Gated heart multiple 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

$1,209.00

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.

$2,418.00

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.

$50.96 with highmark health options west va vs $1,019.72 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
highmark health options west va mgd mcaid $50.96 ↓ -96%
wellpoint west virginia mgd mcaid $50.96 ↓ -96%
wellpoint wv chip $50.96 ↓ -96%
the health plan wv mgd mcaid $51.68 ↓ -96%
the health plan wv chip $51.93 ↓ -96%
aetna better health wv chip $51.93 ↓ -96%
aetna better health mgd medicaid $51.93 ↓ -96%
upmc for you medicaid upmc for you medicaid $238.35 ↓ -80%
highmark health options chip $238.35 ↓ -80%
upmc for kids chip $249.70 ↓ -79%
pennsylvania health and wellness mgd medicaid $249.70 ↓ -79%
highmark wholecare pennsylvania medicaid highmark wholecare pennsylvania medicaid $250.12 ↓ -79%
amerihealth caritas pa medicaid $254.24 ↓ -79%
geisinger pennsylvania mgd medicaid $272.40 ↓ -77%
united mine workers of america medicare advantage united mine workers of america medicare advantage $384.80 ↓ -68%
peak health medicare advantage all plans $384.80 ↓ -68%
highmark pa medicare advantage hmo $384.80 ↓ -68%
molina oh medicare advantage all plans $384.80 ↓ -68%
highmark wholecare pa medicare advantage all pla $396.34 ↓ -67%
highmark wv medicare advantage all plans $400.19 ↓ -67%
upmc for life medicare advantage all plans $404.04 ↓ -67%
humana medicare advantage all plans $404.04 ↓ -67%
pa health & wellness medicare advantage all plan $404.04 ↓ -67%
buckeye oh medicare advantage all plans $404.04 ↓ -67%
aetna medicare advantage all plans $404.04 ↓ -67%
the health plan wv medicare advantage all plans $407.89 ↓ -66%
wv senior advantage isnp $407.89 ↓ -66%
geisinger pa medicare advantage all plans $407.89 ↓ -66%
valor health medicare advantage all plans $407.89 ↓ -66%
unitedhealthcare medicare advantage all plans $419.43 ↓ -65%
the health plan wv peia $431.75 ↓ -64%
encova worker's compensation $577.20 ↓ -52%
buckeye commercial exchange plan $577.20 ↓ -52%
caresource oh exchange caresource oh exchange $577.20 ↓ -52%
rockport healthcare group worker's compensation $596.44 ↓ -51%
coventry health care worker's compensation $607.98 ↓ -50%
alliance coal alliance coal $1,019.72 ↓ -16%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post