Breast Biopsy (ultrasound-guided, percutaneous) at Summers County ARH Hospital
115 Summers Hospital Road, Hinton, WV · Arh · · NPI 1689664179
not published by hospital
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.
not published by hospital
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.
$1,070.60 with The Health Plan vs $4,710.64 with Aetna PPO — 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 |
|---|---|---|---|
| The Health Plan | Medicare | $1,070.60 | — |
| Humana | Medicare | $1,081.31 | — |
| The Health Plan | Medicaid | $1,081.31 | — |
| Anthem | Medicare Advantage | $1,081.31 | — |
| Optum CCN Region 1 | Veterans Affairs Plan | $1,081.31 | — |
| Optum CCN Region 2 | Veterans Affairs Plan | $1,081.31 | — |
| WellCare of Kentucky | Medicare | $1,081.31 | — |
| Aetna | Medicare | $1,177.66 | — |
| United Healthcare | Medicare | $1,659.43 | — |
| Unicare of West Virginia | Medicaid | $3,136.00 | — |
| Highmark BCBS | Commercial | $4,036.16 | — |
| United Healthcare PPO | Commercial | $4,228.87 | — |
| UMR | Commercial | $4,228.87 | — |
| United Healthcare HMO | Commercial | $4,228.87 | — |
| The Health Plan HMO | Commercial | $4,496.52 | — |
| Aetna POS | Commercial | $4,710.64 | — |
| Aetna PPO | Commercial | $4,710.64 | — |
Visitor-reported prices
Comments
Breast Biopsy (ultrasound-guided, percutaneous) at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jefferson Medical Center | Ranson | $991.00 | not published |
| West Virginia University Hospitals | Morgantown | $6,878.50 | $138.89 – $6,734.93 |
| Grant Memorial Hospital | Petersburg | $2,883.20 | not published |
| Reynolds Memorial Hospital | Glen Dale | $2,659.50 | $145.83 – $2,758.96 |
| Summersville Regional Medical Center | Summersville | $1,775.50 | not published |
| Berkeley Medical Center | Martinsburg | $1,968.00 | $148.61 – $2,781.70 |
| Braxton County Memorial Hospital | Gassaway | $152.50 | not published |
| United Hospital Center | Bridgeport | $2,669.00 | $205.80 – $2,979.57 |