Dest mal lesion tal 1.1-2.0cm 17262 at West Virginia University Hospitals

1 Medical Center Dr, Morgantown, WV · Wvumedicine · · NPI 1841271459

Source: hospital's published price file ↗ · Published Jul 9, 2026 · Ingested Sep 16, 2026

$257.00

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.

Full explanation →

What you pay up front if you don't use insurance.

$514.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$89.25 with upmc for you medicaid vs $511.77 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 →

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
upmc for you medicaid upmc for you medicaid $89.25 ↓ -65%
highmark health options chip $89.25 ↓ -65%
pennsylvania health and wellness mgd medicaid $93.50 ↓ -64%
upmc for kids chip $93.50 ↓ -64%
amerihealth caritas pa medicaid $95.20 ↓ -63%
geisinger pennsylvania mgd medicaid $102.00 ↓ -60%
highmark wholecare pennsylvania medicaid highmark wholecare pennsylvania medicaid $125.53 ↓ -51%
united mine workers of america medicare advantage united mine workers of america medicare advantage $193.12 ↓ -25%
molina oh medicare advantage all plans $193.12 ↓ -25%
peak health medicare advantage all plans $193.12 ↓ -25%
highmark pa medicare advantage hmo $193.12 ↓ -25%
highmark wholecare pa medicare advantage all pla $198.91 ↓ -23%
highmark wv medicare advantage all plans $200.84 ↓ -22%
pa health & wellness medicare advantage all plan $202.78 ↓ -21%
upmc for life medicare advantage all plans $202.78 ↓ -21%
humana medicare advantage all plans $202.78 ↓ -21%
aetna medicare advantage all plans $202.78 ↓ -21%
buckeye oh medicare advantage all plans $202.78 ↓ -21%
valor health medicare advantage all plans $204.71 ↓ -20%
the health plan wv medicare advantage all plans $204.71 ↓ -20%
wv senior advantage isnp $204.71 ↓ -20%
geisinger pa medicare advantage all plans $204.71 ↓ -20%
wellpoint wv chip $205.80 ↓ -20%
wellpoint west virginia mgd mcaid $205.80 ↓ -20%
highmark health options west va mgd mcaid $205.80 ↓ -20%
the health plan wv mgd mcaid $208.74 ↓ -19%
aetna better health wv chip $209.72 ↓ -18%
aetna better health mgd medicaid $209.72 ↓ -18%
the health plan wv chip $209.72 ↓ -18%
unitedhealthcare medicare advantage all plans $210.50 ↓ -18%
the health plan wv peia $216.68 ↓ -16%
caresource oh exchange caresource oh exchange $289.68 ↑ +13%
encova worker's compensation $289.68 ↑ +13%
buckeye commercial exchange plan $289.68 ↑ +13%
rockport healthcare group worker's compensation $299.34 ↑ +16%
coventry health care worker's compensation $305.13 ↑ +19%
alliance coal alliance coal $511.77 ↑ +99%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Dest mal lesion tal 1.1-2.0cm 17262 at other West-virginia hospitals

Hospital City Cash price Negotiated range
Reynolds Memorial Hospital Glen Dale $241.50 $89.25 – $335.16
Wetzel County Hospital New Martinsville $338.50 $93.50 – $358.94
Thomas Hospitals South Charleston $347.50 $191.52 – $969.26
Weirton Medical Center Weirton $125.00 $85.00 – $974.72

All West-virginia hospitals for this procedure →