Aco cont gluc mnt phys/qhp eqp 95250aco at Reynolds Memorial Hospital

800 Wheeling Ave, Glen Dale, WV · Wvumedicine · · NPI 1144228305

Source: hospital's published price file ↗ · Published Jul 9, 2026 · Ingested Sep 16, 2026

$202.50

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$405.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$82.60 with highmark wholecare pennsylvania medicaid vs $222.39 with alliance coal — 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 →

Payer
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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
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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
highmark wholecare pennsylvania medicaid highmark wholecare pennsylvania medicaid $82.60 ↓ -59%
wellpoint wv chip $92.67 ↓ -54%
highmark health options chip $92.67 ↓ -54%
the health plan wv chip $94.44 ↓ -53%
wellpoint west virginia mgd mcaid $95.99 ↓ -53%
highmark health options west va mgd mcaid $95.99 ↓ -53%
pennsylvania health & wellness medicaid $97.09 ↓ -52%
aetna better health pa chip $97.09 ↓ -52%
upmc for you medicaid upmc for you medicaid $97.09 ↓ -52%
the health plan wv mgd mcaid $97.36 ↓ -52%
aetna better health wv chip $97.82 ↓ -52%
aetna better health mgd medicaid $97.82 ↓ -52%
peak health medicare advantage – all plans peak health medicare advantage – all plans $127.08 ↓ -37%
united mine workers of america medicare advantage united mine workers of america medicare advantage $127.08 ↓ -37%
molina oh medicare advantage all plans $127.08 ↓ -37%
anthem oh medicare advantage hmo $130.89 ↓ -35%
highmark wholecare pa medicare advantage all pla $130.89 ↓ -35%
highmark wv medicare advantage all plans $132.16 ↓ -35%
humana medicare advantage all plans $133.43 ↓ -34%
pa health & wellness medicare advantage all plan $133.43 ↓ -34%
caresource oh medicare advantage all plans $133.43 ↓ -34%
buckeye oh medicare advantage all plans $133.43 ↓ -34%
senior life medicare advantage all plans $133.43 ↓ -34%
upmc for life medicare advantage all plans $133.43 ↓ -34%
aetna medicare advantage all plans $133.43 ↓ -34%
the health plan wv medicare advantage all plans $134.70 ↓ -33%
wv senior advantage isnp $134.70 ↓ -33%
geisinger pa medicare advantage all plans $134.70 ↓ -33%
valor health medicare advantage all plans $134.70 ↓ -33%
unitedhealthcare medicare advantage all plans $138.52 ↓ -32%
encova worker's compensation $190.62 ↓ -6%
buckeye commercial exchange plan $190.62 ↓ -6%
caresource oh exchange caresource oh exchange $190.62 ↓ -6%
coventry health care worker's compensation $200.79 ↓ -1%
alliance coal alliance coal $222.39 ↑ +10%

Visitor-reported prices

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Aco cont gluc mnt phys/qhp eqp 95250aco at other West-virginia hospitals

Hospital City Cash price Negotiated range
Jefferson Medical Center Ranson $153.00 not published
West Virginia University Hospitals Morgantown $364.00 $83.30 – $542.91
Grant Memorial Hospital Petersburg $244.80 not published
Summersville Regional Medical Center Summersville $162.00 not published
Berkeley Medical Center Martinsburg $214.50 $51.26 – $97.82
Braxton County Memorial Hospital Gassaway $153.00 not published
United Hospital Center Bridgeport $518.50 $95.99 – $240.19
Jackson General Hospital Ripley $136.00 not published

All West-virginia hospitals for this procedure →