Incision of eardrum at Beckley ARH Hospital
306 Standord Road, Beckley, WV · Arh · · NPI 1568461440
$160.20
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$267.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$88.79 with The Health Plan vs $234.96 with Aetna PPO — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| The Health Plan | Medicaid | $88.79 | ↓ -45% |
| Aetna | Medicare | $103.98 | ↓ -35% |
| The Health Plan | Medicare | $200.24 | ↑ +25% |
| Anthem | Medicare Advantage | $200.24 | ↑ +25% |
| Highmark | ACA | $200.24 | ↑ +25% |
| Highmark | Indemnity and Managed Care | $200.24 | ↑ +25% |
| Humana | Medicare | $200.24 | ↑ +25% |
| United Healthcare | Medicare | $200.24 | ↑ +25% |
| Optum CCN Region 1 | Veterans Affairs Plan | $200.24 | ↑ +25% |
| Optum CCN Region 2 | Veterans Affairs Plan | $200.24 | ↑ +25% |
| WellCare of Kentucky | Medicare | $200.24 | ↑ +25% |
| United Healthcare PPO | Commercial | $210.93 | ↑ +32% |
| UMR | Commercial | $210.93 | ↑ +32% |
| United Healthcare HMO | Commercial | $210.93 | ↑ +32% |
| The Health Plan HMO | Commercial | $224.28 | ↑ +40% |
| Aetna POS | Commercial | $234.96 | ↑ +47% |
| Aetna PPO | Commercial | $234.96 | ↑ +47% |
Visitor-reported prices
Comments
Incision of eardrum at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $1,666.17 | $78.23 – $604.15 |
| Reynolds Memorial Hospital | Glen Dale | $109.50 | $78.23 – $395.66 |
| Berkeley Medical Center | Martinsburg | $916.00 | $79.72 – $398.91 |
| United Hospital Center | Bridgeport | $272.50 | $205.80 – $427.30 |
| Camden Clark Medical Center | Parkersburg | $272.50 | $205.80 – $395.66 |
| Princeton Community Hospital | Princeton | $298.50 | $74.50 – $1,410.37 |
| Thomas Hospitals | South Charleston | $647.50 | $205.80 – $1,144.22 |