Biopsy of lip 40490 at West Virginia University Hospitals
1 Medical Center Dr, Morgantown, WV · Wvumedicine · · NPI 1841271459
$331.00
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.
$662.00
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.
$38.33 with highmark health options vs $604.15 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 health options | chip | $38.33 | ↓ -88% |
| upmc for you medicaid | upmc for you medicaid | $38.33 | ↓ -88% |
| upmc for kids | chip | $40.15 | ↓ -88% |
| pennsylvania health and wellness | mgd medicaid | $40.15 | ↓ -88% |
| amerihealth caritas pa | medicaid | $40.88 | ↓ -88% |
| geisinger pennsylvania | mgd medicaid | $43.80 | ↓ -87% |
| wellpoint west virginia | mgd mcaid | $105.00 | ↓ -68% |
| wellpoint wv | chip | $105.00 | ↓ -68% |
| highmark health options west va | mgd mcaid | $105.00 | ↓ -68% |
| the health plan wv | mgd mcaid | $106.50 | ↓ -68% |
| aetna | better health mgd medicaid | $107.00 | ↓ -68% |
| the health plan wv | chip | $107.00 | ↓ -68% |
| aetna better health wv | chip | $107.00 | ↓ -68% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $148.19 | ↓ -55% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $227.98 | ↓ -31% |
| peak health medicare advantage | all plans | $227.98 | ↓ -31% |
| highmark pa medicare advantage | hmo | $227.98 | ↓ -31% |
| molina oh medicare advantage | all plans | $227.98 | ↓ -31% |
| highmark wholecare pa medicare advantage | all pla | $234.82 | ↓ -29% |
| highmark wv medicare advantage | all plans | $237.10 | ↓ -28% |
| upmc for life medicare advantage | all plans | $239.38 | ↓ -28% |
| humana medicare advantage | all plans | $239.38 | ↓ -28% |
| pa health & wellness medicare advantage | all plan | $239.38 | ↓ -28% |
| buckeye oh medicare advantage | all plans | $239.38 | ↓ -28% |
| aetna medicare advantage | all plans | $239.38 | ↓ -28% |
| the health plan wv medicare advantage | all plans | $241.66 | ↓ -27% |
| wv senior advantage | isnp | $241.66 | ↓ -27% |
| geisinger pa medicare advantage | all plans | $241.66 | ↓ -27% |
| valor health medicare advantage | all plans | $241.66 | ↓ -27% |
| unitedhealthcare medicare advantage | all plans | $248.50 | ↓ -25% |
| the health plan wv | peia | $255.79 | ↓ -23% |
| encova | worker's compensation | $341.97 | ↑ +3% |
| buckeye commercial | exchange plan | $341.97 | ↑ +3% |
| caresource oh exchange | caresource oh exchange | $341.97 | ↑ +3% |
| rockport healthcare group | worker's compensation | $353.37 | ↑ +7% |
| coventry health care | worker's compensation | $360.21 | ↑ +9% |
| alliance coal | alliance coal | $604.15 | ↑ +83% |
Visitor-reported prices
Comments
Biopsy of lip 40490 at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jefferson Medical Center | Ranson | $64.50 | not published |
| Grant Memorial Hospital | Petersburg | $103.20 | not published |
| Reynolds Memorial Hospital | Glen Dale | $328.00 | $38.33 – $395.66 |
| Summersville Regional Medical Center | Summersville | $72.00 | not published |
| Berkeley Medical Center | Martinsburg | $3,212.00 | $39.06 – $398.91 |
| Braxton County Memorial Hospital | Gassaway | $64.50 | not published |
| United Hospital Center | Bridgeport | $272.50 | $105.00 – $427.30 |
| Jackson General Hospital | Ripley | $75.00 | not published |