Lev 1 hosp type b ed visit at Berkeley Medical Center
2500 Hospital Dr, Martinsburg, WV · Wvumedicine · · NPI 1457389249
$106.00
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.
$212.00
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.
$25.00 with highmark wholecare pa medicare advantage vs $125.20 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 |
|---|---|---|---|
| highmark wholecare pa medicare advantage | all pla | $25.00 | ↓ -76% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $71.54 | ↓ -33% |
| peak health medicare advantage | all plans | $71.54 | ↓ -33% |
| highmark wv medicare advantage | all plans | $74.40 | ↓ -30% |
| pa health & wellness medicare advantage | all plan | $75.12 | ↓ -29% |
| aetna medicare advantage | all plans | $75.12 | ↓ -29% |
| senior life medicare advantage | all plans | $75.12 | ↓ -29% |
| humana medicare advantage | all plans | $75.12 | ↓ -29% |
| valor health medicare advantage | all plans | $75.83 | ↓ -28% |
| the health plan wv medicare advantage | all plans | $75.83 | ↓ -28% |
| wv senior advantage | isnp | $75.83 | ↓ -28% |
| geisinger pa medicare advantage | all plans | $75.83 | ↓ -28% |
| unitedhealthcare medicare advantage | all plans | $77.98 | ↓ -26% |
| caresource oh exchange | caresource oh exchange | $107.31 | ↑ +1% |
| encova | worker's compensation | $107.31 | ↑ +1% |
| rockport healthcare group | worker's compensation | $110.89 | ↑ +5% |
| coventry health care | worker's compensation | $113.03 | ↑ +7% |
| alliance coal | alliance coal | $125.20 | ↑ +18% |
Visitor-reported prices
Comments
Lev 1 hosp type b ed visit at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| West Virginia University Hospitals | Morgantown | $184.00 | $71.55 – $303.12 |
| Princeton Community Hospital | Princeton | $247.00 | $75.99 – $442.61 |
| Thomas Hospitals | South Charleston | $146.50 | $70.95 – $359.07 |
| Weirton Medical Center | Weirton | $197.50 | $70.95 – $361.09 |