ER Visit (level 5, high severity) at West Virginia University Hospitals
1 Medical Center Dr, Morgantown, WV · Wvumedicine · · NPI 1841271459
$4,303.50
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.
$8,607.00
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 $2,428.49 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 |
|---|---|---|---|
| highmark wholecare pa medicare advantage | all pla | $25.00 | ↓ -99% |
| aetna better health pa | chip | $138.74 | ↓ -97% |
| uhc community pa chip | unison kids | $142.90 | ↓ -97% |
| highmark health options | chip | $145.68 | ↓ -97% |
| upmc for you medicaid | upmc for you medicaid | $145.68 | ↓ -97% |
| upmc for kids | chip | $152.61 | ↓ -96% |
| pennsylvania health & wellness | medicaid | $152.61 | ↓ -96% |
| pennsylvania health and wellness | mgd medicaid | $152.61 | ↓ -96% |
| geisinger pennsylvania | mgd medicaid | $166.49 | ↓ -96% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $250.00 | ↓ -94% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $573.23 | ↓ -87% |
| peak health medicare advantage | all plans | $573.23 | ↓ -87% |
| highmark pa medicare advantage | hmo | $573.23 | ↓ -87% |
| molina oh medicare advantage | all plans | $573.23 | ↓ -87% |
| upmc for life medicare advantage | all plans | $573.23 | ↓ -87% |
| caresource oh medicare advantage | all plans | $573.23 | ↓ -87% |
| anthem pathway | anthem pathway | $573.23 | ↓ -87% |
| anthem oh medicare advantage | hmo | $590.43 | ↓ -86% |
| highmark wv medicare advantage | all plans | $596.16 | ↓ -86% |
| humana medicare advantage | all plans | $601.89 | ↓ -86% |
| buckeye oh medicare advantage | all plans | $601.89 | ↓ -86% |
| pa health & wellness medicare advantage | all plan | $601.89 | ↓ -86% |
| senior life pa - ma | certain hospitals | $601.89 | ↓ -86% |
| aetna medicare advantage | all plans | $601.89 | ↓ -86% |
| valor health medicare advantage | all plans | $607.62 | ↓ -86% |
| wv senior advantage | isnp | $607.62 | ↓ -86% |
| the health plan wv medicare advantage | all plans | $607.62 | ↓ -86% |
| geisinger pa medicare advantage | all plans | $607.62 | ↓ -86% |
| wellpoint wv | chip | $609.32 | ↓ -86% |
| highmark health options west va | mgd mcaid | $609.32 | ↓ -86% |
| wellpoint west virginia | mgd mcaid | $609.32 | ↓ -86% |
| the health plan wv | mgd mcaid | $618.02 | ↓ -86% |
| aetna better health wv | chip | $620.92 | ↓ -86% |
| the health plan wv | chip | $620.92 | ↓ -86% |
| aetna | better health mgd medicaid | $620.92 | ↓ -86% |
| unitedhealthcare medicare advantage | all plans | $624.82 | ↓ -85% |
| caresource oh exchange | caresource oh exchange | $630.55 | ↓ -85% |
| the health plan wv | peia | $643.16 | ↓ -85% |
| encova | worker's compensation | $859.84 | ↓ -80% |
| buckeye commercial | exchange plan | $859.84 | ↓ -80% |
| rockport healthcare group | worker's compensation | $888.51 | ↓ -79% |
| coventry health care | worker's compensation | $905.70 | ↓ -79% |
| alliance coal | alliance coal | $1,003.15 | ↓ -77% |
| molina oh exchange | molina oh exchange | $1,200.00 | ↓ -72% |
| blue cross blue shield ppo | blue cross blue shield ppo | $2,428.49 | ↓ -44% |
| blue cross blue shield traditional | blue cross blue shield traditional | $2,428.49 | ↓ -44% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jefferson Medical Center | Ranson | $679.00 | not published |
| Grant Memorial Hospital | Petersburg | $1,859.20 | not published |
| Reynolds Memorial Hospital | Glen Dale | $871.00 | $152.61 – $994.82 |
| Summersville Regional Medical Center | Summersville | $1,020.50 | not published |
| Berkeley Medical Center | Martinsburg | $1,205.00 | $573.16 – $1,003.03 |
| Braxton County Memorial Hospital | Gassaway | $496.00 | not published |
| United Hospital Center | Bridgeport | $1,138.50 | $609.32 – $1,074.38 |
| Jackson General Hospital | Ripley | $1,667.50 | not published |