Cover eye w/membrane suture at West Virginia University Hospitals
1 Medical Center Dr, Morgantown, WV · Wvumedicine · · NPI 1841271459
$4,414.00
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.
$8,828.00
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.
$77.21 with wellpoint wv vs $10,028.02 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 | $77.21 | ↓ -98% |
| highmark health options west va | mgd mcaid | $77.21 | ↓ -98% |
| wellpoint west virginia | mgd mcaid | $77.21 | ↓ -98% |
| the health plan wv | mgd mcaid | $78.31 | ↓ -98% |
| aetna better health wv | chip | $78.68 | ↓ -98% |
| the health plan wv | chip | $78.68 | ↓ -98% |
| aetna | better health mgd medicaid | $78.68 | ↓ -98% |
| highmark health options | chip | $814.80 | ↓ -82% |
| upmc for you medicaid | upmc for you medicaid | $814.80 | ↓ -82% |
| pennsylvania health and wellness | mgd medicaid | $853.60 | ↓ -81% |
| upmc for kids | chip | $853.60 | ↓ -81% |
| geisinger pennsylvania | mgd medicaid | $931.20 | ↓ -79% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $2,459.70 | ↓ -44% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $3,784.16 | ↓ -14% |
| peak health medicare advantage | all plans | $3,784.16 | ↓ -14% |
| highmark pa medicare advantage | hmo | $3,784.16 | ↓ -14% |
| molina oh medicare advantage | all plans | $3,784.16 | ↓ -14% |
| highmark wholecare pa medicare advantage | all pla | $3,897.68 | ↓ -12% |
| highmark wv medicare advantage | all plans | $3,935.53 | ↓ -11% |
| upmc for life medicare advantage | all plans | $3,973.37 | ↓ -10% |
| buckeye oh medicare advantage | all plans | $3,973.37 | ↓ -10% |
| pa health & wellness medicare advantage | all plan | $3,973.37 | ↓ -10% |
| aetna medicare advantage | all plans | $3,973.37 | ↓ -10% |
| humana medicare advantage | all plans | $3,973.37 | ↓ -10% |
| the health plan wv medicare advantage | all plans | $4,011.21 | ↓ -9% |
| wv senior advantage | isnp | $4,011.21 | ↓ -9% |
| valor health medicare advantage | all plans | $4,011.21 | ↓ -9% |
| geisinger pa medicare advantage | all plans | $4,011.21 | ↓ -9% |
| unitedhealthcare medicare advantage | all plans | $4,124.73 | ↓ -7% |
| the health plan wv | peia | $4,245.83 | ↓ -4% |
| caresource oh exchange | caresource oh exchange | $5,676.24 | ↑ +29% |
| encova | worker's compensation | $5,676.24 | ↑ +29% |
| buckeye commercial | exchange plan | $5,676.24 | ↑ +29% |
| rockport healthcare group | worker's compensation | $5,865.45 | ↑ +33% |
| coventry health care | worker's compensation | $5,978.97 | ↑ +35% |
| alliance coal | alliance coal | $10,028.02 | ↑ +127% |
Visitor-reported prices
Comments
Cover eye w/membrane suture at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Reynolds Memorial Hospital | Glen Dale | $3,773.00 | $77.21 – $6,567.30 |
| United Hospital Center | Bridgeport | $3,973.00 | $77.21 – $7,092.45 |
| Wetzel County Hospital | New Martinsville | $4,588.00 | $77.21 – $7,033.58 |
| Camden Clark Medical Center | Parkersburg | $3,973.00 | $77.21 – $6,567.30 |
| Thomas Hospitals | South Charleston | $2,477.88 | $3,752.74 – $18,992.24 |