Biopsy of salivary gland 42400 at Berkeley Medical Center
2500 Hospital Dr, Martinsburg, WV · Wvumedicine · · NPI 1457389249
$3,939.50
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.
$7,879.00
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.
$37.45 with aetna vs $1,192.66 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 |
|---|---|---|---|
| aetna | better health va mgd medicaid | $37.45 | ↓ -99% |
| highmark health options | chip | $105.00 | ↓ -97% |
| wellpoint wv | chip | $105.00 | ↓ -97% |
| wellpoint west virginia | mgd mcaid | $105.00 | ↓ -97% |
| highmark health options west va | mgd mcaid | $105.00 | ↓ -97% |
| the health plan wv | mgd mcaid | $106.50 | ↓ -97% |
| aetna better health wv | chip | $107.00 | ↓ -97% |
| the health plan wv | chip | $107.00 | ↓ -97% |
| aetna | better health wv mgd medicaid | $107.00 | ↓ -97% |
| peak health medicare advantage | all plans | $681.52 | ↓ -83% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $681.52 | ↓ -83% |
| highmark wholecare pa medicare advantage | all pla | $701.97 | ↓ -82% |
| highmark wv medicare advantage | all plans | $708.78 | ↓ -82% |
| senior life medicare advantage | all plans | $715.60 | ↓ -82% |
| humana medicare advantage | all plans | $715.60 | ↓ -82% |
| pa health & wellness medicare advantage | all plan | $715.60 | ↓ -82% |
| aetna medicare advantage | all plans | $715.60 | ↓ -82% |
| the health plan wv medicare advantage | all plans | $722.41 | ↓ -82% |
| wv senior advantage | isnp | $722.41 | ↓ -82% |
| valor health medicare advantage | all plans | $722.41 | ↓ -82% |
| geisinger pa medicare advantage | all plans | $722.41 | ↓ -82% |
| unitedhealthcare medicare advantage | all plans | $742.86 | ↓ -81% |
| caresource oh exchange | caresource oh exchange | $1,022.28 | ↓ -74% |
| encova | worker's compensation | $1,022.28 | ↓ -74% |
| rockport healthcare group | worker's compensation | $1,056.36 | ↓ -73% |
| coventry health care | worker's compensation | $1,076.80 | ↓ -73% |
| alliance coal | alliance coal | $1,192.66 | ↓ -70% |
Visitor-reported prices
Comments
Biopsy of salivary gland 42400 at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $8,334.00 | $35.00 – $2,887.64 |
| Grant Memorial Hospital | Petersburg | $1,108.80 | not published |
| Reynolds Memorial Hospital | Glen Dale | $4,261.00 | $36.75 – $1,182.91 |
| United Hospital Center | Bridgeport | $814.00 | $105.00 – $1,277.52 |
| Wetzel County Hospital | New Martinsville | $834.50 | $38.50 – $1,266.91 |
| Camden Clark Medical Center | Parkersburg | $1,201.50 | $105.00 – $1,182.91 |
| Princeton Community Hospital | Princeton | $1,320.50 | $35.00 – $4,216.72 |
| Thomas Hospitals | South Charleston | $1,944.50 | $105.00 – $3,420.92 |