Healthcare spending, insurance rates, and estimated procedure costs in West Virginia (WV). Per-capita spending is 5% above the national average.
Estimates based on West Virginia's cost index of 0.87x applied to national average procedure prices. Insured costs assume typical in-network copay/coinsurance at roughly 35% of the full price. Actual costs depend on provider, facility type, and insurance plan.
| Procedure | Estimated Cost | With Insurance | National Avg |
|---|---|---|---|
| Doctor Office Visit | $218 | $76 | $250 |
| Emergency Room Visit | $1,914 | $670 | $2,200 |
| MRI Scan | $1,153 | $403 | $1,325 |
| CT Scan | $718 | $251 | $825 |
| Childbirth (Vaginal) | $11,745 | $4,111 | $13,500 |
| Childbirth (C-Section) | $19,575 | $6,851 | $22,500 |
| Knee Replacement | $30,450 | $10,658 | $35,000 |
| Hip Replacement | $33,060 | $11,571 | $38,000 |
| Appendectomy | $13,920 | $4,872 | $16,000 |
| Colonoscopy | $2,393 | $837 | $2,750 |
| Dental Cleaning | $109 | $38 | $125 |
| Root Canal | $957 | $335 | $1,100 |
West Virginia residents spend an average of $9,876 per person per year on healthcare, which is 5% higher than the national average of $9,421. The state's cost index of 0.87 means that a procedure costing $1,000 nationally would cost approximately $870 in West Virginia.
West Virginia has expanded Medicaid under the ACA, helping to reduce the uninsured rate to 5.4%. Residents with incomes up to 138% of the federal poverty level may qualify for Medicaid coverage.
For the best price on a planned procedure, compare quotes from at least three facilities. Hospital outpatient departments typically charge 2-3x more than ambulatory surgery centers for the same procedure. Under the CMS Hospital Price Transparency rule, all West Virginia hospitals must publish their negotiated rates — use those files to comparison shop.
Data sources: CMS Hospital Price Transparency, Kaiser Family Foundation, Census Bureau ACS, Healthcare.gov marketplace data. Figures are estimates and may differ from actual billed amounts.
The average per-capita healthcare spending in West Virginia is $9,876 per year. The cost index is 0.87x the national average, meaning medical procedures cost approximately 13% less than the US average.
West Virginia has an uninsured rate of 5.4%, compared to the national average of approximately 8%. West Virginia has expanded Medicaid under the ACA, which helps cover more low-income residents.
Top-rated hospitals in West Virginia include WVU Medicine Ruby Memorial, CAMC General Hospital, St. Mary's Medical Center. Rankings are based on CMS Hospital Compare quality ratings, patient outcomes, and specialty accreditations.
The average monthly marketplace health insurance premium in West Virginia is approximately $458. Actual costs vary based on plan tier (Bronze/Silver/Gold/Platinum), age, household size, and income-based subsidies available through Healthcare.gov.
Yes, West Virginia has expanded Medicaid under the Affordable Care Act, extending coverage to adults with incomes up to 138% of the federal poverty level.
Data verified · Source: CMS, KFF, Census Bureau & Healthcare.gov data
Our healthcare economists track procedure costs, insurance coverage, and medical pricing across 40+ countries and major US insurance networks. Data sourced from CMS, FAIR Health, and international health ministry databases.
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