Consultation pathology during surgery at Berkeley Medical Center
2500 Hospital Dr, Martinsburg, WV · Wvumedicine · · NPI 1457389249
$54.50
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.
$109.00
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.
$31.85 with aetna vs $89.71 with coventry health care — 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 | $31.85 | ↓ -42% |
| peak health medicare advantage | all plans | $56.78 | ↑ +4% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $56.78 | ↑ +4% |
| highmark wholecare pa medicare advantage | all pla | $58.48 | ↑ +7% |
| highmark wv medicare advantage | all plans | $59.05 | ↑ +8% |
| aetna medicare advantage | all plans | $59.62 | ↑ +9% |
| senior life medicare advantage | all plans | $59.62 | ↑ +9% |
| humana medicare advantage | all plans | $59.62 | ↑ +9% |
| pa health & wellness medicare advantage | all plan | $59.62 | ↑ +9% |
| valor health medicare advantage | all plans | $60.19 | ↑ +10% |
| geisinger pa medicare advantage | all plans | $60.19 | ↑ +10% |
| wv senior advantage | isnp | $60.19 | ↑ +10% |
| the health plan wv medicare advantage | all plans | $60.19 | ↑ +10% |
| unitedhealthcare medicare advantage | all plans | $61.89 | ↑ +14% |
| alliance coal | alliance coal | $70.97 | ↑ +30% |
| encova | worker's compensation | $85.17 | ↑ +56% |
| caresource oh exchange | caresource oh exchange | $85.17 | ↑ +56% |
| rockport healthcare group | worker's compensation | $88.01 | ↑ +61% |
| coventry health care | worker's compensation | $89.71 | ↑ +65% |
Visitor-reported prices
Comments
Consultation pathology during surgery at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jefferson Medical Center | Ranson | $32.00 | not published |
| West Virginia University Hospitals | Morgantown | $47.00 | $31.26 – $89.71 |
| Grant Memorial Hospital | Petersburg | $51.20 | not published |
| Reynolds Memorial Hospital | Glen Dale | $109.50 | $31.26 – $88.97 |
| Summersville Regional Medical Center | Summersville | $35.50 | not published |
| Braxton County Memorial Hospital | Gassaway | $32.00 | not published |
| United Hospital Center | Bridgeport | $137.50 | $60.81 – $96.08 |
| Jackson General Hospital | Ripley | $35.50 | not published |