Medical Procedure Costs in West Virginia
West Virginia Medicare physician rates are generally below the national average (-6.1%). One statewide locality — the ZIP tool still maps you onto that locality.
Look up any CPT in West Virginia
Featured table below is 59 procedures. Search covers 7,500+ fee-schedule codes.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. These West Virginia averages are unweighted means of the state’s localities, not population-weighted.
How Medicare prices West Virginia
West Virginia is one statewide payment locality with geographic indices among the lowest in the eastern United States, so its published Medicare rates apply identically from the Eastern Panhandle to the southern coalfields. The uniform pricing spans a state whose mountainous terrain makes actual travel to care unusually difficult relative to straight-line distances. CMS's work index floor supports the state's low-cost profile. Morgantown, Charleston, and Huntington all bill against the same geographic factors.
The state's care concentrates around its academic medical centers in Morgantown and Huntington and the capital-region hospitals in Charleston, each serving long mountain catchments. West Virginia's population is among the oldest and highest-need in the country, and hospital finances have been fragile in many counties. Eastern Panhandle residents commonly use Maryland or Virginia providers, and northern residents look to Pittsburgh.
Run a ZIP lookup for your part of West Virginia, whether Morgantown, Charleston, Huntington, Wheeling, the Eastern Panhandle near Martinsburg, or the southern coalfields.
Featured physician rates in West Virginia
Office (non-facility) physician rates. Open a row for the locality table and ZIP tool.
Other states
Medical costs in West Virginia: questions
Across the 59 featured procedures on this page, West Virginia sits below the national average by about 6%. Examples: incision & drainage of abscess $119, skin biopsy (tangential) $87, skin biopsy (punch) $111. Search any other CPT in the box above — those codes are in the tool, not as extra West Virginia articles.
West Virginia is one Medicare locality, so the physician fee schedule is statewide. Site of service (office vs hospital) and hospital facility fees still change what a patient is billed.
Medicare physician allowed amounts only — the professional fee after GPCI. They do not include hospital facility charges, anesthesia, or your plan’s contracted rate. Medicare patients typically owe 20% of the allowed amount after the Part B deductible, before Medigap.
Yes. The table is the featured set (59 procedures). The search box looks up 7,500+ payable codes from the 2026 fee schedule and applies West Virginia’s locality when you enter a ZIP.