Revise/replace knee joint at Reynolds Memorial Hospital
800 Wheeling Ave, Glen Dale, WV · Wvumedicine · · NPI 1144228305
$17,695.67
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.
$35,391.34
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.
$10,879.06 with highmark wholecare pennsylvania medicaid vs $29,289.77 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 wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $10,879.06 | ↓ -39% |
| molina oh medicare advantage | all plans | $16,737.01 | ↓ -5% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $16,737.01 | ↓ -5% |
| peak health medicare advantage – all plans | peak health medicare advantage – all plans | $16,737.01 | ↓ -5% |
| highmark wholecare pa medicare advantage | all pla | $17,239.12 | ↓ -3% |
| anthem oh medicare advantage | hmo | $17,239.12 | ↓ -3% |
| highmark wv medicare advantage | all plans | $17,406.49 | ↓ -2% |
| aetna medicare advantage | all plans | $17,573.86 | ↓ -1% |
| humana medicare advantage | all plans | $17,573.86 | ↓ -1% |
| pa health & wellness medicare advantage | all plan | $17,573.86 | ↓ -1% |
| senior life medicare advantage | all plans | $17,573.86 | ↓ -1% |
| buckeye oh medicare advantage | all plans | $17,573.86 | ↓ -1% |
| upmc for life medicare advantage | all plans | $17,573.86 | ↓ -1% |
| caresource oh medicare advantage | all plans | $17,573.86 | ↓ -1% |
| valor health medicare advantage | all plans | $17,741.23 | ↑ +0% |
| the health plan wv medicare advantage | all plans | $17,741.23 | ↑ +0% |
| geisinger pa medicare advantage | all plans | $17,741.23 | ↑ +0% |
| wv senior advantage | isnp | $17,741.23 | ↑ +0% |
| unitedhealthcare medicare advantage | all plans | $18,243.34 | ↑ +3% |
| caresource oh exchange | caresource oh exchange | $25,105.51 | ↑ +42% |
| encova | worker's compensation | $25,105.51 | ↑ +42% |
| buckeye commercial | exchange plan | $25,105.51 | ↑ +42% |
| coventry health care | worker's compensation | $26,444.48 | ↑ +49% |
| alliance coal | alliance coal | $29,289.77 | ↑ +66% |
Visitor-reported prices
Comments
Revise/replace knee joint at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $40,135.00 | $10,970.13 – $71,499.92 |
| Grant Memorial Hospital | Petersburg | $2,911.20 | not published |
| Summersville Regional Medical Center | Summersville | $1,937.00 | not published |
| Braxton County Memorial Hospital | Gassaway | $1,819.50 | not published |
| Jackson General Hospital | Ripley | $1,937.00 | not published |
| Potomac Valley Hospital | Keyser | $1,937.00 | not published |
| Camden Clark Medical Center | Parkersburg | $14,551.50 | $16,737.01 – $29,289.77 |
| St. Joseph's Hospital | Buckhannon | $1,819.50 | not published |