_afb org id by sequencing rflx ast-sendout at West Virginia University Hospitals
1 Medical Center Dr, Morgantown, WV · Wvumedicine · · NPI 1841271459
$472.00
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.
$944.00
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.
$69.00 with pennsylvania health and wellness vs $488.72 with blue cross blue shield traditional — 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 |
|---|---|---|---|
| pennsylvania health and wellness | mgd medicaid | $69.00 | ↓ -85% |
| geisinger pennsylvania | mgd medicaid | $69.00 | ↓ -85% |
| upmc for you medicaid | upmc for you medicaid | $69.00 | ↓ -85% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $74.98 | ↓ -84% |
| highmark health options | chip | $109.01 | ↓ -77% |
| wellpoint west virginia | mgd mcaid | $109.01 | ↓ -77% |
| wellpoint wv | chip | $109.01 | ↓ -77% |
| highmark health options west va | mgd mcaid | $109.01 | ↓ -77% |
| the health plan wv | mgd mcaid | $110.57 | ↓ -77% |
| aetna | better health mgd medicaid | $111.09 | ↓ -76% |
| the health plan wv | chip | $111.09 | ↓ -76% |
| aetna better health wv | chip | $111.09 | ↓ -76% |
| anthem pathway | anthem pathway | $115.36 | ↓ -76% |
| peak health medicare advantage | all plans | $115.36 | ↓ -76% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $115.36 | ↓ -76% |
| highmark pa medicare advantage | hmo | $115.36 | ↓ -76% |
| molina oh medicare advantage | all plans | $115.36 | ↓ -76% |
| upmc for life medicare advantage | all plans | $115.36 | ↓ -76% |
| caresource oh medicare advantage | all plans | $115.36 | ↓ -76% |
| anthem oh medicare advantage | hmo | $118.82 | ↓ -75% |
| highmark wholecare pa medicare advantage | all pla | $118.82 | ↓ -75% |
| highmark wv medicare advantage | all plans | $119.97 | ↓ -75% |
| buckeye oh medicare advantage | all plans | $121.13 | ↓ -74% |
| senior life pa - ma | certain hospitals | $121.13 | ↓ -74% |
| humana medicare advantage | all plans | $121.13 | ↓ -74% |
| pa health & wellness medicare advantage | all plan | $121.13 | ↓ -74% |
| aetna medicare advantage | all plans | $121.13 | ↓ -74% |
| the health plan wv medicare advantage | all plans | $122.28 | ↓ -74% |
| wv senior advantage | isnp | $122.28 | ↓ -74% |
| valor health medicare advantage | all plans | $122.28 | ↓ -74% |
| geisinger pa medicare advantage | all plans | $122.28 | ↓ -74% |
| unitedhealthcare medicare advantage | all plans | $125.74 | ↓ -73% |
| caresource oh exchange | caresource oh exchange | $126.90 | ↓ -73% |
| the health plan wv | peia | $129.43 | ↓ -73% |
| aetna better health pa | chip | $132.18 | ↓ -72% |
| uhc community pa chip | unison kids | $136.15 | ↓ -71% |
| alliance coal | alliance coal | $144.20 | ↓ -69% |
| upmc for kids | chip | $145.40 | ↓ -69% |
| pennsylvania health & wellness | medicaid | $145.40 | ↓ -69% |
| amerihealth caritas pa | medicaid | $148.04 | ↓ -69% |
| encova | worker's compensation | $173.04 | ↓ -63% |
| buckeye commercial | exchange plan | $173.04 | ↓ -63% |
| rockport healthcare group | worker's compensation | $178.81 | ↓ -62% |
| coventry health care | worker's compensation | $182.27 | ↓ -61% |
| blue cross blue shield ppo | blue cross blue shield ppo | $488.72 | ↑ +4% |
| blue cross blue shield traditional | blue cross blue shield traditional | $488.72 | ↑ +4% |
Visitor-reported prices
Comments
_afb org id by sequencing rflx ast-sendout at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Reynolds Memorial Hospital | Glen Dale | $472.00 | $74.98 – $182.27 |
| Summersville Regional Medical Center | Summersville | $191.50 | not published |
| Berkeley Medical Center | Martinsburg | $543.00 | $109.01 – $182.27 |
| United Hospital Center | Bridgeport | $495.50 | $109.01 – $182.27 |
| Jackson General Hospital | Ripley | $204.00 | not published |
| Potomac Valley Hospital | Keyser | $186.50 | not published |
| Wetzel County Hospital | New Martinsville | $472.00 | $77.00 – $182.27 |
| Camden Clark Medical Center | Parkersburg | $495.50 | $109.01 – $182.27 |