Nasal/sinus endo surg w/concha bullosa resct 31240 at Reynolds Memorial Hospital
800 Wheeling Ave, Glen Dale, WV · Wvumedicine · · NPI 1144228305
$3,021.00
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.
$6,042.00
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.
$205.80 with highmark health options west va vs $2,973.27 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 |
|---|---|---|---|
| highmark health options west va | mgd mcaid | $205.80 | ↓ -93% |
| wellpoint west virginia | mgd mcaid | $205.80 | ↓ -93% |
| the health plan wv | mgd mcaid | $208.74 | ↓ -93% |
| aetna | better health mgd medicaid | $209.72 | ↓ -93% |
| aetna better health wv | chip | $209.72 | ↓ -93% |
| aetna better health pa | chip | $853.60 | ↓ -72% |
| upmc for you medicaid | upmc for you medicaid | $853.60 | ↓ -72% |
| pennsylvania health & wellness | medicaid | $853.60 | ↓ -72% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $1,104.36 | ↓ -63% |
| molina oh medicare advantage | all plans | $1,699.01 | ↓ -44% |
| peak health medicare advantage – all plans | peak health medicare advantage – all plans | $1,699.01 | ↓ -44% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $1,699.01 | ↓ -44% |
| anthem oh medicare advantage | hmo | $1,749.98 | ↓ -42% |
| highmark wholecare pa medicare advantage | all pla | $1,749.98 | ↓ -42% |
| highmark wv medicare advantage | all plans | $1,766.97 | ↓ -42% |
| aetna medicare advantage | all plans | $1,783.96 | ↓ -41% |
| caresource oh medicare advantage | all plans | $1,783.96 | ↓ -41% |
| humana medicare advantage | all plans | $1,783.96 | ↓ -41% |
| pa health & wellness medicare advantage | all plan | $1,783.96 | ↓ -41% |
| senior life medicare advantage | all plans | $1,783.96 | ↓ -41% |
| buckeye oh medicare advantage | all plans | $1,783.96 | ↓ -41% |
| upmc for life medicare advantage | all plans | $1,783.96 | ↓ -41% |
| wv senior advantage | isnp | $1,800.95 | ↓ -40% |
| valor health medicare advantage | all plans | $1,800.95 | ↓ -40% |
| the health plan wv medicare advantage | all plans | $1,800.95 | ↓ -40% |
| geisinger pa medicare advantage | all plans | $1,800.95 | ↓ -40% |
| unitedhealthcare medicare advantage | all plans | $1,851.92 | ↓ -39% |
| buckeye commercial | exchange plan | $2,548.52 | ↓ -16% |
| encova | worker's compensation | $2,548.52 | ↓ -16% |
| caresource oh exchange | caresource oh exchange | $2,548.52 | ↓ -16% |
| coventry health care | worker's compensation | $2,684.44 | ↓ -11% |
| alliance coal | alliance coal | $2,973.27 | ↓ -2% |
Visitor-reported prices
Comments
Nasal/sinus endo surg w/concha bullosa resct 31240 at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $14,160.00 | $205.80 – $7,258.10 |
| Berkeley Medical Center | Martinsburg | $2,089.63 | $1,713.01 – $2,997.77 |
| United Hospital Center | Bridgeport | $2,046.00 | $205.80 – $3,211.02 |
| Wetzel County Hospital | New Martinsville | $2,098.00 | $205.80 – $3,184.37 |
| Camden Clark Medical Center | Parkersburg | $2,046.00 | $205.80 – $2,973.27 |
| Princeton Community Hospital | Princeton | $1,179.88 | $1,819.64 – $10,598.68 |
| Thomas Hospitals | South Charleston | $2,090.25 | $1,699.01 – $8,598.52 |
| Weirton Medical Center | Weirton | $2,564.83 | $1,699.01 – $8,646.94 |