Established Patient Office Visit (level 5) at West Virginia University Hospitals
1 Medical Center Dr, Morgantown, WV · Wvumedicine · · NPI 1841271459
$72.50
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.
$145.00
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.
$78.05 with aetna better health pa vs $530.96 with blue cross blue shield ppo — 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 |
|---|---|---|---|
| aetna better health pa | chip | $78.05 | ↑ +8% |
| uhc community pa chip | unison kids | $80.39 | ↑ +11% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $81.46 | ↑ +12% |
| upmc for you medicaid | upmc for you medicaid | $81.95 | ↑ +13% |
| highmark health options | chip | $81.95 | ↑ +13% |
| upmc for kids | chip | $85.86 | ↑ +18% |
| pennsylvania health & wellness | medicaid | $85.86 | ↑ +18% |
| pennsylvania health and wellness | mgd medicaid | $85.86 | ↑ +18% |
| amerihealth caritas pa | medicaid | $87.42 | ↑ +21% |
| geisinger pennsylvania | mgd medicaid | $93.66 | ↑ +29% |
| wellpoint west virginia | mgd mcaid | $107.57 | ↑ +48% |
| wellpoint wv | chip | $107.57 | ↑ +48% |
| highmark health options west va | mgd mcaid | $107.57 | ↑ +48% |
| the health plan wv | mgd mcaid | $109.11 | ↑ +50% |
| the health plan wv | chip | $109.62 | ↑ +51% |
| aetna better health wv | chip | $109.62 | ↑ +51% |
| aetna | better health mgd medicaid | $109.62 | ↑ +51% |
| highmark pa medicare advantage | hmo | $125.33 | ↑ +73% |
| peak health medicare advantage | all plans | $125.33 | ↑ +73% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $125.33 | ↑ +73% |
| molina oh medicare advantage | all plans | $125.33 | ↑ +73% |
| upmc for life medicare advantage | all plans | $125.33 | ↑ +73% |
| caresource oh medicare advantage | all plans | $125.33 | ↑ +73% |
| anthem pathway | anthem pathway | $125.33 | ↑ +73% |
| anthem oh medicare advantage | hmo | $129.09 | ↑ +78% |
| highmark wholecare pa medicare advantage | all pla | $129.09 | ↑ +78% |
| highmark wv medicare advantage | all plans | $130.34 | ↑ +80% |
| senior life pa - ma | certain hospitals | $131.60 | ↑ +82% |
| buckeye oh medicare advantage | all plans | $131.60 | ↑ +82% |
| pa health & wellness medicare advantage | all plan | $131.60 | ↑ +82% |
| humana medicare advantage | all plans | $131.60 | ↑ +82% |
| aetna medicare advantage | all plans | $131.60 | ↑ +82% |
| valor health medicare advantage | all plans | $132.85 | ↑ +83% |
| geisinger pa medicare advantage | all plans | $132.85 | ↑ +83% |
| the health plan wv medicare advantage | all plans | $132.85 | ↑ +83% |
| wv senior advantage | isnp | $132.85 | ↑ +83% |
| unitedhealthcare medicare advantage | all plans | $136.61 | ↑ +88% |
| caresource oh exchange | caresource oh exchange | $137.86 | ↑ +90% |
| the health plan wv | peia | $140.62 | ↑ +94% |
| buckeye commercial | exchange plan | $188.00 | ↑ +159% |
| encova | worker's compensation | $188.00 | ↑ +159% |
| rockport healthcare group | worker's compensation | $194.26 | ↑ +168% |
| coventry health care | worker's compensation | $198.02 | ↑ +173% |
| blue cross blue shield traditional | blue cross blue shield traditional | $530.96 | ↑ +632% |
| blue cross blue shield ppo | blue cross blue shield ppo | $530.96 | ↑ +632% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 5) at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Jefferson Medical Center | Ranson | $157.00 | not published |
| Grant Memorial Hospital | Petersburg | $502.40 | not published |
| Reynolds Memorial Hospital | Glen Dale | $64.50 | $81.46 – $198.02 |
| Summersville Regional Medical Center | Summersville | $157.00 | not published |
| Berkeley Medical Center | Martinsburg | $86.00 | $83.51 – $198.02 |
| Braxton County Memorial Hospital | Gassaway | $157.00 | not published |
| Jackson General Hospital | Ripley | $157.00 | not published |
| Potomac Valley Hospital | Keyser | $168.00 | not published |