Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at West Virginia University Hospitals
1 Medical Center Dr, Morgantown, WV · Wvumedicine · · NPI 1841271459
$311.50
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.
$623.00
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.
$31.20 with aetna better health pa vs $2,787.00 with upmc — 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 | $31.20 | ↓ -90% |
| uhc community pa chip | unison kids | $32.14 | ↓ -90% |
| upmc for you medicaid | upmc for you medicaid | $32.76 | ↓ -89% |
| highmark health options | chip | $32.76 | ↓ -89% |
| pennsylvania health and wellness | mgd medicaid | $34.32 | ↓ -89% |
| upmc for kids | chip | $34.32 | ↓ -89% |
| pennsylvania health & wellness | medicaid | $34.32 | ↓ -89% |
| amerihealth caritas pa | medicaid | $34.94 | ↓ -89% |
| geisinger pennsylvania | mgd medicaid | $37.44 | ↓ -88% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $137.00 | ↓ -56% |
| upmc for life medicare advantage | all plans | $210.77 | ↓ -32% |
| molina oh medicare advantage | all plans | $210.77 | ↓ -32% |
| peak health medicare advantage | all plans | $210.77 | ↓ -32% |
| anthem pathway | anthem pathway | $210.77 | ↓ -32% |
| caresource oh medicare advantage | all plans | $210.77 | ↓ -32% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $210.77 | ↓ -32% |
| highmark pa medicare advantage | hmo | $210.77 | ↓ -32% |
| highmark wholecare pa medicare advantage | all pla | $217.09 | ↓ -30% |
| anthem oh medicare advantage | hmo | $217.09 | ↓ -30% |
| highmark wv medicare advantage | all plans | $219.20 | ↓ -30% |
| humana medicare advantage | all plans | $221.31 | ↓ -29% |
| aetna medicare advantage | all plans | $221.31 | ↓ -29% |
| senior life pa - ma | certain hospitals | $221.31 | ↓ -29% |
| buckeye oh medicare advantage | all plans | $221.31 | ↓ -29% |
| pa health & wellness medicare advantage | all plan | $221.31 | ↓ -29% |
| valor health medicare advantage | all plans | $223.42 | ↓ -28% |
| the health plan wv medicare advantage | all plans | $223.42 | ↓ -28% |
| wv senior advantage | isnp | $223.42 | ↓ -28% |
| geisinger pa medicare advantage | all plans | $223.42 | ↓ -28% |
| unitedhealthcare medicare advantage | all plans | $229.74 | ↓ -26% |
| caresource oh exchange | caresource oh exchange | $231.85 | ↓ -26% |
| the health plan wv | peia | $236.48 | ↓ -24% |
| encova | worker's compensation | $316.15 | ↑ +1% |
| buckeye commercial | exchange plan | $316.15 | ↑ +1% |
| rockport healthcare group | worker's compensation | $326.69 | ↑ +5% |
| coventry health care | worker's compensation | $333.02 | ↑ +7% |
| alliance coal | alliance coal | $368.85 | ↑ +18% |
| blue cross blue shield traditional | blue cross blue shield traditional | $892.93 | ↑ +187% |
| blue cross blue shield ppo | blue cross blue shield ppo | $892.93 | ↑ +187% |
| optum | behavioral health | $1,482.00 | ↑ +376% |
| upmc | commercial | $2,787.00 | ↑ +795% |
Visitor-reported prices
Comments
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Reynolds Memorial Hospital | Glen Dale | $401.50 | $32.76 – $365.80 |
| Berkeley Medical Center | Martinsburg | $252.00 | $33.38 – $368.81 |
| United Hospital Center | Bridgeport | $252.00 | $225.74 – $395.05 |
| Jackson General Hospital | Ripley | $33.50 | not published |
| Wetzel County Hospital | New Martinsville | $238.00 | $34.32 – $391.77 |
| Camden Clark Medical Center | Parkersburg | $252.00 | $209.03 – $365.80 |
| Princeton Community Hospital | Princeton | $112.00 | $31.20 – $1,303.95 |
| Thomas Hospitals | South Charleston | $318.50 | $209.03 – $1,057.88 |