Elbow arthroscopy/surgery at Berkeley Medical Center
2500 Hospital Dr, Martinsburg, WV · Wvumedicine · · NPI 1457389249
$5,061.34
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.
$10,122.67
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.
$3,149.05 with united mine workers of america medicare advantage vs $5,510.84 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 |
|---|---|---|---|
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $3,149.05 | ↓ -38% |
| peak health medicare advantage | all plans | $3,149.05 | ↓ -38% |
| highmark wholecare pa medicare advantage | all pla | $3,243.52 | ↓ -36% |
| highmark wv medicare advantage | all plans | $3,275.01 | ↓ -35% |
| pa health & wellness medicare advantage | all plan | $3,306.50 | ↓ -35% |
| aetna medicare advantage | all plans | $3,306.50 | ↓ -35% |
| senior life medicare advantage | all plans | $3,306.50 | ↓ -35% |
| humana medicare advantage | all plans | $3,306.50 | ↓ -35% |
| valor health medicare advantage | all plans | $3,337.99 | ↓ -34% |
| the health plan wv medicare advantage | all plans | $3,337.99 | ↓ -34% |
| wv senior advantage | isnp | $3,337.99 | ↓ -34% |
| geisinger pa medicare advantage | all plans | $3,337.99 | ↓ -34% |
| unitedhealthcare medicare advantage | all plans | $3,432.46 | ↓ -32% |
| caresource oh exchange | caresource oh exchange | $4,723.58 | ↓ -7% |
| encova | worker's compensation | $4,723.58 | ↓ -7% |
| rockport healthcare group | worker's compensation | $4,881.03 | ↓ -4% |
| coventry health care | worker's compensation | $4,975.50 | ↓ -2% |
| alliance coal | alliance coal | $5,510.84 | ↑ +9% |
Visitor-reported prices
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Elbow arthroscopy/surgery at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $12,547.00 | $2,047.14 – $13,342.64 |