyzed

CMS price transparency data

Updated 2026-04-03

4.2x

Medicare markup ratio

WV lowestWheeling Hospital, IncWV highest

4.2x

Avg markup ratio

4.1x

Median markup

Procedures

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Compare your charges against 4 CMS benchmark datasets — including the rates shown on this page.

Billing patterns — nonprofit-religious

Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.

Pricing grade

Average

Avg markup vs Medicare

4.21x

Charge / Medicare rate

Max markup

6.77x

Worst procedure

Procedures analyzed

With pricing data

Outlier procedures

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
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	310	$15,591	$7,795	—	6.8x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	331	$60,976	$30,488	—	6.7x
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	390	$16,898	$8,449	—	6.3x
PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC	244	$66,307	$33,154	—	5.9x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC	661	$30,901	$15,451	—	5.9x
HYPERTENSION WITHOUT MCC	305	$22,143	$11,071	—	5.8x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC	243	$87,503	$43,751	—	5.7x
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC	494	$57,164	$28,582	—	5.7x
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC	493	$68,722	$34,361	—	5.5x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC	069	$20,464	$10,232	—	5.5x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC	309	$20,686	$10,343	—	5.3x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	065	$28,867	$14,434	—	5.3x
GASTROINTESTINAL OBSTRUCTION WITH MCC	388	$48,942	$24,471	—	5.2x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	330	$70,594	$35,297	—	5x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC	242	$125,048	$62,524	—	4.8x
CHEST PAIN	313	$18,134	$9,067	—	4.8x
RED BLOOD CELL DISORDERS WITH MCC	811	$34,333	$17,167	—	4.8x
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC	372	$27,500	$13,750	—	4.7x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC	274	$88,775	$44,388	—	4.7x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	470	$50,117	$25,058	—	4.6x
SIGNS AND SYMPTOMS WITHOUT MCC	948	$18,256	$9,128	—	4.6x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC	641	$18,466	$9,233	—	4.6x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC	394	$24,067	$12,033	—	4.6x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	236	$114,338	$57,169	—	4.6x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC	690	$19,134	$9,567	—	4.5x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC	287	$25,665	$12,833	—	4.5x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	481	$53,892	$26,946	—	4.5x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC	392	$18,323	$9,161	—	4.4x
SYNCOPE AND COLLAPSE	312	$19,882	$9,941	—	4.4x
OTHER VASCULAR PROCEDURES WITH CC	253	$69,100	$34,550	—	4.3x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC	247	$43,905	$21,952	—	4.3x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC	193	$31,743	$15,871	—	4.3x
GASTROINTESTINAL HEMORRHAGE WITH CC	378	$21,646	$10,823	—	4.1x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	872	$21,938	$10,969	—	4.1x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS	208	$81,830	$40,915	—	4.1x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC	281	$19,343	$9,672	—	4.1x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC	522	$50,397	$25,199	—	4x
FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC	563	$17,841	$8,921	—	4x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS	870	$136,463	$68,232	—	3.9x
GASTROINTESTINAL OBSTRUCTION WITH CC	389	$17,809	$8,905	—	3.9x
SIMPLE PNEUMONIA AND PLEURISY WITH CC	194	$17,267	$8,634	—	3.9x
DIABETES WITH CC	638	$19,271	$9,636	—	3.9x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC	190	$23,030	$11,515	—	3.8x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC	640	$27,666	$13,833	—	3.8x
RENAL FAILURE WITH CC	683	$17,551	$8,776	—	3.7x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC	689	$24,999	$12,500	—	3.7x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC	698	$34,411	$17,206	—	3.6x
CELLULITIS WITHOUT MCC	603	$15,958	$7,979	—	3.6x
GASTROINTESTINAL HEMORRHAGE WITH MCC	377	$37,843	$18,921	—	3.6x
RED BLOOD CELL DISORDERS WITHOUT MCC	812	$18,177	$9,089	—	3.6x

Showing 50 of 70 procedures

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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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — nonprofit-religious hospital billing

How do nonprofit religious hospital charges compare to Medicare rates?

Data shows that 203 nonprofit religious hospitals have an average markup of 5.4 times Medicare rates for similar services. These hospitals operate under religious organizational structures while maintaining nonprofit tax status, which provides context for their billing practices and pricing structures.

What does a 5.4x Medicare markup mean for my medical bills?

A 5.4x markup means these hospitals typically charge 5.4 times what Medicare would pay for the same service. For example, if Medicare pays $1,000 for a procedure, the hospital's standard charge would average $5,400, though your actual out-of-pocket costs depend on your insurance coverage and negotiated rates.

Are nonprofit religious hospitals required to offer financial assistance?

Yes, nonprofit hospitals including religious institutions must provide charity care and financial assistance programs as a condition of their tax-exempt status. These hospitals are required to have written financial assistance policies and must make them publicly available, though the specific terms and eligibility requirements vary by institution.

How can I find out the actual charges at a specific nonprofit religious hospital?

Nonprofit hospitals are required to publish their standard charges online, typically called a 'chargemaster' or price transparency list. You can also request a good faith estimate before receiving services, which may show potential differences between standard charges and what you might actually pay based on your insurance coverage.

Related pricing data

WV hospital rankingsCompare all hospitals in WV

Wheeling, WV costsCity-level pricing data

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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