Immunoassay tumor antigen quantitative ca 19-9 at Summers County ARH Hospital
115 Summers Hospital Road, Hinton, WV · Arh · · NPI 1689664179
$192.60
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.
$18.73 with Unicare of West Virginia vs $282.48 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 |
|---|---|---|---|
| Unicare of West Virginia | Medicaid | $18.73 | ↓ -90% |
| The Health Plan | Medicare | $64.20 | ↓ -67% |
| Anthem | Medicare Advantage | $64.84 | ↓ -66% |
| Optum CCN Region 1 | Veterans Affairs Plan | $64.84 | ↓ -66% |
| The Health Plan | Medicaid | $64.84 | ↓ -66% |
| Humana | Medicare | $64.84 | ↓ -66% |
| Optum CCN Region 2 | Veterans Affairs Plan | $64.84 | ↓ -66% |
| WellCare of Kentucky | Medicare | $64.84 | ↓ -66% |
| Aetna | Medicare | $70.62 | ↓ -63% |
| United Healthcare | Medicare | $99.51 | ↓ -48% |
| Highmark BCBS | Commercial | $242.03 | ↑ +26% |
| United Healthcare HMO | Commercial | $253.59 | ↑ +32% |
| UMR | Commercial | $253.59 | ↑ +32% |
| United Healthcare PPO | Commercial | $253.59 | ↑ +32% |
| The Health Plan HMO | Commercial | $269.64 | ↑ +40% |
| Aetna POS | Commercial | $282.48 | ↑ +47% |
| Aetna PPO | Commercial | $282.48 | ↑ +47% |
Visitor-reported prices
Comments
Immunoassay tumor antigen quantitative ca 19-9 at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jefferson Medical Center | Ranson | $90.50 | not published |
| West Virginia University Hospitals | Morgantown | $131.00 | $13.53 – $88.16 |
| Grant Memorial Hospital | Petersburg | $35.20 | not published |
| Reynolds Memorial Hospital | Glen Dale | $46.00 | $13.53 – $32.88 |
| Summersville Regional Medical Center | Summersville | $135.00 | not published |
| Berkeley Medical Center | Martinsburg | $93.50 | $19.67 – $32.88 |
| Braxton County Memorial Hospital | Gassaway | $31.00 | not published |
| United Hospital Center | Bridgeport | $134.00 | $19.67 – $32.88 |