Ventilator initial day at Potomac Valley Hospital
100 Pin Oak Ln, Keyser, WV · Wvumedicine · · NPI 1912979873
$772.00
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.
$1,544.00
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.
$1,608.14 with wv senior advantage vs $12,172.00 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 |
|---|---|---|---|
| wv senior advantage | isnp | $1,608.14 | ↑ +108% |
| blue cross blue shield ppo | blue cross blue shield ppo | $2,205.00 | ↑ +186% |
| rockport healthcare group | worker's compensation | $2,351.52 | ↑ +205% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $2,651.51 | ↑ +243% |
| peak health medicare advantage | all plans | $2,651.51 | ↑ +243% |
| highmark wholecare pa medicare advantage | all pla | $2,731.06 | ↑ +254% |
| highmark wv medicare advantage | all plans | $2,757.57 | ↑ +257% |
| senior life medicare advantage | all plans | $2,784.09 | ↑ +261% |
| highmark health options west va | mgd mcaid | $2,784.09 | ↑ +261% |
| humana medicare advantage | all plans | $2,784.09 | ↑ +261% |
| pa health & wellness medicare advantage | all plan | $2,784.09 | ↑ +261% |
| wellpoint west virginia | mgd mcaid | $2,784.09 | ↑ +261% |
| the health plan wv medicare advantage | all plans | $2,810.60 | ↑ +264% |
| the health plan wv | mgd mcaid | $2,823.86 | ↑ +266% |
| aetna | better health wv mgd medicaid | $2,837.12 | ↑ +268% |
| wellpoint wv | chip | $2,859.73 | ↑ +270% |
| highmark health options | chip | $2,859.73 | ↑ +270% |
| the health plan wv | chip | $2,914.20 | ↑ +277% |
| aetna better health wv | chip | $2,914.20 | ↑ +277% |
| alliance coal | alliance coal | $12,172.00 | ↑ +1477% |
Visitor-reported prices
Comments
Ventilator initial day at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jefferson Medical Center | Ranson | $874.50 | not published |
| West Virginia University Hospitals | Morgantown | $1,592.00 | not published |
| Grant Memorial Hospital | Petersburg | $976.80 | not published |
| Reynolds Memorial Hospital | Glen Dale | $867.00 | not published |
| Summersville Regional Medical Center | Summersville | $707.50 | not published |
| Berkeley Medical Center | Martinsburg | $710.00 | not published |
| Braxton County Memorial Hospital | Gassaway | $870.00 | not published |
| United Hospital Center | Bridgeport | $712.50 | not published |