Lip exc/transverse wedge/w closure 40510 at West Virginia University Hospitals
1 Medical Center Dr, Morgantown, WV · Wvumedicine · · NPI 1841271459
$12,005.50
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.
?
What you pay up front if you don't use insurance.
$24,011.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$205.80 with highmark health options west va vs $8,456.92 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 →
?
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 | $205.80 | ↓ -98% |
| wellpoint west virginia | mgd mcaid | $205.80 | ↓ -98% |
| wellpoint wv | chip | $205.80 | ↓ -98% |
| the health plan wv | mgd mcaid | $208.74 | ↓ -98% |
| the health plan wv | chip | $209.72 | ↓ -98% |
| aetna better health wv | chip | $209.72 | ↓ -98% |
| aetna | better health mgd medicaid | $209.72 | ↓ -98% |
| upmc for you medicaid | upmc for you medicaid | $324.78 | ↓ -97% |
| highmark health options | chip | $324.78 | ↓ -97% |
| upmc for kids | chip | $340.24 | ↓ -97% |
| pennsylvania health and wellness | mgd medicaid | $340.24 | ↓ -97% |
| amerihealth caritas pa | medicaid | $346.43 | ↓ -97% |
| geisinger pennsylvania | mgd medicaid | $371.17 | ↓ -97% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $2,074.34 | ↓ -83% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $3,191.29 | ↓ -73% |
| peak health medicare advantage | all plans | $3,191.29 | ↓ -73% |
| highmark pa medicare advantage | hmo | $3,191.29 | ↓ -73% |
| molina oh medicare advantage | all plans | $3,191.29 | ↓ -73% |
| highmark wholecare pa medicare advantage | all pla | $3,287.03 | ↓ -73% |
| highmark wv medicare advantage | all plans | $3,318.94 | ↓ -72% |
| upmc for life medicare advantage | all plans | $3,350.85 | ↓ -72% |
| humana medicare advantage | all plans | $3,350.85 | ↓ -72% |
| pa health & wellness medicare advantage | all plan | $3,350.85 | ↓ -72% |
| buckeye oh medicare advantage | all plans | $3,350.85 | ↓ -72% |
| aetna medicare advantage | all plans | $3,350.85 | ↓ -72% |
| the health plan wv medicare advantage | all plans | $3,382.77 | ↓ -72% |
| wv senior advantage | isnp | $3,382.77 | ↓ -72% |
| geisinger pa medicare advantage | all plans | $3,382.77 | ↓ -72% |
| valor health medicare advantage | all plans | $3,382.77 | ↓ -72% |
| unitedhealthcare medicare advantage | all plans | $3,478.51 | ↓ -71% |
| the health plan wv | peia | $3,580.63 | ↓ -70% |
| encova | worker's compensation | $4,786.94 | ↓ -60% |
| buckeye commercial | exchange plan | $4,786.94 | ↓ -60% |
| caresource oh exchange | caresource oh exchange | $4,786.94 | ↓ -60% |
| rockport healthcare group | worker's compensation | $4,946.50 | ↓ -59% |
| coventry health care | worker's compensation | $5,042.24 | ↓ -58% |
| alliance coal | alliance coal | $8,456.92 | ↓ -30% |
Visitor-reported prices
Comments
Lip exc/transverse wedge/w closure 40510 at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Camden Clark Medical Center | Parkersburg | $5,251.00 | $205.80 – $5,538.40 |