Incision of bile duct 47420 at West Virginia University Hospitals
1 Medical Center Dr, Morgantown, WV · Wvumedicine · · NPI 1841271459
$11,395.75
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.
$22,791.50
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.
$826.49 with highmark wholecare pennsylvania medicaid vs $3,369.55 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 |
|---|---|---|---|
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $826.49 | ↓ -93% |
| wellpoint west virginia | mgd mcaid | $1,036.11 | ↓ -91% |
| wellpoint wv | chip | $1,036.11 | ↓ -91% |
| highmark health options west va | mgd mcaid | $1,036.11 | ↓ -91% |
| the health plan wv | mgd mcaid | $1,050.91 | ↓ -91% |
| the health plan wv | chip | $1,055.84 | ↓ -91% |
| aetna better health wv | chip | $1,055.84 | ↓ -91% |
| aetna | better health mgd medicaid | $1,055.84 | ↓ -91% |
| molina oh medicare advantage | all plans | $1,271.53 | ↓ -89% |
| highmark pa medicare advantage | hmo | $1,271.53 | ↓ -89% |
| peak health medicare advantage | all plans | $1,271.53 | ↓ -89% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $1,271.53 | ↓ -89% |
| highmark wholecare pa medicare advantage | all pla | $1,309.68 | ↓ -89% |
| highmark wv medicare advantage | all plans | $1,322.39 | ↓ -88% |
| buckeye oh medicare advantage | all plans | $1,335.11 | ↓ -88% |
| aetna medicare advantage | all plans | $1,335.11 | ↓ -88% |
| upmc for life medicare advantage | all plans | $1,335.11 | ↓ -88% |
| humana medicare advantage | all plans | $1,335.11 | ↓ -88% |
| pa health & wellness medicare advantage | all plan | $1,335.11 | ↓ -88% |
| valor health medicare advantage | all plans | $1,347.82 | ↓ -88% |
| the health plan wv medicare advantage | all plans | $1,347.82 | ↓ -88% |
| wv senior advantage | isnp | $1,347.82 | ↓ -88% |
| geisinger pa medicare advantage | all plans | $1,347.82 | ↓ -88% |
| unitedhealthcare medicare advantage | all plans | $1,385.97 | ↓ -88% |
| the health plan wv | peia | $1,426.66 | ↓ -87% |
| buckeye commercial | exchange plan | $1,907.30 | ↓ -83% |
| encova | worker's compensation | $1,907.30 | ↓ -83% |
| caresource oh exchange | caresource oh exchange | $1,907.30 | ↓ -83% |
| rockport healthcare group | worker's compensation | $1,970.87 | ↓ -83% |
| coventry health care | worker's compensation | $2,009.02 | ↓ -82% |
| alliance coal | alliance coal | $3,369.55 | ↓ -70% |
Visitor-reported prices
Comments
Incision of bile duct 47420 at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Grant Memorial Hospital | Petersburg | $2,329.60 | not published |
| Summersville Regional Medical Center | Summersville | $1,433.50 | not published |
| Braxton County Memorial Hospital | Gassaway | $1,456.00 | not published |
| Jackson General Hospital | Ripley | $1,433.50 | not published |
| Potomac Valley Hospital | Keyser | $1,456.00 | not published |
| St. Joseph's Hospital | Buckhannon | $1,456.00 | not published |