Off/op consltj new/est sf 20 at Reynolds Memorial Hospital
800 Wheeling Ave, Glen Dale, WV · Wvumedicine · · NPI 1144228305
$160.50
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.
$321.00
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.
$41.18 with wellpoint west virginia vs $48.29 with pennsylvania health & wellness — 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 | $41.18 | ↓ -74% |
| highmark health options west va | mgd mcaid | $41.18 | ↓ -74% |
| the health plan wv | mgd mcaid | $41.77 | ↓ -74% |
| aetna | better health mgd medicaid | $41.97 | ↓ -74% |
| aetna better health wv | chip | $41.97 | ↓ -74% |
| highmark health options | chip | $46.10 | ↓ -71% |
| wellpoint wv | chip | $46.10 | ↓ -71% |
| the health plan wv | chip | $46.97 | ↓ -71% |
| upmc for you medicaid | upmc for you medicaid | $48.29 | ↓ -70% |
| aetna better health pa | chip | $48.29 | ↓ -70% |
| pennsylvania health & wellness | medicaid | $48.29 | ↓ -70% |
Visitor-reported prices
Comments
Off/op consltj new/est sf 20 at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jefferson Medical Center | Ranson | $92.50 | not published |
| West Virginia University Hospitals | Morgantown | $45.50 | $41.18 – $49.17 |
| Grant Memorial Hospital | Petersburg | $99.20 | not published |
| Summersville Regional Medical Center | Summersville | $56.50 | not published |
| Braxton County Memorial Hospital | Gassaway | $62.00 | not published |
| United Hospital Center | Bridgeport | $84.00 | $41.18 – $41.97 |
| Jackson General Hospital | Ripley | $56.50 | not published |
| Potomac Valley Hospital | Keyser | $62.00 | not published |