Nasal/sinus endoscopy surg w/bx 31237 at West Virginia University Hospitals
1 Medical Center Dr, Morgantown, WV · Wvumedicine · · NPI 1841271459
$6,461.50
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.
$12,923.00
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 wellpoint west virginia vs $7,258.10 with blue cross blue shield ppo — 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 |
|---|---|---|---|
| wellpoint west virginia | mgd mcaid | $205.80 | ↓ -97% |
| highmark health options west va | mgd mcaid | $205.80 | ↓ -97% |
| highmark health options | chip | $205.80 | ↓ -97% |
| wellpoint wv | chip | $205.80 | ↓ -97% |
| the health plan wv | mgd mcaid | $208.74 | ↓ -97% |
| aetna better health wv | chip | $209.72 | ↓ -97% |
| the health plan wv | chip | $209.72 | ↓ -97% |
| aetna | better health mgd medicaid | $209.72 | ↓ -97% |
| aetna better health pa | chip | $776.00 | ↓ -88% |
| uhc community pa chip | unison kids | $799.28 | ↓ -88% |
| upmc for you medicaid | upmc for you medicaid | $814.80 | ↓ -87% |
| pennsylvania health and wellness | mgd medicaid | $853.60 | ↓ -87% |
| upmc for kids | chip | $853.60 | ↓ -87% |
| pennsylvania health & wellness | medicaid | $853.60 | ↓ -87% |
| geisinger pennsylvania | mgd medicaid | $931.20 | ↓ -86% |
| highmark wholecare pennsylvania medicaid | highmark wholecare pennsylvania medicaid | $1,113.60 | ↓ -83% |
| molina oh medicare advantage | all plans | $1,713.23 | ↓ -73% |
| highmark pa medicare advantage | hmo | $1,713.23 | ↓ -73% |
| anthem pathway | anthem pathway | $1,713.23 | ↓ -73% |
| peak health medicare advantage | all plans | $1,713.23 | ↓ -73% |
| caresource oh medicare advantage | all plans | $1,713.23 | ↓ -73% |
| united mine workers of america medicare advantage | united mine workers of america medicare advantage | $1,713.23 | ↓ -73% |
| upmc for life medicare advantage | all plans | $1,713.23 | ↓ -73% |
| anthem oh medicare advantage | hmo | $1,764.63 | ↓ -73% |
| highmark wholecare pa medicare advantage | all pla | $1,764.63 | ↓ -73% |
| highmark wv medicare advantage | all plans | $1,781.76 | ↓ -72% |
| humana medicare advantage | all plans | $1,798.89 | ↓ -72% |
| aetna medicare advantage | all plans | $1,798.89 | ↓ -72% |
| pa health & wellness medicare advantage | all plan | $1,798.89 | ↓ -72% |
| buckeye oh medicare advantage | all plans | $1,798.89 | ↓ -72% |
| senior life pa - ma | certain hospitals | $1,798.89 | ↓ -72% |
| the health plan wv medicare advantage | all plans | $1,816.02 | ↓ -72% |
| wv senior advantage | isnp | $1,816.02 | ↓ -72% |
| valor health medicare advantage | all plans | $1,816.02 | ↓ -72% |
| geisinger pa medicare advantage | all plans | $1,816.02 | ↓ -72% |
| unitedhealthcare medicare advantage | all plans | $1,867.42 | ↓ -71% |
| caresource oh exchange | caresource oh exchange | $1,884.55 | ↓ -71% |
| the health plan wv | peia | $1,922.24 | ↓ -70% |
| buckeye commercial | exchange plan | $2,569.84 | ↓ -60% |
| encova | worker's compensation | $2,569.84 | ↓ -60% |
| rockport healthcare group | worker's compensation | $2,655.51 | ↓ -59% |
| coventry health care | worker's compensation | $2,706.90 | ↓ -58% |
| alliance coal | alliance coal | $2,998.15 | ↓ -54% |
| blue cross blue shield traditional | blue cross blue shield traditional | $7,258.10 | ↑ +12% |
| blue cross blue shield ppo | blue cross blue shield ppo | $7,258.10 | ↑ +12% |
Visitor-reported prices
Comments
Nasal/sinus endoscopy surg w/bx 31237 at other West-virginia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Reynolds Memorial Hospital | Glen Dale | $3,090.50 | $205.80 – $2,973.27 |
| Berkeley Medical Center | Martinsburg | $5,475.00 | $205.80 – $1,199.12 |
| United Hospital Center | Bridgeport | $2,607.00 | $205.80 – $3,211.02 |
| Wetzel County Hospital | New Martinsville | $2,138.00 | $205.80 – $3,184.37 |
| Camden Clark Medical Center | Parkersburg | $2,607.00 | $205.80 – $2,973.27 |
| Princeton Community Hospital | Princeton | $5,639.00 | $205.80 – $10,598.68 |
| Thomas Hospitals | South Charleston | $5,065.67 | $205.80 – $8,598.52 |
| Beckley ARH Hospital | Beckley | $513.60 | $121.21 – $1,487.02 |