Closed tx humerus fx w/manip 24505 at Reynolds Memorial Hospital
800 Wheeling Ave, Glen Dale, WV · Wvumedicine · · NPI 1144228305
$2,077.00
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.
$4,154.00
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.
$131.25 with wellpoint west virginia vs $2,686.11 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 →
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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 |
|---|---|---|---|
| wellpoint west virginia | mgd mcaid | $131.25 | ↓ -94% |
| highmark health options west va | mgd mcaid | $131.25 | ↓ -94% |
| the health plan wv | mgd mcaid | $133.13 | ↓ -94% |
| aetna | better health mgd medicaid | $133.75 | ↓ -94% |
| aetna better health wv | chip | $133.75 | ↓ -94% |
| highmark health options | chip | $171.15 | ↓ -92% |
| wellpoint wv | chip | $171.15 | ↓ -92% |
| the health plan wv | chip | $174.41 | ↓ -92% |
| upmc for you medicaid | upmc for you medicaid | $179.30 | ↓ -91% |
| aetna better health pa | chip | $179.30 | ↓ -91% |
| pennsylvania health & wellness | medicaid | $179.30 | ↓ -91% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $997.70 | ↓ -52% |
| peak health medicare advantage – all plans | peak health medicare advantage – all plans | $1,534.92 | ↓ -26% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $1,534.92 | ↓ -26% |
| molina oh medicare advantage | all plans | $1,534.92 | ↓ -26% |
| anthem oh medicare advantage | hmo | $1,580.97 | ↓ -24% |
| highmark wholecare pa medicare advantage | all pla | $1,580.97 | ↓ -24% |
| highmark wv medicare advantage | all plans | $1,596.32 | ↓ -23% |
| humana medicare advantage | all plans | $1,611.67 | ↓ -22% |
| pa health & wellness medicare advantage | all plan | $1,611.67 | ↓ -22% |
| caresource oh medicare advantage | all plans | $1,611.67 | ↓ -22% |
| buckeye oh medicare advantage | all plans | $1,611.67 | ↓ -22% |
| senior life medicare advantage | all plans | $1,611.67 | ↓ -22% |
| upmc for life medicare advantage | all plans | $1,611.67 | ↓ -22% |
| aetna medicare advantage | all plans | $1,611.67 | ↓ -22% |
| the health plan wv medicare advantage | all plans | $1,627.02 | ↓ -22% |
| wv senior advantage | isnp | $1,627.02 | ↓ -22% |
| geisinger pa medicare advantage | all plans | $1,627.02 | ↓ -22% |
| valor health medicare advantage | all plans | $1,627.02 | ↓ -22% |
| unitedhealthcare medicare advantage | all plans | $1,673.06 | ↓ -19% |
| encova | worker's compensation | $2,302.38 | ↑ +11% |
| buckeye commercial | exchange plan | $2,302.38 | ↑ +11% |
| caresource oh exchange | caresource oh exchange | $2,302.38 | ↑ +11% |
| coventry health care | worker's compensation | $2,425.17 | ↑ +17% |
| alliance coal | alliance coal | $2,686.11 | ↑ +29% |
Visitor-reported prices
Comments
Closed tx humerus fx w/manip 24505 at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jefferson Medical Center | Ranson | $523.00 | not published |
| West Virginia University Hospitals | Morgantown | $2,075.00 | $131.25 – $6,557.13 |
| Grant Memorial Hospital | Petersburg | $836.80 | not published |
| Summersville Regional Medical Center | Summersville | $1,879.50 | not published |
| Berkeley Medical Center | Martinsburg | $1,848.50 | $131.25 – $2,708.25 |
| Braxton County Memorial Hospital | Gassaway | $1,587.00 | not published |
| United Hospital Center | Bridgeport | $2,108.50 | $131.25 – $2,900.90 |
| Jackson General Hospital | Ripley | $1,769.50 | not published |