Removal of adenoids at Reynolds Memorial Hospital
800 Wheeling Ave, Glen Dale, WV · Wvumedicine · · NPI 1144228305
$2,885.34
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.
$5,770.67
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 $5,538.40 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 | $682.00 | ↓ -76% |
| upmc for you medicaid | upmc for you medicaid | $682.00 | ↓ -76% |
| pennsylvania health & wellness | medicaid | $682.00 | ↓ -76% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $2,057.12 | ↓ -29% |
| molina oh medicare advantage | all plans | $3,164.80 | ↑ +10% |
| peak health medicare advantage – all plans | peak health medicare advantage – all plans | $3,164.80 | ↑ +10% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $3,164.80 | ↑ +10% |
| anthem oh medicare advantage | hmo | $3,259.74 | ↑ +13% |
| highmark wholecare pa medicare advantage | all pla | $3,259.74 | ↑ +13% |
| highmark wv medicare advantage | all plans | $3,291.39 | ↑ +14% |
| aetna medicare advantage | all plans | $3,323.04 | ↑ +15% |
| caresource oh medicare advantage | all plans | $3,323.04 | ↑ +15% |
| humana medicare advantage | all plans | $3,323.04 | ↑ +15% |
| pa health & wellness medicare advantage | all plan | $3,323.04 | ↑ +15% |
| senior life medicare advantage | all plans | $3,323.04 | ↑ +15% |
| buckeye oh medicare advantage | all plans | $3,323.04 | ↑ +15% |
| upmc for life medicare advantage | all plans | $3,323.04 | ↑ +15% |
| wv senior advantage | isnp | $3,354.69 | ↑ +16% |
| valor health medicare advantage | all plans | $3,354.69 | ↑ +16% |
| the health plan wv medicare advantage | all plans | $3,354.69 | ↑ +16% |
| geisinger pa medicare advantage | all plans | $3,354.69 | ↑ +16% |
| unitedhealthcare medicare advantage | all plans | $3,449.63 | ↑ +20% |
| buckeye commercial | exchange plan | $4,747.20 | ↑ +65% |
| encova | worker's compensation | $4,747.20 | ↑ +65% |
| caresource oh exchange | caresource oh exchange | $4,747.20 | ↑ +65% |
| coventry health care | worker's compensation | $5,000.38 | ↑ +73% |
| alliance coal | alliance coal | $5,538.40 | ↑ +92% |
Visitor-reported prices
Comments
Removal of adenoids at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $7,888.50 | $205.80 – $13,519.90 |
| Berkeley Medical Center | Martinsburg | $3,285.00 | $205.80 – $5,584.04 |
| Camden Clark Medical Center | Parkersburg | $3,563.50 | $205.80 – $5,538.40 |
| Princeton Community Hospital | Princeton | $3,967.00 | $205.80 – $19,742.48 |
| Thomas Hospitals | South Charleston | $3,438.00 | $205.80 – $16,016.74 |
| Weirton Medical Center | Weirton | $8,974.50 | $205.80 – $16,106.93 |
| Beckley ARH Hospital | Beckley | $403.20 | $159.04 – $184.52 |