Exploration maxillary sinus at Berkeley Medical Center
2500 Hospital Dr, Martinsburg, WV · Wvumedicine · · NPI 1457389249
$2,520.00
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.
$5,040.00
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.
$205.80 with wellpoint wv vs $6,279.44 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 |
|---|---|---|---|
| wellpoint wv | chip | $205.80 | ↓ -92% |
| highmark health options west va | mgd mcaid | $205.80 | ↓ -92% |
| highmark health options | chip | $205.80 | ↓ -92% |
| wellpoint west virginia | mgd mcaid | $205.80 | ↓ -92% |
| the health plan wv | mgd mcaid | $208.74 | ↓ -92% |
| aetna | better health wv mgd medicaid | $209.72 | ↓ -92% |
| the health plan wv | chip | $209.72 | ↓ -92% |
| aetna better health wv | chip | $209.72 | ↓ -92% |
| peak health medicare advantage | all plans | $3,588.25 | ↑ +42% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $3,588.25 | ↑ +42% |
| highmark wholecare pa medicare advantage | all pla | $3,695.90 | ↑ +47% |
| highmark wv medicare advantage | all plans | $3,731.78 | ↑ +48% |
| pa health & wellness medicare advantage | all plan | $3,767.66 | ↑ +50% |
| humana medicare advantage | all plans | $3,767.66 | ↑ +50% |
| senior life medicare advantage | all plans | $3,767.66 | ↑ +50% |
| aetna medicare advantage | all plans | $3,767.66 | ↑ +50% |
| valor health medicare advantage | all plans | $3,803.54 | ↑ +51% |
| the health plan wv medicare advantage | all plans | $3,803.54 | ↑ +51% |
| wv senior advantage | isnp | $3,803.54 | ↑ +51% |
| geisinger pa medicare advantage | all plans | $3,803.54 | ↑ +51% |
| unitedhealthcare medicare advantage | all plans | $3,911.19 | ↑ +55% |
| encova | worker's compensation | $5,382.38 | ↑ +114% |
| caresource oh exchange | caresource oh exchange | $5,382.38 | ↑ +114% |
| rockport healthcare group | worker's compensation | $5,561.79 | ↑ +121% |
| coventry health care | worker's compensation | $5,669.44 | ↑ +125% |
| alliance coal | alliance coal | $6,279.44 | ↑ +149% |
Visitor-reported prices
Comments
Exploration maxillary sinus at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $6,151.67 | $205.80 – $15,203.57 |
| United Hospital Center | Bridgeport | $4,326.00 | $205.80 – $6,726.14 |
| Camden Clark Medical Center | Parkersburg | $4,326.00 | $205.80 – $6,228.11 |
| Princeton Community Hospital | Princeton | $1,881.50 | $3,811.60 – $22,201.05 |
| Thomas Hospitals | South Charleston | $3,560.83 | $3,558.92 – $18,011.34 |
| Weirton Medical Center | Weirton | $5,129.67 | $3,558.92 – $18,112.77 |
| Beckley ARH Hospital | Beckley | $871.20 | $137.42 – $148.04 |