Incisn of toe tndn at Berkeley Medical Center
2500 Hospital Dr, Martinsburg, WV · Wvumedicine · · NPI 1457389249
$2,052.75
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.
?
What you pay up front if you don't use insurance.
$4,105.50
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.
?
The hospital's undiscounted list price — almost no one pays this.
$140.17 with aetna vs $2,708.25 with alliance coal — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $140.17 | ↓ -93% |
| highmark health options | chip | $205.80 | ↓ -90% |
| wellpoint wv | chip | $205.80 | ↓ -90% |
| wellpoint west virginia | mgd mcaid | $205.80 | ↓ -90% |
| highmark health options west va | mgd mcaid | $205.80 | ↓ -90% |
| the health plan wv | mgd mcaid | $208.74 | ↓ -90% |
| aetna better health wv | chip | $209.72 | ↓ -90% |
| the health plan wv | chip | $209.72 | ↓ -90% |
| aetna | better health wv mgd medicaid | $209.72 | ↓ -90% |
| peak health medicare advantage | all plans | $1,547.57 | ↓ -25% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $1,547.57 | ↓ -25% |
| highmark wholecare pa medicare advantage | all pla | $1,594.00 | ↓ -22% |
| highmark wv medicare advantage | all plans | $1,609.47 | ↓ -22% |
| senior life medicare advantage | all plans | $1,624.95 | ↓ -21% |
| humana medicare advantage | all plans | $1,624.95 | ↓ -21% |
| pa health & wellness medicare advantage | all plan | $1,624.95 | ↓ -21% |
| aetna medicare advantage | all plans | $1,624.95 | ↓ -21% |
| the health plan wv medicare advantage | all plans | $1,640.42 | ↓ -20% |
| wv senior advantage | isnp | $1,640.42 | ↓ -20% |
| valor health medicare advantage | all plans | $1,640.42 | ↓ -20% |
| geisinger pa medicare advantage | all plans | $1,640.42 | ↓ -20% |
| unitedhealthcare medicare advantage | all plans | $1,686.85 | ↓ -18% |
| caresource oh exchange | caresource oh exchange | $2,321.35 | ↑ +13% |
| encova | worker's compensation | $2,321.35 | ↑ +13% |
| rockport healthcare group | worker's compensation | $2,398.73 | ↑ +17% |
| coventry health care | worker's compensation | $2,445.16 | ↑ +19% |
| alliance coal | alliance coal | $2,708.25 | ↑ +32% |
Visitor-reported prices
Comments
Incisn of toe tndn at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jefferson Medical Center | Ranson | $217.00 | not published |
| West Virginia University Hospitals | Morgantown | $7,327.00 | $131.00 – $6,557.13 |
| Grant Memorial Hospital | Petersburg | $3,156.00 | not published |
| Reynolds Memorial Hospital | Glen Dale | $2,010.00 | $137.55 – $2,686.11 |
| Summersville Regional Medical Center | Summersville | $215.50 | not published |
| Braxton County Memorial Hospital | Gassaway | $217.00 | not published |
| United Hospital Center | Bridgeport | $1,882.50 | $205.80 – $2,900.91 |
| Jackson General Hospital | Ripley | $1,500.50 | not published |